Abstract
Despite all the policies evolved by the various governments in Nigeria to maintain a healthy environment, inequalities in health persist among women in Lagos. This study examines the nature of the relationship between environmental health factors and health status of women in different neighbourhoods of metropolitan Lagos. All the 17 local government areas (LGAs) were selected to achieve 100% representation. Questionnaires (no = 1,150) were administered to randomly selected women aged 18 years and above. A total of 9 Focus Group Discussions (FGDs) were held with women of same age from different neighbourhoods. Data analysis was by descriptive statistics, chi-square tests, one-way ANOVA and logistic regression. GIS was employed to show the spatial variation of health status of women across neighbourhoods. Results show that the mean of environmental diseases experienced by women varied among income neighbourhoods but while the difference in means between the low and medium income groups was highly significant at p < 0–5, that of the medium and high income groups was not. GIS highlighted the high income neighbourhood as having women in the highest health status. The more the access to pipe borne water, the lower the incidence of diarrhea (Wald = 19.125, p < 0.05) Also, diarrhea increased with age, irrespective of neighbourhood location. The FGDs identified stress as a major cause of ill health among women across neighbourhood groups. The study identified various neighbourhood environmental factors that affect the health of women. Improved environmental conditions are germane to improving the health status of women in metropolitan Lagos while emphasis is placed on attending to the stressors that affect women’s health.
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References
Annandale E, Hunt K (2000) Gender inequalities in health. Open University Press, Buckingham
Benneh G, Songsore J, Nabila S, Amuzu AT, Tutu KA, Yangyuoru Y (1993) Environmental problems and the urban household in the Greater Accra Metropolitan Area, Ghana Stockholm. Stockholm Environment Institute, Ghana
Berry BJL, Horton FE (1970) Geographic perspective of urban systems. Prentice Hall, Englewood Cliffs, NJ, Chapter 10
Bradley DJ, Stephens C, Harpham T, Cairncross S (1992) A review of environmental health impacts in developing country cities. Urban management and the environment. The World Bank, Washington, DC
City Mayors.com World’s fastest growing Cities and Urban areas from 2006–2010. http://www.citymayors.com
Evans RG, Stoddart GL (1990) Producing health, consuming health care. Soc Sci Med 31:1359
Federal Republic of Nigeria Official Gazette (May 15, 2007) Legal notice on publications of the details of the breakdown of the National and State Provincial Totals, 2006 Census
Graham H (2000) Understanding health inequalities. Open University Press, Buckingham
Guerrant RL, Kirchoff LV, Shields DS (1983) Prospective study of diarrhoeal illnesses in North-Eastern Brazil: patterns of disease, nutritional impact, etiologies and risk factors. J Infect Dis 148:986–997
Gwatkin DR (2002) Who would gain most from efforts to reach the millennium development goals for health: an inquiry into the possibility of progress that fails to reach the poor. The World Bank, Washington, DC
Kawachi I, Kennedy BP, Gupta V, Prothrow-Stith D (1999) Women’s status and the health of women and men: a view from the states. Soc Sci Med 48(1):21–32
Lagos State Government (2002) Report of the third lagos state economic summit, Ehingbeti 2002, Ministry of Economic Planning and Budget, Lagos State
MacArthur I, Bonnefoy X (1998) Environmental health services in Europe 2 – Policy Options. WHO Regional Publications, European Series, No.77. WHO Regional Office for Europe, Copenhagen
Macintyre S (1997) What are spatial effects and how can we measure them? In: Dale A (ed) Exploiting national survey and census data: the role of locality and spatial effects, (CCSR occasional paper 12). University of Manchester, Manchester
McGranahan G (1991) Environmental problems and the urban household in the third world countries. Stockolm Environment Institute, Stockolm
McGranahan G, Kjellén M (1994) Household environmental problems in Jakarta. Stockholm Environment Institute, Stockholm
Newbold RR (1999) Women’s health and the environment: the next century: advances in Uterine Leiomyoma based article. National Institute of Environmental Health Sciences (NIEHS), USA
Philips DR (1990) Health and health care in the Third world, Chapter 4, Longmans
Population Reference Bureau (2004) Improving the health of the world’s poorest people in celebrating 75 years 1929–2004. Washington, DC, USA, Website: http://www.prb.org. policy brief
Rocheleau D, Thomas- Slayter Band, Wangari E (1996) Feminist political ecology: global issues and local experiences. Routledge, New York, NY
State of Lagos Mega City and other Nigerian Cities Report (2004) Ministry of economic planning and budget. Lagos State, Nigeria
Stephens C (1992) Environment and health in developing countries: an analysis of Iintra-urban mortality differentials using existing data. Health Research Unit, Adabraka Polyclinic, Accra
Surjadi C, Padhmasutra L, Wahyuningsih D (1993) Respiratory diseases of mothers and children and environmental factors among households in Jakarta. Environ Urban 5(2):78
Timms TWG (1971) The urban mosaic. Cambridge University Press, Cambridge
United Nations Commission on Human Settlements (UNCHS) (2001) The state of the World’s cities, 2001
United Nations Development Programme (2003) Human development report. UNDP, New York, NY. http://www.undp.org
Wagstaff A, van Doorslaer E, van der Berg H, Calonge S, Christiansen T, Citoni G (1999) Equity in the finance of health care: some further international comparisons. J Health Eco 18:263–290
Whitehead MM (1999) Where do we stand? Research and policy issues concerning inequalities in health and in healthcare. Acta Oncol 38(1):41–50
World Health Organization (1994) Assessment of fracture risk and its application to screening for post-menopausal women. Technical Paper Series NO 843. WHO Scientific Study Group, Geneva
World Health Organisation (WHO) (1999) Principles and basic concepts of equity and health. Division of Health and Human Development, PAHOWHO, Washington, DC
Acknowledgments
The authors sincerely thank Ms Nihinlola Dupe Olayinka, a lecturer in the Department of Surveying and Geoinformatics, University of Lagos, Nigeria for helping with the GIS aspects of this work.
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Nwokoro, I.I., Agbola, T.S. (2011). Environment and Health Inequalities of Women in Different Neighbourhoods of Metropolitan Lagos, Nigeria. In: Maantay, J., McLafferty, S. (eds) Geospatial Analysis of Environmental Health. Geotechnologies and the Environment, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0329-2_14
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