Low-income Urban Residents Research Articles

Green infrastructure and well-being nexus within slums: a Lagos case

ABSTRACT Green infrastructure includes network of natural systems and environmental features that deliver ecosystem services which improves human well-being. This article reports a study dealing with health-related impacts of green infrastructure within a low-income informal urban setting. The study utilized a quantitative approach through survey data collection from residents in Ajegunle-Ikorodu community in Lagos, Nigeria. The residents’ survey (sample size = 455) was conducted to understand socio-economic and housing characteristics of the residents; green features available; pattern of Park Use. It elicited self-reported health information on physiological well-being and mental health. The Warwick-Edinburgh Mental Well-being Scale was used for mental health assessment. Inferential and descriptive statistical analysis was conducted on the data collected. This study shows a generally low presence of Green Infrastructure. Regression analysis (p = 0.033) affirms the positive link between green spaces and mental health. Contrary to popular opinion, the study revealed no correlation between some aspects of self-reported health and green features. The findings highlight the need to develop and maintain green spaces to optimize health benefits. By exploring the connections between greening and well-being in slums, the study contributes to knowledge on human health-nature linkages among low-income urban residents in context of developing countries.

Older workers and post-retirement employment: A proposed decent work agenda

The United Nation's Sustainable Development Goal 8 (SDG8) emphasizes decent work and the need to generate employment for vulnerable groups such as women, youth, and low-income rural and urban residents. Though extended retirement age policies to sustain workforce productivity are promulgated across OECD states, within SDG8 there is no evident focus on older citizens’ need for decent work. We believe this goal lacks detail in addressing the specific needs of older and post-retirement workers and their equal vulnerability to inadequate decent work conditions, economic strain, and diminished well-being. We expand on this issue with particular focus on this older cohort's predictors and attainment of decent work and proffer the psychology of working theory as a foundation to redress the inadequacy of SDG8 and formulate recommendations for policy and research to recognize the needs of older and post-retirement workers. This approach is aligned with the Psychology of Sustainability and Sustainable Development framework in a lifelong perspective.

Access to Land, Building Materials & Finance for Rental Housing Production in Dodoma Capital City, Tanzania

This paper presents study findings concerning rental housing delivery systems in accommodating low-income urban residents in Tanzania. Generally, the study intended to establish operational and workable policy options for promoting affordable rental houses to narrow the urban housing shortage gap that has been increasing over time. The study involved 100 property developers, eighteen (18) key informants, six (6) brokers, and fifteen (15) tenants who were purposely selected for the study. Qualitative and quantitative data were collected through interviews with property developers, and focus group discussions with key informants and local leaders. Statistical Package for Social Science (SPSS) version 20 was employed in inferential and descriptive analysis. In line with this, a Chi-square technique was employed for describing the association between the variables while descriptive analysis was employed to describe the distribution of scores among the variables. The study has shown that 68% of property developers obtain land through an informal land market while the rest 32% obtain it from a formal market. Moreover, property developers have reported that savings are the dominant source of rental housing finance mechanisms in the study area which accounts for 65% of the housing finance mechanisms. Other sources are remittances (16%), pensions (8%), loans (7%), and borrowing from relatives (4%). The study has revealed that the Pearson chi-square value and significance value, confirm that, there is a significant association between affordability and the category of land market (= 65.696, P < 0.001). Furthermore, the study has evidenced that individual property developers are dominating the rental housing market in the absence of policies, regulations, standards, and plans that could take into consideration the access to rental housing for low-income urban residents. The study recommends to the central and local government that there should be an urgent strategy to establish an enabling housing policy to promote affordable rental housing as an option for low-income urban residents in Tanzania.

Dietary patterns among adults in three low-income urban communities in Accra, Ghana

