ArticleBMC public health2026
Health needs assessment for tropical vector-borne disease prevention among Chinese expatriate workers in Africa: a cross-sectional study.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesChinese-funded projects in Africa continue to grow in scale, and as a result Chinese expatriate workers face elevated health risks from tropical vector-borne diseases such as malaria, dengue, and schistosomiasis. Limited evidence is available on the infection risk profiles and unmet health service needs of Chinese workers while stationed abroad.
methodsA cross-sectional online survey was conducted between September and October 2023 among Chinese employees working in African countries; and data was collected through a structured questionnaire informed by the Dahlgren-Whitehead model of health determinants. Descriptive statistics, χ
resultsOf 303 valid questionnaires, 33.7% respondents reported having contracted a tropical vector-borne disease, mainly malaria. Factors significantly associated with infection included older age (OR
conclusionChinese expatriate workers in Africa face multifaceted health challenges, underscoring the need to prioritize their health and well-being. Toward advancing universal health coverage, our findings highlight the importance of safeguarding mobile labor populations and fostering stronger collaboration between enterprises, public health systems, and host-country institutions.
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