Differences in Child Health Across Rural,Urban, and Slum Areas: Evidence From India

The developing world is rapidly urbanizing, but an understanding of how child health differs across urban and rural areas is lacking. We examine the association between area of residence and child health in India, focusing on composition and selection effects. Simple height-for-age averages show that rural Indian children have the poorest health and urban children have the best, with slum children in between. With wealth or observed health environment held constant, the urban height-for-age advantage disappears, and slum children fare significantly worse than their rural counterparts. Hence, differences in composition across areas mask a substantial negative association between living in slums and height-for-age. This association is more negative for girls than boys. Furthermore, a large number of girls are “missing” in slums; we argue that this implies that the negative association between living in slums and health is even stronger than our estimate. The missing girls also help explain why slum girls appear to have a substantially lower mortality than rural girls, whereas slum boys have a higher mortality risk than rural boys. We estimate that slum conditions (such as overcrowding and open sewers), which the survey does not adequately capture, are associated with 20 % to 37 % of slum children’s stunting risk.     

Tracking Poverty Reduction in Bhutan: Income Deprivation Alongside Deprivation in Other Sources of Happiness

This paper analyses poverty reduction in Bhutan between two points in time—2003 and 2007—from a multidimensional perspective. The measures estimated include consumption expenditure as well as other indicators which are directly (when possible) or indirectly associated to valuable functionings, namely, health, education, access to electricity, safe water, improved sanitation, enough room per person in dwelling, access to roads and land ownership. Interestingly, most of these indicators have been identified as sources of happiness in the 2007 Gross National Happiness Survey. Twelve different measures are estimated with a variety of values for the different parameters involved for robustness analysis. Also, estimates are bootstrapped creating 95 % confidence intervals. We find that over the study period there was an unambiguous reduction in multidimensional poverty regardless of the indicators’ weights, deprivation cutoffs and identification criterion of the poor. This reduction was mainly led by a reduction in the proportion of the poor which was accompanied by a reduction in the intensity of poverty among those who were less intensively poor, although not among those who were more intensively poor. Rather than accomplishing this poverty reduction by improving achievements in one or two indicators, there were significant reductions in several deprivations, especially in access to roads, electricity, water, sanitation, and education. We also find that when income alone is used to target the poor, inclusion errors are marginal but exclusion errors are sizeable. Despite Bhutan’s significant progress, challenges remain as poverty is still high in rural areas. A multidimensional measure in the lines proposed in this paper can prove useful for monitoring poverty reduction, prioritizing groups and evaluating upon investment.     

Deadly Cities? Spatial Inequalities in Mortality in sub‐Saharan Africa

We investigate whether sub‐Saharan African countries are affected by an “urban mortality penalty” repeating the history of industrialized countries during the nineteenth century. We analyze Demographic and Health Surveys from several sub‐Saharan African countries for differences in child and adult mortality between rural and urban areas. For the first decade of the 2000s, our findings indicate that child mortality is higher in rural than in urban areas for all countries. On average, child mortality rates are 13.6 percent in rural areas and 10.8 percent in urban areas. In contrast, average urban adult mortality rates (14.1 percent) have exceeded rural adult mortality rates (12.4 percent). Child mortality rates are on average 65 percent higher in urban slums than in formal settlements. Child mortality rates in slum areas are, however, still lower than or equal to those in rural areas for most countries in our sample.     

Spatial inequalities in Western cities: A comparison of North American and German urban areas

Since metropolitan areas in North America and Western Europe reflect similar social and economic divisions in society; similar degrees of spatial inequality for social and housing indicators are expected. This proposition was tested for seven cities (four in West Germany, two in the United States and one in Canada) for 1960–61 and 1970–71. Eight of the nine social indicators showed approximately equal inequality scores, once scale differences are controlled. Minority groups in American cities were significantly more spatially concentrated than those in German or Canadian cities. Areas of multiple housing deprivation were more clearly defined in American cities and the populations living in these areas were predominantly minority, old, renters and welfare recipients, a sharp contrast to deprived areas in cities in the other two nations. The German urban social mosaic is becoming more ‘Americanized’ as postwar housing shortages give way to increased homeownership, suburbanization and greater social class segregation.     

