{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:42:58Z","timestamp":1760240578793,"version":"build-2065373602"},"reference-count":69,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T00:00:00Z","timestamp":1565049600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The present study aimed to develop and validate an Interdisciplinary Worker\u2019s Health Approach Instrument (IWHAI). The development stage comprised a group of 10 professionals, including physicians, nurses, nutritionists, dentists and physical educators, as well as a judges\u2019 committee, composed by 19 recognized experts in the area of worker\u2019s health (WH). For the validation of the IWHAI, the Spearman\u2019s correlation coefficient (rs) was calculated, the factor analysis to the instrument was applied, and the Cronbach\u2019s alpha (\u03b1) and the Intraclass correlation coefficient (ICC) were calculated. The IWHAI was structured in five dimensions, integrating 43 health indicators, on a scale of 0\u20134, totalling 215 sub-indices with closed response coding. The instrument was validated with a Kappa coefficient (KAPPA) (k), with excellent agreement for all attributes, i.e., k = 0.88 for applicability, k = 0.80 for clarity and k = 0.82 for relevance. p &gt; 0.05 results reveal moderate to strong positive correlations between some variables, i.e., pests, vectors and air quality\/drinking water quality (rs = 0.69). A total of 14 components of the factor analysis, explaining 62.6% of the data variance, were extracted. \u03b1 value is considered moderate to high, \u03b1 = 0.61, the ICC value also being considered moderate to high, with ICC = 0.61. The IWHAI is considered validated, constituting a technological innovation for an interdisciplinary approach in the field of WH, enabling the prevention and integral promotion of health.<\/jats:p>","DOI":"10.3390\/ijerph16152803","type":"journal-article","created":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T03:09:08Z","timestamp":1565147348000},"page":"2803","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Development and Validation of an Interdisciplinary Worker\u2019s Health Approach Instrument (IWHAI)"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3050-9428","authenticated-orcid":false,"given":"Lilian Monteiro Ferrari","family":"Viterbo","sequence":"first","affiliation":[{"name":"UFP Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa, 4249-004 Porto, Portugal"},{"name":"Universidade Corporativa, Bahia 41745-002, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2198-6740","authenticated-orcid":false,"given":"Maria Alzira Pimenta","family":"Dinis","sequence":"additional","affiliation":[{"name":"UFP Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa, 4249-004 Porto, Portugal"}]},{"given":"Andr\u00e9 Santana","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade Corporativa, Bahia 41745-002, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2777-2372","authenticated-orcid":false,"given":"Diogo Guedes","family":"Vidal","sequence":"additional","affiliation":[{"name":"UFP Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa, 4249-004 Porto, Portugal"},{"name":"CNPq Research Group \u201cDynamics of neuro-musculo-skeletal System\u201d, Bahiana School of Medicine and Public Health, Bahia 40290-000, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2019,8,6]]},"reference":[{"key":"ref_1","unstructured":"(2019, June 27). United Nations Transforming Our World: The 2030 Agenda for Sustainable Development. Available online: http:\/\/www.un.org\/en\/development\/desa\/population\/migration\/generalassembly\/docs\/globalcompact\/A_ 549 RES_70_1_E.pdf."},{"key":"ref_2","unstructured":"(2019, June 28). Leadership Council of the Sustainable Development Solutions Network Indicators and a Monitoring Framework Sustainable Development Goals Launching a Data Revolution for the SDGs. Available online: http:\/\/www.jstor.org\/stable\/resrep15877."},{"key":"ref_3","unstructured":"(2018). United Nations General Assembly Global Indicator Framework for the Sustainable Development Goals and targets of the 2030 Agenda for the Sustainable Development, Official Document System of the United Nations."},{"key":"ref_4","unstructured":"(2015). Eurofound Health and Well-Being at Work\u2014Q2 2014, European Observatory for Working Life."},{"key":"ref_5","unstructured":"(2014). Eurofound and EU-OHSA Psychosocial Risks in Europe: Prevalence and Strategies for Prevention, Publications Office of the European Union."