利用撒哈拉以南非洲 38 个城市的全国住户调查确定和描述最贫困的城市人口。

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-01-09 DOI:10.1007/s11524-023-00805-z
Fernando C Wehrmeister, Leonardo Z Ferreira, Agbessi Amouzou, Cauane Blumenberg, Cheikh Fayé, Luiza I C Ricardo, Abdoulaye Maiga, Luis Paulo Vidaletti, Dessalegn Y Melesse, Janaína Calu Costa, Andrea K Blanchard, Aluisio J D Barros, Ties Boerma
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引用次数: 0

摘要

对城市中的贫困群体和富裕群体进行识别和分类取决于多个因素。我们利用 38 个撒哈拉以南非洲国家现有的具有全国代表性的调查数据,旨在通过不同的贫困分类,确定城市和大城市背景下的最佳分类。此外,我们还从生活水平和受教育程度的角度来描述贫困群体和富裕群体的特征。在识别过程中,我们采用了绝对和相对测量方法。对于绝对标准,我们选择了生活在贫困线以下的人群、社会经济贫困状况和联合国人居署贫民窟定义。对于相对指标,我们根据财富分布情况采用了不同的分界点:30%、40%、50% 和 60%。我们根据缺电情况、饮用水和卫生设施改善情况、失学儿童比例以及任何 10 岁或以上家庭成员受教育时间少于 6 年的情况对所有这些指标进行了分析。我们利用样本量、最贫困群体与最富裕群体之间的差距,以及观察到的绝对衡量标准与相对衡量标准之间的一致性来确定最佳衡量标准。最佳分类以 40% 的财富为基础,因为它在所有选定的城市中都具有良好的组间区分能力和高于 60% 的观察一致性中值。使用这一指标,贫困人口中没有改善卫生设施的比例中位数为 82%,这一指标显示出最大的不平等。教育指标的普及率和不平等程度较低。罗安达、瓦加杜古和恩贾梅纳的表现最差,而拉各斯、杜阿拉和内罗毕的表现最好。人类发展指数越高,观察到的不平等现象就越少。在使用全国代表性调查分析城市时,我们建议使用 40% 的相对财富来描述最贫困群体。这种分类方法在选定的结果中呈现出较大的差距,并且与绝对衡量标准有很好的一致性。
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Identifying and Characterizing the Poorest Urban Population Using National Household Surveys in 38 Cities in Sub-Saharan Africa.

Identifying and classifying poor and rich groups in cities depends on several factors. Using data from available nationally representative surveys from 38 sub-Saharan African countries, we aimed to identify, through different poverty classifications, the best classification in urban and large city contexts. Additionally, we characterized the poor and rich groups in terms of living standards and schooling. We relied on absolute and relative measures in the identification process. For absolute ones, we selected people living below the poverty line, socioeconomic deprivation status and the UN-Habitat slum definition. We used different cut-off points for relative measures based on wealth distribution: 30%, 40%, 50%, and 60%. We analyzed all these measures according to the absence of electricity, improved drinking water and sanitation facilities, the proportion of children out-of-school, and any household member aged 10 or more with less than 6 years of education. We used the sample size, the gap between the poorest and richest groups, and the observed agreement between absolute and relative measures to identify the best measure. The best classification was based on 40% of the wealth since it has good discriminatory power between groups and median observed agreement higher than 60% in all selected cities. Using this measure, the median prevalence of absence of improved sanitation facilities was 82% among the poorer, and this indicator presented the highest inequalities. Educational indicators presented the lower prevalence and inequalities. Luanda, Ouagadougou, and N'Djaména were considered the worst performers, while Lagos, Douala, and Nairobi were the best performers. The higher the human development index, the lower the observed inequalities. When analyzing cities using nationally representative surveys, we recommend using the relative measure of 40% of wealth to characterize the poorest group. This classification presented large gaps in the selected outcomes and good agreement with absolute measures.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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