title: Impact of social determinants on well-being of urban construction workers of Hyderabad.
abstract: BACKGROUND
  Hyderabad has witnessed one of the largest labor immigration in recent years and these construction workers are highly vulnerable in terms of health. Social determinants of health (SDH) arise from conditions in which they live and these factors interact with each other to produce direct impact on health.
  
  
  OBJECTIVE
  (1) To evaluate the sociodemographic and job characteristics of the construction workers. (2) To assess the impact of social determinants on well-being.
  
  
  METHODS
  A sample size of 135 construction workers working at three sites of HITEC city were interviewed using semi-structured questionnaire. Health perception and the impact on well-being was measured using the Healthy Days Module and Kessler's Psychological Distress Scale. SDH were measured on a 27-item questionnaire with responses on a Likert scale ranging from 0 to 4. Proportions, percentages, P values, and mean scores were obtained.
  
  
  RESULTS
  The mean age of the sample was 35.4 ± 11.94 years. Seventeen (12.6%) of the workers reported a high risk score on the Kessler's Psychological Distress Scale. Binary logistic regression analysis was used to identify significant domains of social determinants independently associated with the well being of construction workers and significant among the nine domains of social determinants were addiction score domain with odds of 2.259 and a P value of 0.015 and the distress domain with odds of 1.108 and a P < 0.001.
  
  
  CONCLUSIONS
  There is a significant impairment of physical and mental health due to various factors including SDH, such as addictive habits and psychological distress, which are amenable to prevention.
authors.affiliation: Department of Community Medicine, Deccan College of Medical Sciences, Hyderabad, Telangana, India.
authors.forename: Sudha
authors.initials: S
authors.lastname: Bala
authors.affiliation: Department of Community Medicine, Catholic Health Association of India, Secunderabad, Telangana, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Valsangkar
authors.affiliation: Department of Community Medicine, Gandhi Medical College, Secunderabad, Telangana, India.
authors.forename: Reshaboyina Lakshmi Narayana
authors.initials: RL
authors.lastname: Lakshman Rao
authors.affiliation: Department of Community Medicine, Osmania Medical College, Hyderabad, Telangana, India.
authors.forename: Manem Lakshmi
authors.initials: ML
authors.lastname: Surya Prabha
keywords: Construction workers; social determinants; well-being