Objective Dietary patterns describe the dietary behaviour and habits of individuals. Unhealthy dietary patterns provide individuals with limited nutrients while increasing the risk of nutrition-related diseases. Unhealthy dietary patterns are high in urban areas, especially among low-income urban residents. This study examined dietary patterns in three low-income urban communities in Accra, Ghana, between 2011 and 2013. Methods This study used Wave 2 and 3 data from the Urban Health and Poverty Survey (EDULINK 2011 and 2013). The sample size was 960 in 2011 and 782 in 2013. Dietary pattern was examined using factor analysis and the NOVA food classification system. Summary statistics were computed for sociodemographic characteristics and diet frequency and pattern. Differences in dietary behaviours between 2011 and 2013 were also estimated. Three logistic regression models were computed to determine the predictors of dietary patterns. Results The frequency of consumption of animal-source foods (ASF) and fruits was higher in 2013 compared with 2011. The intake of processed culinary ingredients (NOVA Group 2), processed foods (NOVA Group 3) and ultra-processed foods (NOVA Group 4) was higher in 2013 versus 2011. In 2013, 29% consumed ultra-processed foods compared to 21% in 2011. Three dietary patterns (rice-based, snack-based, and staple and stew/soup) were identified. About two out of every five participants consumed the food items in the rice (43%) and staple and sauce patterns (40%). The proportion of participants who consumed the food items in the snack pattern was 35% in 2011 but 41% in 2013. Respondents aged 25–34 and those with higher education often consumed the snack-based and rice-based dietary patterns. In 2013, participants in Ussher Town had a higher probability of consuming food items in the snack pattern than those living in Agbogbloshie. Conclusions This study found that between 2011 and 2013, more participants consumed ASFs, fruits, and processed foods. A complex interplay of personal and socio-cultural factors influenced dietary intake. The findings of this study mirror global changes in diet and food systems, with important implications for the primary and secondary prevention of NCDs. Health promotion programs at the community level are needed to address the increasing levels of processed food consumption.

Greywater generation and reuse among residents of low-income urban settlements in the Oforikrom Municipal Assembly, Ghana

Abstract Greywater management in Ghana has yet to receive the needed attention even though its current generation and reuse practices pose severe environmental and public health concerns, including odour nuisance, groundwater pollution, and risks from pathogens. This study examined the current greywater generation and reuse patterns among low-income urban residents in Kumasi, Ghana. Data were collected from three communities (Ayeduase, Kotei, and Twumduase) through cluster sampling, and a total of 458 questionnaires were administered to households. The average amount of greywater generated for various activities in low-income urban settlements was 53.7 l/c/d. The results showed that greywater reuse is not common among the study participants, but those who reuse it prefer laundry to kitchen and bathroom greywater. The proportion of greywater reuse was estimated at 20.1%, with 2.6, 0.9, and 17.9% of households reusing greywater from the kitchen, bathroom, and laundry, respectively. Factors that significantly influenced greywater reuse included age, the community of residence, and the type of house. The study suggests that increased education and awareness about greywater treatment, reuse, and impacts in low-income urban communities could lead to increased participation in its management.

Biopower in Transition

This article examines the shifting biopolitical significance of poverty in Vietnam’s post-reform period, drawing on ethnographic interviews with poor Hanoians. Concomitant with the political economic and sociocultural shifts of market transition, public accounts of poverty’s nature and causes have transformed. The diminished national prevalence of poverty, rapid macroeconomic growth, and the ethos of “socialization” inform accounts that depoliticize deprivation and present it in biopolitical terms, as an inherent characteristic of some social groups. Economic and policy transformations mean that low-income urban residents navigate competing obligations under market socialism: to be as self-reliant as possible while remaining legible as legitimately deserving.

Effectiveness of a water-vending kiosk intervention toward household water quality and surveyed water security in Freetown, Sierra Leone

Low-income urban residents of Freetown, Sierra Leone, have limited access to safely managed piped drinking water services. The Government of Sierra Leone, in partnership with the United States Millennium Challenge Corporation, implemented a demonstration project of ten water kiosks providing distributed, stored, treated water among two neighborhoods in Freetown. This study quantifies the impact of the water kiosk intervention by utilizing a quasi-experimental propensity score matched difference-in-differences study design. Results indicate a 0.6 % improvement in household microbial water quality and an 8.2 % improvement in surveyed water security within the treatment group. Furthermore, low functionality and adoption of the water kiosks were observed.

Heterogeneity in grocery shopping patterns among low-income minority women in public housing

BackgroundPublic housing residents, who tend to be predominantly female and racial/ethnic minorities, are at a particularly high risk for chronic health conditions. Prior studies have suggested that a lack of access to healthy and affordable food may be an important barrier in public housing communities, but evidence is mixed on the association between the neighborhood food environment and dietary quality, suggesting the need to examine food access patterns in low-income, minority communities more deeply. The purpose of this study was to examine the variability in grocery shopping patterns, and the factors that predict them, among low-income minority women in public housing.MethodsInterviewer-administered surveys and body composition measurements were collected in the Watts Neighborhood Health Study, an ongoing longitudinal cohort study of low-income urban public housing residents located in South Los Angeles. Descriptive analyses were conducted to understand the variation in grocery shopping patterns among women. Logistic and ordered logistic regression models were estimated to examine the association between resident characteristics and grocery shopping patterns.ResultsThere was considerable variability in grocery shopping patterns, including the types of grocery stores accessed, distance travelled, frequency of shopping, and reasons behind grocery store choice. Grocery shopping patterns were associated with several participant characteristics, including race/ethnicity, working status, access to a car, income, and education. Hispanic participants were less likely to shop at a supermarket, travel further distances to shop, shop more frequently, and were more likely to prioritize price in their choice of primary grocery store than non-Hispanic Black women participants.ConclusionsThere was considerable variability in grocery shopping patterns, even within this low-income, minority community despite access to the same neighborhood food environment. Convenience and quality, in addition to price, were priorities for choice of primary grocery store, and differences by race/ethnicity suggest that initiatives to improve the neighborhood food environment should consider quality of food, cultural factors, and availability of foods desired by the surrounding community, in addition to price and proximity of grocery stores.