},{"key":"ref_6","unstructured":"(2015). Eurofound Developments in Working life in Europe, Eurofound. EurWORK Annual Review 2014."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Dinis, M.A.P., Sousa, H.F.P., Moura, A.D., Viterbo, L.M.F., and Pinto, R.J. (2019). Health behaviors as a mediator of the association between interpersonal relationships and physical health in a workplace context. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16132392"},{"key":"ref_8","unstructured":"European Comission (2019, June 20). Communication from the Commission: Europe 2020. A Strategy for Smart, Sustainable and Inclusive Growth. Available online: https:\/\/ec.europa.eu\/eu2020\/pdf\/COMPLET%20EN%20BARROSO%20%20%20007%20-%20Europe%202020%20-%20EN%20version.pdf."},{"key":"ref_9","unstructured":"European Comission (2019, June 23). Available online: https:\/\/ec.europa.eu\/info\/publications\/taking-stock-europe-2020-strategy-smart-sustainable-and-inclusive-growth_en."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1590\/S0102-311X2007000400003","article-title":"O campo Sa\u00fade do. Trabalhador: Resgatando conhecimentos e pr\u00e1ticas sobre as rela\u00e7\u00f5es trabalho-sa\u00fade [The workers\u2019 health field: Reclaiming knowledge and practices in the interface between work and health]","volume":"23","author":"Lacaz","year":"2007","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Minayo, C., Machado, J.M.H., and Pena, P.G.L. (2011). Sa\u00fade do Trabalhador na Sociedade Brasileira Contempor\u00e2nea [Worker\u2019s Health at the Contemporary Brazilian Society], Fiocruz.","DOI":"10.7476\/9788575413654"},{"key":"ref_12","unstructured":"Viniegra, L.M., Ch\u00e1vez, S.M., and Rodrigo, E.M. (2018). Interdisciplinarity: An articulating movement in the field of worker\u2019s health. La comunicaci\u00f3n ante el ciudadano, Editorial GEDISA."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1590\/S0034-89101991000500003","article-title":"Da medicina do trabalho \u00e0 sa\u00fade do trabalhador [From work medicine to worker\u2019s health]","volume":"25","author":"Mendes","year":"1991","journal-title":"Rev. Sa\u00fade P\u00fablica"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1590\/S0102-311X1997000600003","article-title":"A constru\u00e7\u00e3o do campo da sa\u00fade do trabalhador: Percurso e dilemas","volume":"13","author":"Maria","year":"1997","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"ref_15","first-page":"121","article-title":"Promo\u00e7\u00e3o da sa\u00fade e intersetorialidade: A experi\u00eancia da vigil\u00e2ncia em sa\u00fade do trabalhador na constru\u00e7\u00e3o de redes [Health promotion and intersectoriality: Experience of occupational health surveillance in the construction of networks]","volume":"12","year":"2003","journal-title":"Epidemiol. e Servi\u00e7os Sa\u00fade"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Viterbo, L.M.F., Dinis, M.A.P., Vidal, D.G., and Costa, A.S. (2019). Implementation of an interdisciplinary approach to promote workers global health status in the oil industry, Brazil (2006\u20132015). Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16122148"},{"key":"ref_17","unstructured":"Viterbo, L.M.F., Vidal, D.G., Costa, A.S., and Dinis, M.A.P. (2019). Evaluation of the implementation of the tobacco control program in workers\u2019 health: evidence from an oil industry in Bahia, Brazil. Proc. Int. Congr. Health Well-Being Interv., in press."},{"key":"ref_18","first-page":"335","article-title":"De Significados e limites das estrat\u00e9gias de integra\u00e7\u00e3o disciplinar: Uma reflex\u00e3o sobre as contribui\u00e7\u00f5es da sa\u00fade do trabalhador [Meanings and limits concerned to the strategies of disciplinary integration: A reflection about the contributions from the work]","volume":"7","author":"Almeida","year":"2000","journal-title":"Cien. Saude Colet."},{"key":"ref_19","first-page":"31","article-title":"Desafios para a integra\u00e7\u00e3o multiprofissional e interdisciplinar [Challenges for multiprofessional and interdisciplinary integration]","volume":"6","author":"Gelbcke","year":"2012","journal-title":"Tempus Actas de Sa\u00fade Coletiva"},{"key":"ref_20","unstructured":"Brasil Minist\u00e9rio da Sa\u00fade (2005). 3\u00aa Confer\u00eancia Nacional de Sa\u00fade do Trabalhador \u201cTrabalhar, Sim! Adoecer, N\u00e3o!\u201d [Work, Yes! Get sick, No!]."