"尼日尔三角洲地区的经济排斥以及石油工业对健康和福祉的影响:对奥戈尼人经历的定性研究"

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-09-12 DOI:10.1186/s12939-024-02248-7
Augusta C. Nkem, Susan Devine, Daprim S. Ogaji, Stephanie M. Topp
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引用次数: 0

摘要

如果管理得当,石油财富可以推动经济发展,改善人们的福祉。相反,正如尼日尔三角洲奥戈尼兰德的经验一样,石油工业的存在可能导致环境退化以及社会和经济脆弱性,对健康和福祉产生负面影响。很少有研究探讨东道社区居民自身对这些影响的体验和看法。本定性研究探讨了奥戈尼居民对与石油工业相关的经济排斥以及对健康和福祉的相关影响的体验和看法。对来自四个地方政府辖区(LGAs)的 22 名参与者进行了深入访谈,并对访谈内容进行了开放式(归纳式)编码分析。在建构主义哲学的指导下,对新出现的主题进行了解释,并借鉴了社会排斥的概念,即多维过程可能会剥夺个人或群体的资源、权利、商品和服务,从而限制更广泛的社会参与。研究结果凸显了石油工业在以下方面产生的排斥性影响:i) 生计和家庭收入受损,增加了经济脆弱性,降低了参与者满足基本需求的能力,包括支付医疗费用的能力;ii) 环境修复缺乏进展,利益分享计划不透明,加剧了经济流离失所现象,导致持续暴露于空气和水污染中;iii) 经济发展和基本医疗服务投资不足,限制了就业机会和获得适当医疗服务的能力。要解决这些问题,就必须采取综合政策干预措施,重点关注资源的公平分配、环境恢复和包容性经济发展,以促进社区的可持续恢复能力。
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“Economic exclusion and the health and wellbeing impacts of the oil industry in the Niger Delta region: a qualitative study of Ogoni experiences”
When managed effectively, oil wealth can drive economic development and improve wellbeing. Conversely, as has been the experience in Ogoniland in the Niger Delta, the presence of the oil industry can lead to environmental degradation and social and economic vulnerabilities with negative impacts on health and wellbeing. Few studies have explored the experiences and perceptions of these impacts among residents of host communities themselves. This qualitative study explored Ogoni residents’ experiences and perceptions of oil-industry related economic exclusion and associated impacts on health and wellbeing. In-depth interviews with 22 participants from four Local Government Areas (LGAs) were analyzed with open (inductive) coding. Guided by constructivist philosophy, interpretation of emerging themes was informed by the concept of social exclusion which recognizes that multi-dimensional processes can deprive individuals or groups of resources, rights, goods, and services, thus limiting broader societal participation. Findings highlight the exclusionary impacts of the oil industry at the intersection of i) damaged livelihoods and family income, that increased economic vulnerability and reduced participants’ ability to meet basic needs including ability to pay for healthcare; ii) lack of progress on environmental remediation and non-transparent benefit sharing schemes that exacerbate economic displacement and contribute to ongoing exposures to air and water pollution; and iii) insufficient of investment in economic development and essential health services, limiting employment opportunities and ability to access adequate healthcare. Addressing these issues requires integrated policy interventions focusing on equitable resource distribution, environmental restoration, and inclusive economic development to promote sustainable community resilience.
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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