Land tenure security for low-income residents' urban livelihoods: A human development approach review of temporary occupation license

Existing studies on the human development approach discuss how eliminating capability deprivation and enlarging people’s choice led to improvement on their overall wellbeing. However, land tenure security, the pre-condition to safeguard secure livelihood for poor and low-income urban residents is rarely discussed. This study examines the potential of the human development approach to the land tenure security debate by using a desk review of literature on both concepts. It employs the usage of a land policy instrument, known as the Temporary Occupation License (TOL), which aims to provide urban low-income residents with tenure security despite their lack of formal ownership over the land. In this context, land tenure security is understood from the subjective perspective, rather than from its traditional economic objectives. Findings show that the pursuit of human development through TOL results in an enhanced security of tenure amongst urban low-income residents in two forms. Firstly, protecting them against the threat of eviction through the principle of equity in which TOL provides opportunity for nonlandowners with legal access to state land for housing. Secondly, allowing households to gain the benefits of labour and capital invested in the land. For instance, the principle of efficiency embedded within TOL allows households to utilise land according to their priorities and needs; empowerment allows them to make decisions pertaining to housing and tenure upgrading, whereas sustainability allows citizens and authority to achieve developmental results that benefit both parties. The study concludes that the pursuit of the human development approach in land management, through administrative decisions and conducted in a participatory manner, can indeed enhance land tenure security for urban low-income residents.

The Simple Bare Necessities: Scales and Paradoxes of Thrift on a London Public Housing Estate

AbstractThis article tracks how a trope of middle-class household thrift, grounded on the autarchic Aristotelianoikos, has long fueled derogatory discourses in Britain aimed at low-income urban residents who practice quite different forms of thrift. Since the 1970s this trope has migrated across scales, proving a potent metaphor for national economic policy and planetary care alike, and morally and economically justifying both neoliberal welfare retraction compounded by austerity policies and national responses to excessive resource extraction and waste production. Both austerity and formal recycling schemes shift responsibility onto consumer citizens, regardless of capacity. Further, this model of thrift eclipses the thriftiness of low-income urban households, which emerges at the nexus of kin and waged labor, sharing, welfare, debt, conserving material resources through remaking and repair and, crucially, the fundamental need for decency expressed through kin care. Through a historicized ethnography of a London social housing estate and its residents, this paper excavates what happens as these different forms and scales of household thrift coexist, change over time, and clash. Ultimately, neoliberal policy centered on an inimical idiom of thrift delegitimizes and disentitles low-income urban households and undermines their ability to enact livelihood practices of sustainability and projects of dignity across generations.

“Mexicans Built This Neighborhood!” Gentrification, Organizations, and the Role of Place-Based Identity in Latinx Chicago

This exploratory study draws on qualitative interviews to investigate respondents’ perspectives about gentrification in their Chicago neighborhood. Prior research has demonstrated that place-based networks are crucial for the well-being of low-income and immigrant urban residents. A parallel though a previously disparate thread of research discusses the negative impacts of gentrification on long-term residents. I find that residents underscore concerns about their neighborhood’s decreasing affordability, as well as the impending loss of their neighborhood’s local Latinx immigrant identity, as central issues for their community. For residents, “place”, vis-á-vis the neighborhood identity, was central to their own construction of ethnic identity. Concurrently, I find that community organizers viewed place-based changes associated with gentrification as nonstrategic for their organization, whose operations have evolved “beyond the neighborhood”, and endeavor to meet the needs of low-income ethnic Latinx populations across the metropolitan region. I conclude that scholars of both ethnic identity and those studying urban inequalities may benefit from taking a place-centered approach in addressing the gentrification, community organizing, and residential displacement occurring within Latinx communities.

Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study.

