Ethnic residential patterns as predictors of intra-urban child mortality inequality in Accra, Ghana
Ethnic residential patterns as predictors of intra-urban child mortality inequality in Accra, Ghana
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DOI：
10.2747/0272-3638.27.6.526
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发表时间：
2006-08-01
期刊：
影响因子：
3.8
通讯作者：
Stow, Douglas
中科院分区：
文献类型：
--
作者：
Weeks, John R.;Hill, Allan G.;Stow, Douglas
随着发展中国家的城市在世界人口增长中所占比例越来越大，人们开始质疑，在基础设施已经不足的地方，是否可能出现卫生方面的不平等。在本文中，我们探讨了儿童死亡率不平等的模式（作为整体健康水平的代理）在一个大的撒哈拉以南非洲城市阿克拉，加纳，然后我们研究现有的居住模式的种族可能是预测任何观察到的城市内的儿童死亡率不平等的程度。我们发现，在阿克拉的儿童死亡率的空间变异，特别是与模式的居住分离的Ga从其他族裔群体，与Ga具有较高的死亡率水平比其他族裔群体。作为加族人，妇女及其子女会接触到加族人居住的阿克拉地区的特点，那里的住房主要是一个房间，基础设施很差。在个人层面上，我们发现，无论妇女生活在哪里，如果她是Ga族和/或非基督徒，如果她没有结婚，她失去孩子的风险就会增加。
As cities of developing nations absorb an increasing fraction of the world's population increase, questions have arisen about the potential for emerging inequalities in health within places that are already suffering from inadequate infrastructure. In this paper we explore the pattern of child mortality inequalities (as a proxy for overall health levels) within a large sub-Saharan African city-Accra, Ghana-and then we examine the extent to which existing residential patterns by ethnicity may be predictive of any observed intra-urban inequalities in child mortality. We find that the spatial variability in child mortality in Accra is especially associated with the pattern of residential separation of the Ga from other ethnic groups, with the Ga having higher levels of mortality than other ethnic groups. Being of Ga ethnicity exposes a woman and her children to characteristics of the places in Accra where the Ga live, in which one-room dwellings and poor infrastructure predominate. At the individual level, we find that regardless of where a woman lives, if she is of Ga ethnicity and/or is non-Christian, and if she is not married, her risks of having lost a child are elevated.