From both practical and theoretical perspectives, understanding the health and safety (H&S) implications of the characteristics and foundation upon which the construction industry in developing countries is built and operates is essential for H&S management within the industry. While many studies have provided evidence of factors affecting construction H&S in developing countries, none has fully considered the H&S implications of the industry’s characteristics. The current study thus examined how the peculiar characteristics of the construction industry in developing countries impact on the industry’s H&S management. Data were collected using questionnaire surveys from construction industry professionals in Ghana. Nine distinct characteristics were identified and ranked, as well as their relationships and statistical significance determined through correlation and analysis of variance (ANOVA), respectively. The findings showed that these characteristics of the construction industry in developing countries, particularly the lack of skilled and educated workforce, reliance on labour intensive methods and lack of single regulatory authority, present huge challenges to the management of H&S. Accordingly, this research recommended strategic interventions which are tailored towards the context of the industry’s characteristics. With the construction industry in developing countries exhibiting similar characteristics, the findings of this research can serve as a framework for country-specific study. The study contributes to the broader H&S performance improvement research in developing countries by throwing light on the characteristics of the industry that pose challenges to H&S performance.

Despite being a key provider of employment, construction work significantly contributes to poor mental health among young construction workers worldwide. Although there are studies on the psychosocial risk factors (PRFs) that make young construction workers susceptible to poor mental health, the literature is fragmented. This has obscured a deeper understanding of PRFs and the direction for future research, thus making it challenging to develop appropriate interventions. To address this challenge, we systematically reviewed the literature on young construction workers’ PRFs using meta-aggregation, guided by the PICo, PEO, and PRISMA frameworks. We sought to synthesize the domains of PRFs that affect young construction workers’ mental health, and to determine the relationships between the PRF domains, psychological distress, and poor mental health. A total of 235 studies were retrieved and 31 studies published between 1993 and 2020 met the inclusion criteria. We identified 30 PRFs and categorized them into ten domains, which were further classified into personal, socio-economic, and organizational/industrial factors. The findings of this review contribute to achieving an in-depth understanding of young construction workers’ PRF domains and their patterns of interaction. The findings are also useful to researchers and policymakers for identifying PRFs that are in critical need of attention.

Background Emerging evidence in both developed and developing countries indicate that occupational health hazards and diseases among construction workers constitute a significant public health challenge. While occupational health hazards and conditions in the construction sector are diverse, a burgeoning body of knowledge is emerging about respiratory health hazards and diseases. Yet, there is a notable gap in the existing literature in terms of comprehensive syntheses of the available evidence on this topic. In light of this research gap, this study systematically reviewed the global evidence on occupational health hazards and related respiratory health conditions among construction workers. Methods Using meta-aggregation, guided by the Condition (respiratory health conditions), Context (construction industry) and Population (construction workers) (CoCoPop) framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, literature searches were conducted on Scopus, PubMed, Web of Science and Google Scholar for relevant studies on respiratory health conditions affecting construction workers. Four eligibility criteria were used in scrutinising studies for inclusion. The quality of the included studies was assessed based on Joanna Briggs Institute’s Critical Appraisal tool, while the reporting of the results was guided by the Synthesis Without Meta-analysis guidelines. Results From an initial pool of 256 studies from the various databases, 25 studies published between 2012 and October 2022 were identified as meeting the inclusion criteria. In all, 16 respiratory health conditions were identified, with cough (ie, dry and with phlegm), dyspnoea/breathlessness and asthma emerging as the top three respiratory conditions among construction workers. The study identified six overarching themes of hazards that are associated with respiratory health conditions among construction workers. These hazards include exposure to dust, respirable crystalline silica, fumes, vapours, asbestos fibres and gases. Smoking and extended period of exposure to the respiratory hazard were found to increase the risk of contracting respiratory diseases. Conclusions Our systematic review indicates that construction workers are exposed to hazards and conditions that have adverse effects on their health and well-being. Given the considerable impact that work-related health hazards can have on the health and socioeconomic well-being of construction workers, we suggest that the implementation of a comprehensive occupational health programme is essential. Such a programme would extend beyond the mere provision of personal protective equipment and would incorporate a range of proactive measures aimed at controlling the hazards and mitigating the risk of exposure to the occupational health hazards.

Young construction workers employ different practices to cope with psychosocial risks, most of which prevent them from achieving mental well-being. Managing this problem has been a challenge because research on the topic is fragmented. To contribute to addressing this problem, we systematically reviewed the literature on young construction workers’ coping practices using meta-aggregation guided by the PICo and PRISMA frameworks. We sought to identify young construction workers’ coping mechanisms and the factors that influence their choice of coping practices. A total of 345 studies were retrieved, and 24 studies published between 1993 and 2022 met the inclusion criteria. Using deductive thematic analysis, we identified 28 coping practices and categorized them into eight mechanisms and three domains. Eleven determinants of young construction workers’ coping choices emerged and were classified as personal and environmental factors. This review provides knowledge for building theory on young construction workers’ coping and stresses the need for further studies on the role of influencing factors such as age, individual resilience, coping experience, religion, and spirituality. Findings from this review can serve as an evidence base for researchers, occupational health practitioners, and policy-makers for developing interventions that can promote the uptake of beneficial coping practices by young construction workers.

This study explored the extent to which health and safety (H&S) are considered in the procurement of public sector projects in Ghana. This is based on the background that procurement decisions have implications for project H&S management. The enormous size of public procurement projects offers opportunities for public clients to influence the behaviour of the construction market including the promotion of H&S through procurement. To date, no study has fully assessed the extent of H&S considerations in procurement decisions for public sector construction projects in Ghana. To fill this gap, this research has provided an evidence-based assessment of H&S considerations in the various stages of the procurement process for public sector projects in Ghana. Through a questionnaire survey, data were collected from construction industry professionals in Ghana. The data were subjected to statistical analysis to evaluate the extent of H&S considerations. The findings suggest that H&S is given low priority in the procurement of public projects, because clear project objectives relating to H&S are not set, and adequate consideration is not given to H&S at the various procurement stages. Based on the findings, this research has made recommendations to promote H&S in public procurement in Ghana.