A Different Perspective on Poverty in Lao PDR: Multidimensional Poverty in Lao PDR for the Years 2002/2003 and 2007/2008

This paper presents an indicator for measuring multidimensional poverty in the Lao People’s Democratic Republic applying the Alkire–Foster methodology to the Lao Expenditure and Consumption Survey 2002/2003 and 2007/2008. We calculated a multidimensional poverty index (MPI) that includes three dimensions: education, health, and standard of living. Making use of the MPI’s decomposability, we analyse how much each of the different dimensions and its respective indicators contribute to the overall MPI. We find a marked reduction in the multidimensional poverty headcount ratio over the study period, regardless of how the indicators are weighted or how the deprivation and poverty cut-offs are set. This reduction is based on improvements regarding all indicators except cooking fuel and nutrition. We observe no significant reduction in the intensity of poverty, however; there are wide disparities between the country’s regions and between urban and rural areas. The proportion of poor people in rural areas is more than twice as high as that in urban areas. By complementing the traditional income-based poverty measure, we hope to provide useful information that can support knowledge-based decision-making for poverty alleviation.     

Evaluating indicators for housing policy: Residential satisfaction vs marginal improvement priorities

The research challenges the conventional usage of households' residential satisfaction as a guide for housing policy and development. A new housing indicator, ‘marginal residential improvement priority’, is introduced and is compared with residential satisfaction both theoretically and empirically. Within the context of neoclassical consumer theory it is shown that the former provides a superior indicator of households' housing preferences than the latter. It is then demonstrated empirically that these conceptual distinctions make for significant differences when the indicators are employed in a practical application. Using a sample of 971 households drawn from Wooster, Ohio, the paper considers their evaluations of four general dimensions of the residential environment and six specific features of the dwelling. Zero-order correlations between the indicators average only 0.40 across these ten dimensions. Households' relative satisfaction with these various aspects diverge substantially from the priority they place on improving these aspects in the future, with rank-order correlations not differing significantly from zero. More specifically, all household strata gave public services their lowest improvement priority and dwelling quality their highest, regardless of their relative degree of satisfaction with the dimension. Similarly, most groups gave high priority to improving interior condition and room size and low priority to improving exterior condition, independent of their satisfaction. Thus, if the efficacy of a limited amount of resources invested in a housing policy is to be maximized, they should not necessarily be directed toward those features of the residential environment with which households are least satisfied.     

Urban greening and mobility justice in Dhaka’s informal settlements

ABSTRACT

Urban greening in Dhaka, Bangladesh is fraught with injustice for slum dwellers. Access to the commons for the enactment of gardening, farming and foraging by the urban poor, many recent internal migrants from rural areas, is contested by wealthier citizens, developers and political elites. Through qualitative research with households within the informal settlement of Korail in Dhaka’s urban core, and a range of stakeholders in governmental and non-governmental organizations, this study critiques competing policy visions that involve urban greening and urban green infrastructure. Repurposing the conceptual lense of ‘mobility justice’ to analyse environmental and ecological issues in the global South, the findings highlight the importance of mobility concerns to just futures for urban planning.     

Evaluating Quality of Life in Urban Areas (Case Study: Noorabad City, Iran)

Quality of urban life (QOUL) has become an important field within urban studies. The increased level of attention to this topic is due to the increasing importance of QoL studies in monitoring public policies and in the role they can play as effective tools in urban management and planning. The main objective of this study is to measure the QOUL in the town of Noorabad in Iran, using subjective and objective indicators. In addition to secondary datasets, this study relies on a perception survey of households in the selected city. Based on an 11-point Likert scale, the mean of the overall life satisfaction of the respondents was found to be 6.06. At the same time, it has been found that satisfaction from employment opportunities is lowest among all other indicators. The comparison between the subjective and objective QoL in Noorabad indicated that 25 % of the households are in a state of well-being, 30.1 % are in a state of deprivation, while 24.4 % are in dissonance and 20.4 % are in a state of adaptation. Although correlation between objective and subjective dimensions of the QoL has not been found to be high, in general, the findings of this study reveal the importance of simultaneous studying of both objective and subjective dimensions of QoL. Results and findings of this study will be useful in designing and implementing future policies in the town of Noorabad.     

