印度种姓和阶级在获得环境卫生和个人卫生服务不平等方面的相互作用

Mukesh Kumar, Suman Kharb
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摘要

尽管在全国范围内获得讲卫生运动服务的机会不多,但印度仍然普遍存在社会经济不平等现象。本研究评估了印度不同类型的环境卫生与个人卫生服务的获取状况,以及种姓和阶级之间的互动关系。我们使用了具有全国代表性的家庭调查数据和联合监测计划(JMP)环境卫生与个人卫生框架。描述性分析采用频率分布。采用多变量逻辑回归和种姓交互作用来估计概率。总体而言,51.2%和 71.8%的家庭能够获得安全的环境卫生和个人卫生服务。然而,在册部落家庭中,分别只有 36.6% 和 58.7% 的家庭能够获得安全的环境卫生和个人卫生服务。调查结果显示,阶级和种姓之间的互动与讲卫生运动服务密切相关。在对其他家庭社会人口特征进行调整后,与社会地位优越但经济贫困的 "其他 "家庭相比,最贫困的在册部落和在册种姓家庭获得安全卫生和个人卫生服务的概率分别低 16 个百分点和 15 个百分点。这一研究结果表明,需要在考虑种姓和阶级交叉性的同时,扩大现有政策和计划的规模,以便公平获得环境卫生和个人卫生服务,实现可持续发展目标 6。
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Caste and class interactions in inequality in access to sanitation and hygiene services in India
Given moderate access to WASH services at the national level, widespread socio-economic inequality still exists in India. This study assesses the status of access to different types of sanitation and hygiene services in India and how the caste and class interactions are associated with them. We use nationally representative household survey data and the Joint Monitoring Programme (JMP) sanitation and hygiene framework. For descriptive analysis, frequency distribution is used. Multivariable logistic regression is applied, and caste interactions are used to estimate the probabilities. Overall, 51.2 and 71.8% of the households have access to safe sanitation and hygiene services. However, among the Scheduled Tribe households, only 36.6 and 58.7% have access to safe sanitation and hygiene. Findings show that class and caste interactions are strongly associated with WASH services. The probability of access to safe sanitation and hygiene is 16 and 15% points lower for the poorest Scheduled Tribes and Scheduled Castes compared to ‘Other’ socially privileged but economically poor, after adjusting for other household sociodemographic characteristics. The finding suggests that an upscaling of the existing policies and programs alongside considering the caste and class intersectionality is required for equitable access to sanitation and hygiene services and to achieve SDG-6.
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