Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study

Background: In Zimbabwe, an estimated 500,000 people work in the sector of artisanal and small-scale gold mining (ASGM). Two million Zimbabweans are dependent on this sector. Using mercury is common to extract gold from ore. Long term exposure to mercury can cause various adverse health conditions...

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Main Authors: Butscher, Friederike-Marie, Rakete, Stefan, Tobollik, Myriam, Mambrey, Viola, Moyo, Dingani, Shoko, Dennis, Muteti-Fana, Shamiso, Steckling-Muschack, Nadine, Bose-O’Reilly, Stephan
Format: Article
Language:English
Published: BioMed Central Ltd 2021
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Online Access:https://hqlo.biomedcentral.com/track/pdf/10.1186/s12955-020-01530-w.pdf
http://hdl.handle.net/11408/4171
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author Butscher, Friederike-Marie
Rakete, Stefan
Tobollik, Myriam
Mambrey, Viola
Moyo, Dingani
Shoko, Dennis
Muteti-Fana, Shamiso
Steckling-Muschack, Nadine
Bose-O’Reilly, Stephan
author_facet Butscher, Friederike-Marie
Rakete, Stefan
Tobollik, Myriam
Mambrey, Viola
Moyo, Dingani
Shoko, Dennis
Muteti-Fana, Shamiso
Steckling-Muschack, Nadine
Bose-O’Reilly, Stephan
author_sort Butscher, Friederike-Marie
collection DSpace
description Background: In Zimbabwe, an estimated 500,000 people work in the sector of artisanal and small-scale gold mining (ASGM). Two million Zimbabweans are dependent on this sector. Using mercury is common to extract gold from ore. Long term exposure to mercury can cause various adverse health conditions including chronic mercury intoxication. The influence of these adverse health effects on the health-related quality of life (HRQoL) is still unknown. The aim of this study is to assess the HRQoL of people who identify themselves as miners, and to analyze potential influencing factors, such as age, years of working with mercury and health conditions caused by mercury exposure. Methods: This cross-sectional study assessed the HRQoL using the standardized EQ-5D + C (3 L) questionnaire and collected human specimens (blood, urine) of people living and possibly working in ASGM areas in Zimbabwe. Factors such as age, years of working with mercury and adverse health conditions possibly caused by mercury exposure were analyzed with regards to their influence on the HRQoL. Results: The 207 participants (82% male, mean age 38 years) reported 40 different health states. Of the study participants 42.5% reported to be in complete good health while 57.5% reported being unwell in different ways. Nine participants (4.3%) were identified with chronic mercury intoxication, whereas 92 participants (33.3%) had mercury levels above the “Alert” threshold in at least one specimen. Having chronic mercury intoxication has a significant negative influence on the HRQoL, when taking into account age, gender and years of working with mercury. Cognitive problems were the most reported in the questionnaire, however, the association between this domain separately and the HRQoL was not verified. Conclusion: This study shows that adverse health effects caused by chronic exposure to mercury, have a negative influence on the HRQoL among people living in ASGM areas.
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spelling ir-11408-41712022-06-27T13:49:06Z Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study Butscher, Friederike-Marie Rakete, Stefan Tobollik, Myriam Mambrey, Viola Moyo, Dingani Shoko, Dennis Muteti-Fana, Shamiso Steckling-Muschack, Nadine Bose-O’Reilly, Stephan Health-related quality of life (HRQoL) EuroQol (EQ) Visual analogue scale Artisanal and small-scale gold mining (ASGM) Mercury, Mercury intoxication Zimbabwe Background: In Zimbabwe, an estimated 500,000 people work in the sector of artisanal and small-scale gold mining (ASGM). Two million Zimbabweans are dependent on this sector. Using mercury is common to extract gold from ore. Long term exposure to mercury can cause various adverse health conditions including chronic mercury intoxication. The influence of these adverse health effects on the health-related quality of life (HRQoL) is still unknown. The aim of this study is to assess the HRQoL of people who identify themselves as miners, and to analyze potential influencing factors, such as age, years of working with mercury and health conditions caused by mercury exposure. Methods: This cross-sectional study assessed the HRQoL using the standardized EQ-5D + C (3 L) questionnaire and collected human specimens (blood, urine) of people living and possibly working in ASGM areas in Zimbabwe. Factors such as age, years of working with mercury and adverse health conditions possibly caused by mercury exposure were analyzed with regards to their influence on the HRQoL. Results: The 207 participants (82% male, mean age 38 years) reported 40 different health states. Of the study participants 42.5% reported to be in complete good health while 57.5% reported being unwell in different ways. Nine participants (4.3%) were identified with chronic mercury intoxication, whereas 92 participants (33.3%) had mercury levels above the “Alert” threshold in at least one specimen. Having chronic mercury intoxication has a significant negative influence on the HRQoL, when taking into account age, gender and years of working with mercury. Cognitive problems were the most reported in the questionnaire, however, the association between this domain separately and the HRQoL was not verified. Conclusion: This study shows that adverse health effects caused by chronic exposure to mercury, have a negative influence on the HRQoL among people living in ASGM areas. 2021-05-13T09:10:30Z 2021-05-13T09:10:30Z 2020 Article 1477-7525 https://hqlo.biomedcentral.com/track/pdf/10.1186/s12955-020-01530-w.pdf http://hdl.handle.net/11408/4171 en Health and Quality of Life Outcomes (2020) 18:284; open BioMed Central Ltd
spellingShingle Health-related quality of life (HRQoL)
EuroQol (EQ)
Visual analogue scale
Artisanal and small-scale gold mining (ASGM)
Mercury, Mercury intoxication
Zimbabwe
Butscher, Friederike-Marie
Rakete, Stefan
Tobollik, Myriam
Mambrey, Viola
Moyo, Dingani
Shoko, Dennis
Muteti-Fana, Shamiso
Steckling-Muschack, Nadine
Bose-O’Reilly, Stephan
Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study
title Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study
title_full Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study
title_fullStr Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study
title_full_unstemmed Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study
title_short Health-related quality of life (EQ-5D + C) among people living in artisanal and small scale gold mining areas in Zimbabwe: a cross-sectional study
title_sort health-related quality of life (eq-5d + c) among people living in artisanal and small scale gold mining areas in zimbabwe: a cross-sectional study
topic Health-related quality of life (HRQoL)
EuroQol (EQ)
Visual analogue scale
Artisanal and small-scale gold mining (ASGM)
Mercury, Mercury intoxication
Zimbabwe
url https://hqlo.biomedcentral.com/track/pdf/10.1186/s12955-020-01530-w.pdf
http://hdl.handle.net/11408/4171
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