On ‘Consistent’ Poverty

The measurement of poverty as ‘consistent’ poverty offers a solution to one of the primary problems of poverty measurement within Social Policy of the last three decades. Often treated as if they were synonymous, ‘indirect’ measures of poverty, such as low income measures, and ‘direct’ measures, such as indices of material deprivation, identify surprisingly different people as being poor. In response to this mismatch, a team of Irish researchers put forward a measure which identified respondents in as being in poverty when they experienced both a low standard of living, as measured by deprivation indicators, and a lack of resources, as measured by a low income line. Importantly, they argued that the two measures required an equal weight. In this paper, I present a reconsideration of the consistent poverty measure from both conceptual and empirical perspectives. In particular, I examine the claim that low income and material deprivation measures should be given an ‘equal weight’. I argue that, from a conceptual perspective, the nature of the indicators at hand means that a deprivation-led measurement approach might be understood to align with the definition of poverty which Nolan and Whelan outline and, from an empirical perspective, that it is the material deprivation measure—and not the low income measure—which is particularly effective in identifying individuals at risk of multiple forms of deprivation. However, I argue that greater attention needs to be given to the question of whether indicators of material deprivation provide a sufficient measure of material poverty and suggest that advancing the measurement of material deprivation beyond its relatively rudimentary state represents an important priority for poverty research.     

Area Deprivation and Liver Cancer Prevalence in Shenzhen,China: A Spatial Approach Based on Social Indicators

Cancer has become an alarming threat to human health and well-being worldwide. Examining the social determinants of cancer prevalence should effectively inform the practices and strategies on cancer treatment and prevention. However, rather few studies have conducted in this regard for developing countries. This paper attempts to characterize the association between area deprivation and liver cancer prevalence using a case of Shenzhen, China. Data from 2009 to 2011 provided by Shenzhen’s Health Information Center are used to calculate the incidence rate of liver cancer at district level. An area deprivation index (ADI) at district level is established by integrating 13 indicators of 5 domains (income, employment, education, housing and demography). The weight for each indicator is determined by two typical subjective methods (AHP and fuzzy AHP) and two common objective methods (Entropy and Coefficient Variation). Quantitative comparisons indicate that the four methods are highly consistent though they assign different weight to the indicators. Spatial lag regression identifies significantly positive linear relationships between ADIs and liver cancer incidence rate from 2009 and 2010. It suggests that greater possibility of liver cancer prevalence would be expected in districts of higher social deprivation. The results also denote that the obtained relationships are insensitive to weight determination method and temporal dimension. Our study demonstrates that spatial autocorrelation should be incorporated for better understanding the association between area deprivation and liver cancer prevalence at district level. This paper provides some new insights into social indicators research.     

Restructuring of the US Meat Processing Industry and New Hispanic Migrant Destinations

Findings from the 2000 US Census indicate high rates of Hispanic population increase beyond urban areas and traditional immigrant‐receiving states. The diversity of new destinations raises questions about forces attracting migrants to rural areas and links between economic structural change and Hispanic population growth. Our conceptual framework applies dual labor market theory to the meat processing industry, a sector whose growing Hispanic labor force offers an illustrative case study for analyzing how labor demand influences demographic change. We document the industry's consolidation, concentration, increased demand for low‐skilled labor, and changing labor force composition over three decades. We then position meat processing within a broader analysis that models nonmetropolitan county Hispanic population growth between 1980 and 2000 as a function of changes in industrial sector employment share and nonmetro county economic and demographic indicators. We find that growth in meat processing employment exhibits the largest positive coefficient increase in nonmetro Hispanic population growth over two decades and the largest impact of all sectors by 2000.     

What Is Urban? Comparing a Satellite View with the Demographic and Health Surveys

Appraisal of urbanization trends is limited by the lack of a globally consistent definition of what is meant by urban. This article seeks to identify and explain differences in the definition of “urbanness” as used in two largely distinct research communities. We compare the Global Rural–Urban Mapping Project (GRUMP), which defines urban areas based primarily on satellite imagery of nighttime lights, to the urban classification found in Demographic and Health Surveys (DHS), which relies on the urban definitions of individual countries' national statistical offices. We analyze the distribution of DHS clusters falling within and outside of GRUMP urban extents and examine select characteristics of these clusters (notably, household electrification). Our results show a high degree of agreement between the two data sources on what areas are considered urban; furthermore, when used together, GRUMP and DHS data reveal urban characteristics that are not evident when one data source is used independently. GRUMP urban extents are overwhelmingly medium and large highly electrified localities. DHS clusters that are classified as non‐urban but that fall within GRUMP extents tend to be peri‐urban areas.     

