DOI QR코드

DOI QR Code

The Most Important Social Determinants of Slum Dwellers' Health: A Scoping Review

  • Nejad, Farhad Nosrati (Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences) ;
  • Ghamari, Mohammad Reza (Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences) ;
  • Kamal, Seyed Hossein Mohaqeqi (Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences) ;
  • Tabatabaee, Seyed Saeed (Social Determinants of Health Research Center, Mashhad University of Medical Sciences) ;
  • Ganjali, Raheleh (Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences)
  • Received : 2021.02.11
  • Accepted : 2021.06.24
  • Published : 2021.07.31

Abstract

Objectives: Given the importance of social determinants of health in promoting the health of slum residents, this study was conducted with the aim of identifying the main dimensions and components of these determinants. Methods: This scoping review study was conducted according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A comprehensive search was performed of PubMed, ProQuest, Scopus, and Web of Science for articles conducted from 2010 to the end of 2019. Studies were selected based on inclusion criteria, with a special focus on studies dealing with the social determinants of physical and mental health or illness. Results: Thirty-three articles were selected to extract information on the social determinants of health. After reviewing the articles, 7 main dimensions (housing, socioeconomic status of the family, nutrition, neighborhood characteristics, social support and social capital, occupational factors, and health behaviors) and 87 components were extracted as social determinants of health among slum dwellers. Conclusions: This framework could be used by planners, managers, and policy-makers when making decisions affecting the health of these settlements' residents due to the common characteristics of slums around the world, especially in developing countries.

Keywords

Acknowledgement

This study is part of the PhD dissertation of Mohammad Reza Ghamari, approved in 2019 at the University of Social Welfare and Rehabilitation Sciences in Tehran with the code IR.USWR.REC.1398.165.

