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Quality of Life and Factors Affecting It: A Study Among People Living Near a Solid Waste Management Facility.

ABSTRACT: Background: The amount of waste generated has been increasing over the years. Meanwhile, the capacity of solid waste management facilities (SWMFs) for waste disposal does not meet the needs, resulting in adverse consequences on the natural environment and health of residents living near these plants, which can significantly degrade their quality of life (QoL). This study aims to evaluate the QoL of residents living near an SWMF and the potential impacts it has on the residents. Methods: A cross-sectional descriptive study was conducted involving 801 subjects, aged 18 and above, who live near the SWMF of Hue City, Vietnam. The QoL of the subjects was quantitatively assessed using the WHO QoL assessment scale (WHOQOL-BREF). The general, health, and environmental factors influencing QoL were identified using bivariate and multivariate logistic regression analyses. Results: About 22.6% of the subjects had a good QoL. In particular, the proportions for good psychological health (6.9%) and environment (13.6%) were low, indicating an influence of the SWMF. Significant factors that degraded the QoL of residents were less education defined by not graduating from high school (odds ratio, OR = 2.78; 95% CI = 1.09-7.06), poor health status (OR = 2.50; 95% CI: 1.56-4.01), dissatisfaction with water quality (OR = 2.41; 95% CI: 1.10-5.25), and unacceptance of the SWMF presence (OR = 1.70; 95% CI: 1.11-2.60). Moreover, subjects living within 2 km of the plant had dermatological diseases and digestive disorders more frequently than those who lived away from the plant. They also reported more complaints regarding water, air, and soil quality, which were likely due to the operation of the SWMF. Conclusions: Burying and disposing of solid waste at the SWMF might lead to the degradation of the surrounding water and soil environments, and its collection and transportation are considered to cause odor and dust. The efforts of responsible authorities to strictly supervise and inspect these activities at the SWMF are essential, not only to protect the surrounding environment but also to improve the QoL of those who live nearby these plants.

SUBMITTER: Phan LT

PROVIDER: S-EPMC8634782 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Municipal Solid Waste (MSW) management has been a long-standing problem for many cities in developing countries. Urbanization, population growth, and excessive demand for resources caused significant waste related environmental and socio-economic problems in cities. Integration of policy decisions with actionable targets and management of economic and environmental extremes were common challenges to achieving sustainable waste management strategy. Circular economy is a concept that has been evolved with sustainable resource management perspective adopted in this study to support scientific decision-making process for urban planners and policymakers. Life Cycle Assessment (LCA) is a framework to assess the environmental impacts of waste life cycle ranging from waste generation, transportation, treatment, and end disposal. This study used the LCA framework to evaluate the impact of MSW management of a selected local authority in Colombo, Sri Lanka, to identify the environmental impact of four (04) proposed scenarios in comparison with the Business-As-Usual (BAU) scenario. Environmental impacts were calculated using global warming potential in terms of greenhouse gas emissions and short-lived climate pollutants. The results revealed that management of MSW within the local authority boundary by integrating recycling, incineration, and sanitary landfill (3:8:1 ratio) offered the highest positive impacts (- 121.84 kg of CO2 eq./ton) while BAU scenario caused the highest negative impacts (250.97 kg of CO2 eq./ton) in comparison with selected scenarios. Moreover, incineration, sanitary landfill, recycling, and anaerobic digestion contributed to emission savings and energy generation. LCA framework was used to identify the composition of MSW for suitable technologies as well as to evaluate the efficiency of existing management mechanisms within a local authority. Evaluation was used to understand the holistic picture of multiple management options to support policymakers in the decision-making process. This framework can be used as a benchmarking tool and bridging concept between the waste management policy and local action plans, which is an important step towards achieving a circular economy for developing countries.Supplementary informationThe online version contains supplementary material available at 10.1007/s43615-022-00200-x.

Project description:BackgroundLifestyle self-management as an intervention for people living with multiple sclerosis (plwMS) is an emerging area of research. Previous reviews have highlighted a need to systematically identify effective self-management regimens that influence the health and well-being of plwMS using a common metric of success.ObjectivesTo examine the effectiveness of lifestyle self-management strategies and interventions aimed at improving the quality of life (QOL), and/or disability of plwMS. The review also aimed to narratively explore common elements of self-management interventions that were effective at improving the outcomes of interest.MethodsA systematic search was performed using five scientific databases. The review process followed the Cochrane Handbook for Systematic Reviews of Interventions and was registered with PROSPERO (Ref: CRD42021235982).ResultsA total of 57 studies including 5830 individuals diagnosed with MS, met the inclusion criteria. Self-management interventions included physical activity, fatigue, dietary, stress/coping, emotional, symptom and medical management, and lifestyle and wellbeing programs. Self-reported QOL improved in 35 of 47 studies. Dietary intervention had no statistically significant overall effect on reducing MS disability, (P = 0.18). Heterogeneity limited the ability to pool the effects from a large number of eligible studies of the same design.ConclusionMulticomponent self-management interventions, multimodal delivery methods, and cognitive behavioural theory principles were common elements of self-management interventions that improved the QOL of plwMS. However, these results should be interpreted with caution and care should be taken in its clinical application. This review has the potential to inform future management practices for plwMS and has revealed a significant gap in the literature, warranting high-quality, large-scale experimental, and observational studies that address lifestyle management.

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Quality of Life and Factors Affecting It: A Study Among People Living Near a Solid Waste Management Facility.

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