},{"key":"ref_21","unstructured":"Viterbo, L.M.F., Vidal, D.G., Dinis, M.A.P., Costa, A.S., and Caridade, S. (2019). Mental Health in Oil Workers in Brazil: The relationship with drug abuse. Proceedings of the 1st International Congress Quality of Life, Citizenship and Mental Health, Projeto Mais Sa\u00fade Mental."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1590\/S0104-07072013000400037","article-title":"Teoria de Tornar-se Humano na enfermagem ecol\u00f3gica: Aplicando o m\u00e9todo de avalia\u00e7\u00e3o de Meleis TT [Theory of human becoming in nursing ecology: Applying Meleis\u2019s evaluation method TT]","volume":"22","author":"Lins","year":"2013","journal-title":"Texto Context. Enferm"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Bini, C., Bech, J., and PHEs, Environment and Human Health (2014). Potentially Harmful Elements in the Environment and the Impact on Human Health, Springer.","DOI":"10.1007\/978-94-017-8965-3"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"52","DOI":"10.12691\/jephh-4-2-3","article-title":"Environment and human health","volume":"4","author":"Dinis","year":"2016","journal-title":"J. Environ. Pollut. Hum. Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10916-017-0727-2","article-title":"Development and validation of a health and work survey based on the rasch model among Portuguese workers","volume":"41","author":"Barros","year":"2017","journal-title":"J. Med. Syst."},{"key":"ref_26","first-page":"54","article-title":"Intrumentos de Investiga\u00e7\u00e3o. INSAT\u2014uma proposta metofol\u00f3gica para an\u00e1lise dos efeitos das condi\u00e7\u00f5es de trabalho sobre a sa\u00fade [Research Instruments. INSAT\u2014a 622 methodological proposal to analyse the effects of working conditions on health]","volume":"3","author":"Barros","year":"2007","journal-title":"Laboreal"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1093\/occmed\/kqm115","article-title":"Importance of psychosocial work factors on general health outcomes in the national French SUMER survey","volume":"58","author":"Niedhammer","year":"2008","journal-title":"Occup. Med."},{"key":"ref_28","unstructured":"Coutrot, T., and Wolff, L. (2005). L\u2019impact des conditions de travail sur la sant\u00e9: Une exp\u00e9rience m\u00e9thodologique [The impact of working conditions on health: Methodological experience], Center for Employment Studies."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/0102-311x00210715","article-title":"Cuestionario b\u00e1sico y criterios metodol\u00f3gicos para las Encuestas sobre Condiciones de Trabajo, Empleo y Salud en Am\u00e9rica Latina y el Caribe [Basic questionnaire and methodological criteria for Surveys on 630 Working Conditions, Employment, and Health in Latin America and the Caribbean]","volume":"32","author":"Benavides","year":"2016","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.aap.2013.04.030","article-title":"Development and validation of safety climate scales for mobile remote workers using utility\/electrical workers as exemplar","volume":"59","author":"Huang","year":"2013","journal-title":"Accid. Anal. Prev."},{"key":"ref_31","first-page":"60","article-title":"Encuestas de condiciones de trabajo y salud en Espa\u00f1a: Comparaci\u00f3n de los contenidos del cuestionario del trabajador","volume":"12","author":"Narocki","year":"2009","journal-title":"Arch. Prev. Riesgos Labor."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1136\/oemed-2013-101908","article-title":"Working conditions and health in Central America: A survey of 12 024 workers in six countries","volume":"71","author":"Benavides","year":"2014","journal-title":"Occup. Environ. Med."},{"key":"ref_33","unstructured":"Irastorza, X., Milczarek, M., and Cockburn, W. (2016). European Agency for Safety and Health at Work (EU-OSHA) Second European Survey of Enterprises on New and Emerging Risks (ESENER-2)\u2014Overview Report: Managing Safety and Health at Work."},{"key":"ref_34","unstructured":"(2017). Eurofound Sixth European Working Conditions Survey\u2014Overview report (2017 update)|European Foundation for the Improvement of Living and Working Conditions, Southern Cross Health Society."},{"key":"ref_35","unstructured":"Business, N.Z. (2019, June 29). Wellness in the Workplace 2017. Available online: http:\/\/www.businessnz.org.nz\/__data\/assets\/pdf_file\/0009\/128547\/Wellness-in-the-Workplace-Survey-2017.pdf."},{"key":"ref_36","unstructured":"Kelly, M.P., Morgan, A., Bonnefoy, J., Butt, J., Bergman, V., Mackenbach, W.J., Exworthy, M., Popay, J., Tugwell, P., and Robinson, V. (2019, June 25). The Social Determinants of Health: Developing an Evidence Base for Political Action. Available online: https:\/\/www.who.int\/social_determinants\/resources\/mekn_report_10oct07.pdf."