Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study

IntroductionMultimorbidity is an emerging public health challenge in India due to rapid industrialization, urbanization and an aging population. Multimorbidity often impacts occupational outcomes, including work-related stress, job loss, absenteeism, and reduced years of service. Odisha, an eastern...

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Main Authors: Abhinav Sinha, Md Shaney Ali, Mark P. Funnell, Arohi Chauhan, Patrick J. Highton, Srikanta Kanungo, Sanghamitra Pati
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1613856/full
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author Abhinav Sinha
Md Shaney Ali
Mark P. Funnell
Mark P. Funnell
Arohi Chauhan
Patrick J. Highton
Patrick J. Highton
Srikanta Kanungo
Sanghamitra Pati
author_facet Abhinav Sinha
Md Shaney Ali
Mark P. Funnell
Mark P. Funnell
Arohi Chauhan
Patrick J. Highton
Patrick J. Highton
Srikanta Kanungo
Sanghamitra Pati
author_sort Abhinav Sinha
collection DOAJ
description IntroductionMultimorbidity is an emerging public health challenge in India due to rapid industrialization, urbanization and an aging population. Multimorbidity often impacts occupational outcomes, including work-related stress, job loss, absenteeism, and reduced years of service. Odisha, an eastern state of India, is a major mining state with a large workforce exposed to occupational physical and mental stress, and toxic waste. We determined prevalence of multimorbidity and assessed its correlates among mining workers in the Odisha, India. Additionally, we assessed the most common patterns of chronic conditions in this group.MethodsA cross-sectional study was conducted among 425 mining workers aged ≥18 years in Sukinda, Odisha, from January to July 2022. Participants were recruited using systematic random sampling. A pre-validated multimorbidity Assessment Questionnaire for Primary Care was used for face to face interviews following standardized protocols. Multivariable logistic regression models assessed associations between multimorbidity and socio-demographic characteristics. A matrix analysis identified common dyads and triads of chronic conditions.ResultsThe overall prevalence of multimorbidity was 37.41%. The most common dyad was acid peptic disease + chronic backache (10.06%), while the most frequent triad was acid peptic disease + chronic backache + chronic chest pain (1.89%). Irregular exercise [AOR: 4.66 (95% CI: 1.74–12.49)], and longer service in the mining industry (31–40 years) [AOR: 8.05 (95% CI: 1.91–33.86)] were significantly associated with multimorbidity.ConclusionThe high prevalence of multimorbidity among mining workers highlights the urgent need for workplace health policies and/or interventions prioritizing ergonomic improvements, chronic disease management, and routine health screenings.
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spelling doaj-art-ad0a13f669b64dfa9cc58ff43360df6a2025-08-20T03:47:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.16138561613856Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional studyAbhinav Sinha0Md Shaney Ali1Mark P. Funnell2Mark P. Funnell3Arohi Chauhan4Patrick J. Highton5Patrick J. Highton6Srikanta Kanungo7Sanghamitra Pati8ICMR-Regional Medical Research Centre, Bhubaneswar, IndiaICMR-Regional Medical Research Centre, Bhubaneswar, IndiaDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester, United KingdomNational Institute for Health and Care Research Applied Research Collaboration East Midlands, Leicester, United KingdomSouth Asian Institute of Health Promotion, Bhubaneswar, IndiaDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester, United KingdomNational Institute for Health and Care Research Applied Research Collaboration East Midlands, Leicester, United KingdomICMR-Regional Medical Research Centre, Bhubaneswar, IndiaICMR-Regional Medical Research Centre, Bhubaneswar, IndiaIntroductionMultimorbidity is an emerging public health challenge in India due to rapid industrialization, urbanization and an aging population. Multimorbidity often impacts occupational outcomes, including work-related stress, job loss, absenteeism, and reduced years of service. Odisha, an eastern state of India, is a major mining state with a large workforce exposed to occupational physical and mental stress, and toxic waste. We determined prevalence of multimorbidity and assessed its correlates among mining workers in the Odisha, India. Additionally, we assessed the most common patterns of chronic conditions in this group.MethodsA cross-sectional study was conducted among 425 mining workers aged ≥18 years in Sukinda, Odisha, from January to July 2022. Participants were recruited using systematic random sampling. A pre-validated multimorbidity Assessment Questionnaire for Primary Care was used for face to face interviews following standardized protocols. Multivariable logistic regression models assessed associations between multimorbidity and socio-demographic characteristics. A matrix analysis identified common dyads and triads of chronic conditions.ResultsThe overall prevalence of multimorbidity was 37.41%. The most common dyad was acid peptic disease + chronic backache (10.06%), while the most frequent triad was acid peptic disease + chronic backache + chronic chest pain (1.89%). Irregular exercise [AOR: 4.66 (95% CI: 1.74–12.49)], and longer service in the mining industry (31–40 years) [AOR: 8.05 (95% CI: 1.91–33.86)] were significantly associated with multimorbidity.ConclusionThe high prevalence of multimorbidity among mining workers highlights the urgent need for workplace health policies and/or interventions prioritizing ergonomic improvements, chronic disease management, and routine health screenings.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1613856/fullmultimorbiditymining workersIndiamultiple long-term conditionsoccupational healthhealth promotion
spellingShingle Abhinav Sinha
Md Shaney Ali
Mark P. Funnell
Mark P. Funnell
Arohi Chauhan
Patrick J. Highton
Patrick J. Highton
Srikanta Kanungo
Sanghamitra Pati
Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study
Frontiers in Public Health
multimorbidity
mining workers
India
multiple long-term conditions
occupational health
health promotion
title Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study
title_full Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study
title_fullStr Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study
title_full_unstemmed Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study
title_short Prevalence and patterns of multimorbidity among mining workers of Odisha, India: a cross-sectional study
title_sort prevalence and patterns of multimorbidity among mining workers of odisha india a cross sectional study
topic multimorbidity
mining workers
India
multiple long-term conditions
occupational health
health promotion
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1613856/full
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