Deprivation index for small areas in Spain

The term deprivation is often used to refer to economic or social shortages in a given geographical area. This concept of deprivation has been identified for years using simple indicators such as income level, education and social class. One of the advantages of using simple indicators is the availability of data, since they come directly from sources of information like censuses and population registers. However, the main disadvantage of these indicators is their limited usefulness when measuring a concept as complex as deprivation with a single variable. One possible solution to this problem is using compound indices, made up of a combination of simple indicators. For years, the concept of material deprivation in Spain has been measured using indices or indicators imported from other countries. However, there are no studies that investigate if all of these variables are really related to material deprivation in Spain. In this context, the objective of this study is to create a synthetic index for material deprivation for the municipalities in Spain, bearing in mind the variables available from the Population and Housing Census. The index was built on a principal components factor analysis. The analysis showed two factors. The first factor showed a high positive correlation to the variables relating to illiteracy rate, unemployment rate and percentage of manual labourers, while the second factor was seen as highly positively correlated to the variables relating to the percentage of homes without access to a vehicle and the dependency index and also correlated, though negatively, to the percentage of foreigners between 16 and 49 who lived abroad in 1991. The variables that make up the first factor can be considered to be an approximation of the concept of deprivation in Spain. This study proposes a deprivation index made up of three simple indicators available from national information sources: percentage of illiteracy, percentage of unemployment and percentage of manual labourers. With this index, the criteria for measuring deprivation in Spanish municipalities can be unified and a comparison of the results of the different studies in our context facilitated.     

Investigating Social Welfare Change in Urban Village Transformation: A Rural Migrant Perspective

An increasing number of large cities have experienced urban village transformation because of the rapid industrialization and urbanization in China. Extant literature largely focuses on urban village transformation and its ensuing developments. This research examined the social welfare change through six welfare categories of indicators, namely, economic condition, dwelling condition, development opportunity, social security, living environment, and psychology. Value change in fuzzy membership was used to reveal the changes in social welfare for rural migrants before and after urban village transformation. Data were collected from questionnaires distributed in four cities of Zhejiang Province in 2014. Fuzzy assessment model was developed to analyze the collected data. Results corroborated that nearly all the values of the welfare categories decreased, except for the value of dwelling condition. The findings confirmed that the rural migrants do not primarily receive the benefits of urban village transformation. In addition, such transformation does not improve urban village harmony. Various measures should be applied to improve rural migrant welfare, including enhancing rural migrant settlement intention, encouraging rural migrants to return to their respective hometowns, and implementing policies for regionally differentiated welfare rights. The findings of this study can provide references for local governments to substantially implement urban village transformation.     

The Impact of Adaptive Preferences on Subjective Indicators: An Analysis of Poverty Indicators

Subjective indicators are often criticized since they are thought to be particularly affected by the phenomenon of adaptive preferences and social comparison. For social policy purposes, processes of downward adaptation in disadvantaged individuals are of particular importance, i.e., it is supposed that such people compare themselves with others who are in the same precarious situation or even worse off and, as a result, lower their expectations and adapt their aspirations and preferences to their material and financial constraints. Based on the 2006–2010 waves of the Swiss Household Panel study, this contribution examines whether, and to what degree, indicators of material deprivation, subjective poverty and subjective well-being are affected by such downward adaptations. Our empirical analysis demonstrates that the bias caused by adaptation processes varies considerably among different measures and that, although subjective indicators are indeed often affected by this phenomenon, there are also robust measures, notably Townsend’s deprivation measure, Halleröd’s proportional deprivation index and the subjective well-being measure of general life satisfaction.     

Sexual risk-taking in the slums of Nairobi,Kenya, 1993-98

Relatively less attention has been paid to reproductive health problems facing deprived urban residents than to those facing rural residents in sub-Saharan Africa. This is probably because the majority of Africans live in rural areas, where they are presumed to have poorer medical, educational, and other social services. Yet, the unprecedented rate of urbanization and the accompanying disproportionate growth in the proportion of poor city residents pose new challenges for health care in the region. This study examines differences in sexual behaviour between slum residents and non-slum residents in Nairobi city. The results show that slum residents start sexual intercourse at earlier ages, have more sexual partners, and are less likely than other city residents to know of or adopt preventive measures against contracting HIV/AIDS. The findings highlight the need to treat slum residents as a subpopulation uniquely vulnerable to reproductive health problems, and to expend more resources in slum settings.     

