Environmental Correlates of Health-Related Quality of Life among Women Living in Informal Settlements in Kenya

Samantha C. Winter, Lena Moraa Obara and Francis Barchi
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Samantha C. Winter: Columbia School of Social Work, Columbia University, New York, NY 10027, USA
Lena Moraa Obara: Department of Sociology and Social Work, University of Nairobi, Nairobi 00100, Kenya
Francis Barchi: Edward J. Bloustein School of Planning & Public Policy, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA

IJERPH, 2019, vol. 16, issue 20, 1-19

Abstract: Informal settlements (slums)—defined as residential areas lacking durable housing; sufficient living and public spaces; access to basic infrastructure, water, sanitation, and other services; and secure tenancy—are presumed to be poor health environments. Research in Kenya suggests that residents of these settlements have the worst health outcomes of any population, yet there is a paucity of research focused on the health and well-being of these residents. Even less attention is given to the role played by environment in health in these settings. The present study addresses these gaps by examining potential environmental correlates, specifically access to water and sanitation, of health-related quality of life (HRQOL) among 552 women in Mathare slum in Nairobi, Kenya. A Kiswahili version of the 36-Item Short Form Health Survey (SF-36) measured HRQOL. Results suggested that access to a toilet at all times was associated with every subscale of the mental health and general well-being domains of the SF-36. Primary water source was also associated with women’s HRQOL. Despite increasing efforts to expand sanitation and water access in informal settlements, more attention should be given to whether the interventions being introduced, which likely affect women’s psychosocial health, are appropriate for all residents, including women.

Keywords: women’s health; informal settlements; slums; Kenya; health-related quality of life; SF-36; water and sanitation; correlates of health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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