},{"key":"ref_37","unstructured":"(2019, June 26). Commission on Social Determinants of Health Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Available online: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/43943\/9789241563703_eng.pdf;jsessionid=A41734C2C697 96C98EA28D15E63331DF?sequence=1."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.puhe.2016.09.019","article-title":"Social determinants and lifestyles: Integrating environmental and public health perspectives","volume":"141","author":"Graham","year":"2016","journal-title":"Public Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1016\/S0140-6736(16)31679-8","article-title":"Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015","volume":"388","author":"Forouzanfar","year":"2016","journal-title":"Lancet"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1590\/1980-5497201700050018","article-title":"Fatores de risco relacionados \u00e0 carga global de doen\u00e7a do Brasil e Unidades Federadas, 2015 [Risk factors related to the global burden of disease in Brazil and its Federated Units, 2015]","volume":"20","author":"Malta","year":"2017","journal-title":"Rev. Bras. Epidemiol."},{"key":"ref_41","unstructured":"World Health Organization (2009). Global Health Risks, World Health Organization."},{"key":"ref_42","unstructured":"Viterbo, L.M.F., Dinis, M.A.P., S\u00e1, K.N., Marques, C.A.S.C., Navarro, M.V.T., and Leite, H.J.D. (2019, July 02). Development of a quantitative instrument for sanitary inspection in food and nutrition services, Brazil. Available online: http:\/\/www.cienciaesaudecoletiva.com.br\/artigos\/desenvolvimento-de-um-instrumento-quantitativo-para-inspecao-sanitaria-em-servicos-de-alimentacao-e-nutricao-brasil\/16913."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3061","DOI":"10.1590\/S1413-81232011000800006","article-title":"Content validity in the development and adaptation processes of measurement instruments","volume":"16","author":"Alexandre","year":"2009","journal-title":"Cien. Sa\u00fade Colet."},{"key":"ref_44","first-page":"1","article-title":"Validation of content of guidelines for people with peripheral neuropathy due to diabetes","volume":"16","author":"Kaizer","year":"2018","journal-title":"ESTIMA Braz. J. Enteros. Ther."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The Measurement of Observer Agreement for Categorical Data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.im.2003.11.002","article-title":"The Delphi method as a research tool: An example, design considerations and applications","volume":"42","author":"Okoli","year":"2004","journal-title":"Inf. Manag."},{"key":"ref_47","first-page":"51","article-title":"Evaluating population health: The selection of main dimensions and indicators through a participatory approach","volume":"6","author":"Santana","year":"2015","journal-title":"Eur. J. Geogr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-018-5463-0","article-title":"Indicators for evaluating European population health: A Delphi selection process","volume":"18","author":"Freitas","year":"2018","journal-title":"BMC Public Health"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Leal Filho, W., Frankenberger, F., and Tortato, U. (2020). Measuring the Implementation of Sustainable Development Goals at a Local Level: The WeGIx Index. Universities and Sustainable Communities: Meeting the Goals of the Agenda 2030 World Sustainability Series, Springer International Publishing. in press.","DOI":"10.1007\/978-3-030-30306-8"},{"key":"ref_50","unstructured":"(2018). IBM Corporation Released IBM SPSS Statistics for Windows, Vers\u00e3o 25, IBM Corp."},{"key":"ref_51","unstructured":"Minist\u00e9rio da Sa\u00fade (2012). Resolu\u00e7\u00e3o 466 de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisa envolvendo seres humanos. Di\u00e1rio Oficial da Uni\u00e3o, 12 dez. 2012 [Approves Regulatory Norms of Research Involving Human Beings; National Health Council Resolution No 466 of December 12, 2012]."},{"key":"ref_52","unstructured":"Child, D. (1990). The Essentials of Factor Analysis, Cassel Educational. [2nd ed.]."},{"key":"ref_53","unstructured":"SPSS (1992). SPSS for Windows, SPSS Inc.. Profession Statistics, Release."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1108\/BIJ-03-2014-0018","article-title":"Critical success factors for Ghanaian contractors","volume":"23","author":"Kwame","year":"2016","journal-title":"Benchmarking An Int. J."