The dwelling space of postnatal care

BackgroundThis paper considers the dwelling space of postnatal care, how being-there feels for the woman going through the experience of matrescence. The research takes a hermeneutic approach and draws on philosophical notions from Heidegger. Question: ‘What is the nature of the dwelling space of valued postnatal care?’.MethodsAppropriate ethics approval was gained. Participants were midwives, nurses, women, and other relevant stakeholders. There were 4 focus groups involving 11 participants and 19 individual interviews. Data collection was conducted over a one week period by a team of three researchers. An interview schedule had been organised by the administrator at the Centre. Participants chose whether to come to the centre to be interviewed, or be interviewed in their own homes. Most interviews were an hour. All interviews were tape recorded and transcribed, with the participant's permission. Data was analysed through a hermeneutic process set in the context of related literature.FindingsWhen women are invited into a dwelling space that strengthens them they feel ‘mothered’: being listened to, have their needs anticipated, and are cared for in a loving manner. In such a way they grow confidence. A child health nurse reported the difference such care made to on-going mothering at home.Implications for practiceAll women deserve a dwelling space in their early days of matrescence. Small birthing centres perhaps achieve such care and ambience more easily than large institutional units. Nevertheless, wherever the place, practices need to be enabled that foster the spirit of dwelling.     

Maternal Work and Child Care in China: A Multi‐Method Analysis

The majority of women in China, including mothers of young children, are in the labor force. This article investigates the relationship between mothers' work and child care and explores how type of work affects level of involvement in children's care. Substantive understandings of the relationship between mothers' work and child care may well depend on the way work is conceptualized and measured, especially nonwage work. Nearly two‐thirds of women in China live in rural areas, where nonwage work predominates. Analysis of data from eight provinces indicates that wage workers spend less time in child care, but so do women with heavy nonwage demands. Women's involvement in multiple economic activities has consequences for both work‐child care compatibility and work intensity, and may be especially important in efforts to categorize women's work in industrializing economies. Because the majority of the world's women do not work in the wage sector, the implications of these findings extend beyond China.     

Measures of self-reported well-being: their affective,cognitive, and other components

This investigation begins from the hypothesis that social indicators of perceived well-being — e.g., people's assessment of their own life quality — will, like other attudes, reflect two basic types of influences: affect and cognition. In addition, the indicators were expected to include two other components: unique variance (mainly random measurement error) and correlated measurement error. These ideas are investigated using a structural modeling approach applied to 23 assessments of life-as-a-whole from a national survey of Americans (N=1072) and/or a survey of urban residents in England (N=932). In both sets of data, models that included affective and cognitive factors fit significantly better than more restricted models. Furthermore, as expected, measures of (a) ‘happiness’, ‘fun’, and ‘enjoyment’ tended to be relatively more loaded with affect than were measures of (b) ‘satisfaction’, ‘success’, and ‘meeting needs’; and (c) measures designed to tap both affect and cognition tended to fall between the first two groups. In addition, the results suggest that measures employing relatively many scale points and direct assessments yield more valid indicators of people's evaluations of life-as-a-whole than do measures based on three-point scales or on explicit comparisons with other times or groups. These results contribute to basic knowledge about the nature of life quality assessments, help to explain some previously puzzling relationships with demographic factors such as age and education, and may be useful to designers of future studies of perceived well-being.     

Sexual risk-taking in the slums of Nairobi,Kenya, 1993-8

Relatively less attention has been paid to reproductive health problems facing deprived urban residents than to those facing rural residents in the sub-Saharan Africa. This is probably because the majority of Africans live in rural areas, where they are presumed to have poorer medical, educational, and other social services. Yet, the unprecedented rate of urbanization and the accompanying disproportionate growth in the proportion of poor city residents pose new challenges for health care in the region. This study examines differences in sexual behaviour between slum residents and non-slum residents in Nairobi city. The results show that slum residents start sexual intercourse at earlier ages, have more sexual partners, and are less likely than other city residents to know of or adopt preventive measures against contracting HIV/AIDS. The findings highlight the need to treat slum residents as a sub-population uniquely vulnerable to reproductive health problems and to expend more resources in slum settings.