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Int J Environ Res Public Health. 2010 Jan;7(1):125-45. doi: 10.3390/ijerph7010125. Epub 2010 Jan 13.

Assessing the relationship between socioeconomic conditions and urban environmental quality in Accra, Ghana.

Author information

1
Infectious Disease Epidemiology Unit, Bernhard Nocht Institute for Tropical Medicine, Bernhard-Nocht-Str. 74, D-20359 Hamburg, Germany. fobil@bnitm.de

Abstract

The influence of socioeconomic status (SES) on health inequalities is widely known, but there is still poor understanding of the precise relationship between area-based socioeconomic conditions and neighborhood environmental quality. This study aimed to investigate the socioeconomic conditions which predict urban neighbourhood environmental quality. The results showed wide variation in levels of association between the socioeconomic variables and environmental conditions, with strong evidence of a real difference in environmental quality across the five socioeconomic classes with respect to total waste generation (p < 0.001), waste collection rate (p < 0.001), sewer disposal rate (p < 0.001), non-sewer disposal (p < 0.003), the proportion of households using public toilets (p = 0.005). Socioeconomic conditions are therefore important drivers of change in environmental quality and urban environmental interventions aimed at infectious disease prevention and control if they should be effective could benefit from simultaneous implementation with other social interventions.

KEYWORDS:

Accra; Ghana census data; area-based SES; socioeconomic inequalities

PMID:
20195437
PMCID:
PMC2819780
DOI:
10.3390/ijerph7010125
[Indexed for MEDLINE]
Free PMC Article

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