},{"key":"ref_55","unstructured":"Hair, J.F.J., Babin, B., Money, A.H., and Samouel, P. (2003). Essential of Business Research Methods, John Wiley & Sons."},{"key":"ref_56","unstructured":"Ruiz Bol\u00edvar, C. (2019, July 01). Confiabilidad [Reliability]. Available online: http:\/\/200.11.208.195\/blogRedDocente\/alexisduran\/wp-content\/uploads\/2015\/11\/CONFIABILIDAD.pdf."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/S0140-6736(13)61752-3","article-title":"The Framingham Heart Study and the epidemiology of cardiovascular disease: A historical perspective","volume":"383","author":"Mahmood","year":"2014","journal-title":"Lancet"},{"key":"ref_58","first-page":"1","article-title":"Development and validation of QRISK3 risk prediction algorithms to estimate future risk of cardiovascular disease: Prospective cohort study","volume":"357","author":"Coupland","year":"2017","journal-title":"BMJ"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Costa, E.A. (2009). Risco potencial: Um conceito de risco operativo para vigil\u00e2ncia sanit\u00e1ria [Potential risk: An operational risk concept for health surveillance]. Vigil\u00e2ncia Sanit\u00e1ria: Temas Para Debate, EDUFBA.","DOI":"10.7476\/9788523208813"},{"key":"ref_60","unstructured":"Corr\u00eaa, C.R. (2019, July 04). Situa\u00e7\u00f5es inc\u00f3modas no trabalho: Confiabilidade de uma escala de medida utilizando o coeficiente alfa ordinal [Uncomfortable situations at work: Reliability of a measurement scale using the ordinal alpha coefficient]. Available online: http:\/\/bdtd.ibict.br\/vufind\/Record\/UFJF_6e9d84ff71db1b4b7446a4079b385178\/Details#tabnav."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1590\/1677-3225v14n1a09","article-title":"Relations between oral health and work ability among administrative workers","volume":"14","author":"Bomfim","year":"2015","journal-title":"Brazilian J. Oral Sci."},{"key":"ref_62","unstructured":"(2019, July 11). Oral Health Foundation Oral Health and the Workplace. Available online: https:\/\/www.dentalhealth.org\/in-the-workplace."},{"key":"ref_63","first-page":"182","article-title":"Healthy eating strategies in the workplace","volume":"3","author":"Quintiliani","year":"2010","journal-title":"Int. J. Work. Health Manag."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Barreira, E., Vidal, D.G., Pontes, M., Oliveira, G., and Maia, R.L. (2018). O Impacto dos Poluentes Atmosf\u00e9ricos no Cancro do Pulm\u00e3o: Um estudo transversal [The Impact of Atmospheric Pollutants on Lung Cancer: A Cross-sectional Study]. Proceedings of the 2018 Oncology Spring Meeting, DNA Prime.","DOI":"10.31877\/on.2018.37.02"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Barreira, E., Pontes, M., Maia, R.L., Oliveira, G.M., and Vidal, D.G. (2018). Cancro do Pulm\u00e3o e Polui\u00e7\u00e3o: Um estudo transversal [Lung Cancer and Pollution: A Cross-sectional Study]. Onco. News, 14\u201319.","DOI":"10.31877\/on.2018.37.02"},{"key":"ref_66","unstructured":"(2014). WHO Public Health Social and Environmental Determinants of Health Department Burden of disease from ambient air pollution for 2012, World Health Organization (WHO). Available online: http:\/\/www.who.int\/phe."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/0277-9536(91)90264-D","article-title":"Relationship between water quality and human health: A case study of the Linggi River Basin in Malaysia","volume":"33","author":"Lonergan","year":"1991","journal-title":"Soc. Sci. Med."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1177\/146642407809800310","article-title":"The Relationship Between Water Quality and Human Health: Medical Aspects","volume":"98","year":"1978","journal-title":"R. Soc. Health J."},{"key":"ref_69","first-page":"25","article-title":"Water quality characteristics of dengue vectors breeding containers","volume":"3","author":"Nazri","year":"2016","journal-title":"Int. J. Mosq. Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/15\/2803\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:09:00Z","timestamp":1760188140000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/15\/2803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,6]]},"references-count":69,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2019,8]]}},"alternative-id":["ijerph16152803"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16152803","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2019,8,6]]}}}