Factors associated with TB screening among agricultural workers in Limpopo Province, South Africa

dc.contributor.authorMlangeni, Nosimilo
dc.contributor.authorMalotle, Molebogeng
dc.contributor.authorMade, Felix
dc.contributor.authorRamodike, Jonathan
dc.contributor.authorSikweyiya, Yandisa
dc.contributor.authorDu Preez, Christine
dc.contributor.authorThompson, Nikki Stuart
dc.contributor.authorZungu, Muzimkhulu
dc.date.accessioned2024-07-02T10:21:05Z
dc.date.available2024-07-02T10:21:05Z
dc.date.issued2023
dc.description.abstractBACKGROUND : Tuberculosis (TB) continues to be a public health issue of concern in South Africa. Workers in the agricultural sector are generally at increased risk of TB due to multiple interacting factors such as exposure to silica dust, co-worker infection, and occupations falling within the lower socio-economic sectors. OBJECTIVE : This study investigates factors associated with TB screening uptake for agricultural workers in Limpopo Province, South Africa. METHOD : This cross-sectional study targeted a study population of 16,787 agricultural workers across 96 agricultural worksites in South Africa. A two-stage cluster random sampling design identified 24 agricultural worksites and a potential 2500 participants. The outcome variable was self-reported TB screening. Descriptive statistics and unadjusted and adjusted logistic regression analyses were performed to determine factors associated with TB screening. A literature review informed the selection of covariates as possible confounders. RESULTS : The final study sample comprised 2144 workers across 24 sites, with 55% being women. TB screening uptake was 1155 (56.3%). Factors such as living with human immunodeficiency virus (HIV) (AOR 3.16, 95% CI: 2.44–4.09), accessing health services in the workplace (AOR 1.94, 95% CI: 1.09–3.46), and having prior TB knowledge (AOR 18.45, 95% CI: 9.8–34.74) were positively associated with TB screening. Participants in the age group 36–49 years had significantly higher odds of self-reporting TB screening, compared with those aged 18–25 years (AOR 1.37, 95% CI 1.07–1.77). Migrant workers from Mozambique (OR 0.52, 95% CI: 0.34–0.79) and Zimbabwe (OR 0.71, 95% CI 0.57–0.89) were significantly less likely to selfreport TB screening compared to their South African counterparts. CONCLUSION : The findings underscore the importance of workplace health services in achieving end-TB targets. We recommend programs and interventions for preventing TB in South Africa that target the agricultural sector in general, and in particular migrant workers.en_US
dc.description.departmentSchool of Health Systems and Public Health (SHSPH)en_US
dc.description.librarianam2024en_US
dc.description.sdgSDG-03:Good heatlh and well-beingen_US
dc.description.sponsorshipThe National Institute for Occupational Health (NIOH), the National Health Laboratory Service (NHLS), the South African Medical Research Council (SAMRC), Hoedspruit training trust (Hlokomela), Centre for Positive Care (CPC), and Choice Trust.en_US
dc.description.urihttps://www.tandfonline.com/journals/zgha20en_US
dc.identifier.citationMlangeni, N., Malotle, M., Made, F. et al. 2023, 'Factors associated with TB screening among agricultural workers in Limpopo Province, South Africa', Global Health Action, vol. 16, pp. 1-8. https://DOI.org/10.1080/16549716.2022.2162227.en_US
dc.identifier.issn1654-9716 (print)
dc.identifier.issn1654-9880 (online)
dc.identifier.other10.1080/16549716.2022.2162227
dc.identifier.urihttp://hdl.handle.net/2263/96757
dc.language.isoenen_US
dc.publisherTaylor and Francisen_US
dc.rights© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License.en_US
dc.subjectAgricultural workersen_US
dc.subjectOccupational healthen_US
dc.subjectTB Preventionen_US
dc.subjectMigrant healthen_US
dc.subjectAccess to healthcareen_US
dc.subjectWorkers’ healthen_US
dc.subjectTuberculosis (TB)en_US
dc.subjectLimpopo Province, South Africaen_US
dc.subjectSDG-03: Good health and well-beingen_US
dc.titleFactors associated with TB screening among agricultural workers in Limpopo Province, South Africaen_US
dc.typeArticleen_US

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