Slum Sanitation and the Social Determinants of Women's Health in Nairobi, Kenya.
Slum Sanitation and the Social Determinants of Women's Health in Nairobi, Kenya.
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贫民窟的卫生和肯尼亚内罗毕妇女健康的社会决定因素。
DOI：
10.1155/2015/209505
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发表时间：
2015
影响因子：
--
通讯作者：
Hildebrand C
中科院分区：
文献类型：
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作者：
Corburn J;Hildebrand C
城市卫生设施不足对非正规住区或贫民窟妇女健康的社会决定因素产生了不成比例的影响。对妇女健康的影响包括传染病和慢性病、暴力、食物污染和营养不良、经济和教育成就以及侮辱。我们使用家庭调查数据报告的自测健康和社会人口，住房和基础设施条件的Mathare非正式解决内罗毕，肯尼亚。我们将定量调查和绘图数据与定性重点小组信息相结合，以更好地了解马萨雷贫民窟环境卫生与妇女和女童健康的社会决定因素之间的关系。我们发现，在马萨雷，平均85户家庭共用一个厕所，只有15%的家庭可以使用私人厕所，到公共厕所的平均距离超过52米。83%没有私人厕所的家庭报告健康状况不佳。马萨雷妇女报告说，暴力（68%）、呼吸道疾病/咳嗽（46%）、糖尿病（33%）和腹泻（30%）是最常见的身体负担。不适当、不安全和不卫生的卫生设施造成多重和重叠的健康、经济和社会影响，对生活在城市非正规住区的妇女和女孩造成不成比例的影响。
Inadequate urban sanitation disproportionately impacts the social determinants of women's health in informal settlements or slums. The impacts on women's health include infectious and chronic illnesses, violence, food contamination and malnutrition, economic and educational attainment, and indignity. We used household survey data to report on self-rated health and sociodemographic, housing, and infrastructure conditions in the Mathare informal settlement in Nairobi, Kenya. We combined quantitative survey and mapping data with qualitative focus group information to better understand the relationships between environmental sanitation and the social determinants of women and girls' health in the Mathare slum. We find that an average of eighty-five households in Mathare share one toilet, only 15% of households have access to a private toilet, and the average distance to a public toilet is over 52 meters. Eighty-three percent of households without a private toilet report poor health. Mathare women report violence (68%), respiratory illness/cough (46%), diabetes (33%), and diarrhea (30%) as the most frequent physical burdens. Inadequate, unsafe, and unhygienic sanitation results in multiple and overlapping health, economic, and social impacts that disproportionately impact women and girls living in urban informal settlements.