 This study found that 17.1%, 19.2% and 16.4% of construction workers in Kavra district, Nepal had depression, anxiety, and stress symptoms, respectively. Poor sleep quality was associated with increased risk of depression symptoms, while Brahman ethnicity and current smoking were associated with increased risk of stress symptoms. This article was authored by Bikramadikari, Lisa Shah Poudal, Nairaj Bandari, and others.