title: Factors associated with self-rated health among migrant workers: results from a population-based cross-sectional study in Almaty, Kazakhstan.
abstract: OBJECTIVE
  To determine factors associated with SRH among migrant workers in Almaty, Kazakhstan.
  
  
  METHODS
  In 2007, 805 vendors were screened. Approximately half were eligible (n =450), defined as at least 18 years old, a worker/owner in a randomly selected stall, having traveled 2 + hours outside of Almaty within the past year, and being an internal/external migrant. 28 non-migrants were excluded, leaving 422 participants. Logistic regression was used to examine the relationship between SRH, mental health, and psychosocial problems.
  
  
  RESULTS
  Approximately 46% reported having poor or fair SRH. Clinical depression (OR 0.859, 95% CI 0.342-2.154), alcohol problems (OR 1.169, 95% CI 0.527-2.593), and legal status (OR 0.995, 95% CI 0.806-1.229) were not significantly associated with SRH, nor was exposure to interpersonal violence among women (OR 1.554, 95% CI 0.703-3.435). After adjusting for key variables, only ethnicity and social support were found to be significantly protective against poor or fair SRH.
  
  
  CONCLUSIONS
  SRH was not a comprehensive health measure for these Central Asian migrant workers. More specific questions are needed to identify mental illness and interpersonal violence.
authors.affiliation: Mailman School of Public Health, Columbia University, New York, NY, USA. pkumparatana@caa.columbia.edu.|School of Social Work, Columbia University, New York, NY, USA. pkumparatana@caa.columbia.edu.
authors.forename: Pam
authors.initials: P
authors.lastname: Kumparatana
authors.affiliation: Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Francine
authors.initials: F
authors.lastname: Cournos
authors.affiliation: Global Health Research Center of Central Asia (GHRCCA), Almaty, Kazakhstan.
authors.forename: Assel
authors.initials: A
authors.lastname: Terlikbayeva
authors.affiliation: Global Health Research Center of Central Asia (GHRCCA), Almaty, Kazakhstan.
authors.forename: Yelena
authors.initials: Y
authors.lastname: Rozental
authors.affiliation: School of Social Work, Columbia University, New York, NY, USA.
authors.forename: Louisa
authors.initials: L
authors.lastname: Gilbert
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D005006:Ethnicity; D005260:Female; D006304:Health Status; D006801:Humans; D007398:Interpersonal Relations; D007603:Jurisprudence; D007623:Kazakhstan / Q000453:epidemiology; D008297:Male; D057566:Self Report; D012944:Social Support; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014754:Violence
keywords: Central Asia; Kazakhstan; Migrant workers; Self-rated health (SRH)