References

  1. Owusu-Ansah FE, Tagbor H, Togbe MA. Access to health in city slum dwellers: the case of Sodom and Gomorrah in Accra, Ghana. Afr J Prim Health Care Fam Med 2016;8(1):e1-e7.
  2. Ezeh A, Oyebode O, Satterthwaite D, Chen YF, Ndugwa R, Sartori J, et al. The history, geography, and sociology of slums and the health problems of people who live in slums. Lancet 2017;389(10068):547-558. https://doi.org/10.1016/S0140-6736(16)31650-6
  3. Lilford RJ, Oyebode O, Satterthwaite D, Melendez-Torres GJ, Chen YF, Mberu B, et al. Improving the health and welfare of people who live in slums. Lancet 2017;389(10068):559-570. https://doi.org/10.1016/S0140-6736(16)31848-7
  4. Ompad DC, Galea S, Caiaffa WT, Vlahov D. Social determinants of the health of urban populations: methodologic considerations. J Urban Health 2007;84(3 Suppl):i42-i53.
  5. Alami A. Equity in health from social determinants of health's point of view. J Res Health 2011;1(1):7-9.
  6. Pawar AB, Mohan PV, Bansal RK. Social determinants, suboptimal health behavior, and morbidity in urban slum population: an Indian perspective. J Urban Health 2008;85(4):607-618. https://doi.org/10.1007/s11524-008-9261-3
  7. Ingram M, Schachter KA, Sabo SJ, Reinschmidt KM, Gomez S, De Zapien JG, et al. A community health worker intervention to address the social determinants of health through policy change. J Prim Prev 2014;35(2):119-123. https://doi.org/10.1007/s10935-013-0335-y
  8. Solar O, Irwin A. A conceptual framework for action on the social determinants of health; 2010 [cited 2021 Jul 1]. Available from: https://www.who.int/publications/i/item/9789241500852.
  9. World Health Organization. A conceptual framework for action on the social determinants of health; 2010 [cited 2021 Jul 1]. Available from: https://apps.who.int/iris/handle/10665/44489.
  10. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 2018;169(7):467-473. https://doi.org/10.7326/m18-0850
  11. Munn Z, Peters MD, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol 2018;18(1):143. https://doi.org/10.1186/s12874-018-0611-x
  12. Weimann A, Oni T. A systematised review of the health impact of urban informal settlements and implications for upgrading interventions in South Africa, a rapidly urbanising middle-income country. Int J Environ Res Public Health 2019;16(19):3608. https://doi.org/10.3390/ijerph16193608
  13. Nekoei-Moghadam M, Heidari N, Amiresmaeili M, Heidarijamebozorgi M. Identifying the health problems of slum residents using social determinants of health: Kerman, Iran. Int J Health Plann Manage 2019;34(2):e1179-e1187.
  14. Alaazi DA, Aganah GA. Understanding the slum-health conundrum in sub-Saharan Africa: a proposal for a rights-based approach to health promotion in slums. Glob Health Promot 2020;27(3):65-72. https://doi.org/10.1177/1757975919856273
  15. Subbaraman R, Nolan L, Shitole T, Sawant K, Shitole S, Sood K, et al. The psychological toll of slum living in Mumbai, India: a mixed methods study. Soc Sci Med 2014;119:155-69. https://doi.org/10.1016/j.socscimed.2014.08.021
  16. Fink G, Gunther I, Hill K. Slum residence and child health in developing countries. Demography 2014;51(4):1175-1197. https://doi.org/10.1007/s13524-014-0302-0
  17. Chauhan SK, Dhar M. Prevalence and predictors of mental health disorder among the adolescent living in the slums of Lucknow, India: a cross-sectional study. Community Ment Health J 2020;56(3):383-392. https://doi.org/10.1007/s10597-019-00452-2
  18. Silva M, Loureiro A, Cardoso G. Social determinants of mental health: a review of the evidence. Eur J Psychiatry 2016;30(4):259-292.
  19. Lumagbas LB, Coleman HL, Bunders J, Pariente A, Belonje A, de Cock Buning T. Non-communicable diseases in Indian slums: re-framing the Social Determinants of Health. Glob Health Action 2018;11(1):1438840. https://doi.org/10.1080/16549716.2018.1438840
  20. Korn A, Bolton SM, Spencer B, Alarcon JA, Andrews L, Voss JG. Physical and mental health impacts of household gardens in an urban slum in Lima, Peru. Int J Environ Res Public Health 2018;15(8):1751. https://doi.org/10.3390/ijerph15081751
  21. Mondal R, Sarke RC, Banik PC. Prevalence and determinants of behavioral risk factors of non-communicable diseases among a selected slum population in Bangladesh. Chronic Dis J 2019;7(3):170-174.
  22. Steenkamp L, Venter D, Walsh C, Dana P. Socio-economic and demographic factors related to HIV status in urban informal settlements in the Eastern Cape, South Africa. Afr J AIDS Res 2014;13(3):271-279. https://doi.org/10.2989/16085906.2014.952651
  23. Gruebner O, Khan MM, Lautenbach S, Muller D, Kramer A, Lakes T, et al. Mental health in the slums of Dhaka - a geoepidemiological study. BMC Public Health 2012;12:177. https://doi.org/10.1186/1471-2458-12-177
  24. Parmar VB, Rupani MP, Trivedi AV. Social determinants of diabetes and hypertension in an urban slum of Gujarat, Western India: a cross-sectional study. Online J Health Allied Sci 2019;18(1):1.
  25. Soeung SC, Grundy J, Sokhom H, Blanc DC, Thor R. The social determinants of health and health service access: an in depth study in four poor communities in Phnom Penh Cambodia. Int J Equity Health 2012;11:46. https://doi.org/10.1186/1475-9276-11-46
  26. Gawde N, Nasirabadi M, Shah N, Nagaonkar S. Psychiatric morbidity in an urban slum of Mumbai: cross sectional study. Asian J Psychiatr 2013;6(6):478-482. https://doi.org/10.1016/j.ajp.2013.05.005
  27. Ahsan KZ, Arifeen SE, Al-Mamun MA, Khan SH, Chakraborty N. Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh. Arch Public Health 2017;75:9. https://doi.org/10.1186/s13690-017-0176-x
  28. Booth JM, Teixeira S, Zuberi A, Wallace JM Jr. Barrios, ghettos, and residential racial composition: examining the racial makeup of neighborhood profiles and their relationship to self-rated health. Soc Sci Res 2018;69:19-33. https://doi.org/10.1016/j.ssresearch.2017.10.002
  29. Ajlouni MT. Social determinants of health in selected slum areas in Jordan: challenges and policy directions. Int J Health Plann Manage 2016;31(1):113-125. https://doi.org/10.1002/hpm.2267
  30. Corburn J, Hildebrand C. Slum sanitation and the social determinants of women's health in Nairobi, Kenya. J Environ Public Health 2015;2015:209505.
  31. Gadallah M, Megid S, Refaey S, El-Hussinie M, Mohsen A, Ardakani M, et al. The application of Urban Health Equity Assessment and Response Tool to assess health inequity among dwellers of an urban slum area in Giza Governorate, Egypt. J Egypt Public Health Assoc 2017;92(2):68-76. https://doi.org/10.21608/epx.2017.11245
  32. Rawal LB, Biswas T, Khandker NN, Saha SR, Bidat Chowdhury MM, Khan AN, et al. Non-communicable disease (NCD) risk factors and diabetes among adults living in slum areas of Dhaka, Bangladesh. PLoS One 2017;12(10):e0184967. https://doi.org/10.1371/journal.pone.0184967
  33. Latif MB, Irin A, Ferdaus J. Socio-economic and health status of slum dwellers of the Kalyanpur slum in Dhaka city. Bangladesh J Sci Res 2016;29(1):73-83. https://doi.org/10.3329/bjsr.v29i1.29760
  34. Compton MT, Shim RS. The social determinants of mental health. Focus 2015;13(4):419-425. https://doi.org/10.1176/appi.focus.20150017
  35. Khattak M, Shah MU, Jan MS, Ali A, Ashiq S, James S. Health conditions of children and their socioeconomic determinants in slums: a study of Peshawar (Tajabad). J Med Stud 2016;2(3):4-10.
  36. Fakir AM, Khan MW. Determinants of malnutrition among urban slum children in Bangladesh. Health Econ Rev 2015;5(1):59.
  37. Panigrahi A, Panigrahi M, Padhy AP, Das SC. Common mental disorder and its socio-demographic correlates among married women residing in slum areas of Bhubaneswar, India. Women Health 2017;57(5):521-533. https://doi.org/10.1080/03630242.2016.1181137
  38. Raju D, Kim KY, Nguyen QT, Govindaraj R. Cities, slums, and child nutrition in Bangladesh. Rev Dev Econ 2019;23(2):760-781. https://doi.org/10.1111/rode.12564
  39. Unger A. Children's health in slum settings. Arch Dis Child 2013;98(10):799-805. https://doi.org/10.1136/archdischild-2011-301621
  40. Kyu HH, Shannon HS, Georgiades K, Boyle MH. Association of urban slum residency with infant mortality and child stunting in low and middle income countries. Biomed Res Int 2013;2013:604974.
  41. Pandita AK, Roy D, Saxena V. A study on morbidity pattern among geriatric population of an urban slum, Dehradun, India. Indian J Community Health 2017;29(4):402-409. https://doi.org/10.47203/IJCH.2017.v29i04.011
  42. Panigrahi A, Das SC. Undernutrition and its correlates among children of 3-9 years of age residing in slum areas of Bhubaneswar, India. ScientificWorldJournal 2014;2014:719673.