Exploring gender, health, and intersectionality in informal settlements in Freetown.
Exploring gender, health, and intersectionality in informal settlements in Freetown.
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DOI：
10.1080/13552074.2021.1885215
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发表时间：
2021-01-01
影响因子：
--
通讯作者：
Macarthy, Joseph
中科院分区：
文献类型：
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作者：
Conteh, Abu;Wilkinson, Annie;Macarthy, Joseph
本文采用交叉透镜在塞拉利昂弗里敦的非正式城市住区的健康。我们探讨了包括性别、年龄、财富、职业和租户身份在内的交叉社会特征如何影响健康和福祉结果。我们发现，危险的环境条件，废物处理不善，废物焚烧有助于在邻里水平的健康问题。在非正规住区，获得保健的机会也普遍很差。然而，除此之外，人们在应对健康负担和获得护理方面的经历也存在差异。在国家支持有限的背景下，人们发现应对和获取战略在很大程度上取决于人们的社会地位和地位，特别是他们从社交网络获得支持的能力。在长期健康问题的管理方面存在特别的挑战。对于老年人和慢性病患者等人口群体来说，这造成了进一步的脆弱性，包括社会孤立、耻辱和贫困循环。虽然交叉的权力动态也适用于男子，但由于社会不平等的融合，妇女特别处于不利地位：她们都被期望发挥照顾作用，但不太可能得到照顾。青年和老年妇女特别脆弱，她们依赖外部支助或自我牺牲。本文有助于在城市环境中的交叉动态知识差距，并提供证据表明，需要政策转变，以解决塞拉利昂弗里敦非正规住区妇女面临的多重社会和健康不平等。
This paper applies an intersectional lens to health in informal urban settlements in Freetown, Sierra Leone. We explored how intersecting social characteristics including gender, age, wealth, occupation, and tenant status influence health and well-being outcomes. We found that hazardous environmental conditions, poor waste disposal, and waste burning contribute to health problems at a neighbourhood level. Health-care access was also generally poor in informal settlements. However, beyond this, there were differences in people's experiences of coping with health burdens and accessing care. Against a backdrop of limited state support, coping and access strategies were found to be heavily mediated by people's social positions and status, especially their ability to draw on support from social networks. There are particular challenges around the management of prolonged health problems. For population groups such as the old and the chronically ill, this creates further vulnerabilities including social isolation, stigma, and cycles of poverty. Although intersecting power dynamics apply to men too, women are particularly disadvantaged by coalescing social inequalities: they are both expected to perform caring roles but are less likely to be cared for. Young and old women were especially vulnerable and reliant on external support or self-sacrifice. This paper contributes to knowledge gaps in intersectional dynamics in urban settings and provides evidence that suggests policy shifts are needed to address the multiple social and health inequalities faced by women in informal settlements in Freetown, Sierra Leone.