The illness cost borne by households, known as out-of-pocket expenditure, was 74% of the total health expenditure in Bangladesh in 2017. Calculating economic burden of diarrhea of low-income urban community is important to identify potential cost savings strategies and prioritize policy decision to improve the quality of life of this population. This study aimed to estimate cost of illness and monthly percent expenditure borne by households due diarrhea in a low-income urban settlement of Dhaka, Bangladesh. We conducted this study in East Arichpur area of Tongi township in Dhaka, Bangladesh from September 17, 2015 to July 26, 2016. We used the World Health Organization (WHO) definition of three or more loose stool in 24 hours to enroll patients and enrolled 106 severe patients and 158 non-severe patients from Tongi General Hospital, local pharmacy and study community. The team enrolled patients between the first to third day of the illness (≤ 72 hours) and continued daily follow-up by phone until recovery. We considered direct and indirect costs to calculate cost-per-episode. We applied the published incidence rate to estimate the annual cost of diarrhea. The estimated average cost of illness for patient with severe diarrhea was US$ 27.39 [95% CI: 24.55, 30.23] (2,147 BDT), 17% of the average monthly income of the households. The average cost of illness for patient with non-severe diarrhea was US$ 6.36 [95% CI: 5.19, 7.55] (499 BDT), 4% of the average monthly income of households. A single diarrheal episode substantially affects financial condition of low-income urban community residents: a severe episode can cost almost equivalent to 4.35 days (17%) and a non-severe episode can cost almost equivalent to 1 day (4%) of household’s income. Preventing diarrhea preserves health and supports financial livelihoods.

\u2018Listen and learn:\u2019 participant input in program planning for a low-income urban population at cardiovascular risk

BackgroundPoverty increases the risk of cardiac disease, while diminishing the resources available to mitigate that risk. Available prevention programs often require resources that low-income residents of urban areas do not possess, e.g. membership fees, resources to purchase healthy foods, and safe places for physical activity. The aim of this study is to obtain participant input in order to understand the health-related goals, barriers, and strengths as part of planning a program to reduce cardiovascular risk.MethodsIn a mixed methods study, we used written surveys and focus groups as part of planning an intervention specifically designed to meet the needs of lower income individuals. Based on prior research, we used Self-Determination Theory (SDT) and its core constructs of autonomy, competence, and relatedness as the theoretical framework for analysis. The study collected information on the perspectives of low-income urban residents on their risks of cardiovascular disease, their barriers to and supports for addressing health needs, and how they addressed barriers and utilized supports. Focus group transcripts were analyzed using standard qualitative methods including paired coding and development of themes from identified codes.ResultsParticipants had health goals that aligned with accepted approaches to reducing their cardiovascular risks, however they lacked the resources to reach those goals. We found a lack of support for the three SDT core constructs. The barriers that participants reported suggested that these basic psychological needs were often thwarted by their environments.ConclusionsSubstantial disparities in both access to health-promoting resources and in support for autonomy, competence, and relatedness must be addressed in order to design an effective intervention for a low-income population at cardiac risk.

Vendors on wheels! The changing terrain and manifestation of informality in Harare under Covid-19 pandemic restrictions

The coronavirus is affecting almost every part of the world. The impact of the virus has worsened the difficulties already confronting residents of the fast-growing cities of the developing world already suffering from many challenges, such as inadequate housing, growing poverty, poor urban environmental management, and high levels of unemployment and underemployment. As authorities introduced restrictive measures to curb the spread of the virus, the low-income people appear to be affected by the measures more than the high-income groups. One of the interventions municipal and national leaders have introduced are limitations to movements, commonly known as lock downs. Together with these lock downs has been closures of spaces where low-income vendors and other informal traders operate. How are low-income urban residents being affected by these restrictive measures? Using field observations, newspaper reports and interviews with traders as well as key informants the article examines the changing typology of informal trade under the lockdown conditions. A key finding of the study is that under a restricted trading environment, the means for carrying bulky stock and a quick get-away is giving advantage to traders on wheels. Bringing wares to sites and traveling back home now requires own transport. The well-to-do traders are replacing poor vendors.

Implementing Trauma Screening, Brief Intervention, and Referral to Treatment (T‐SBIRT) within Employment Services: A Feasibility Trial

Research suggests that low-income adults accessing employment services have experienced high levels of trauma exposure and associated consequences. Moreover, the health-related effects of trauma undermine employment and employability. A trauma-informed protocol-trauma screening, brief intervention, and referral to treatment or T-SBIRT-was therefore implemented within employment service programs serving low-income urban residents. To assess the feasibility of integrating T-SBIRT within employment services, five domains were explored as follows: suitability, acceptability, client adherence, provider adherence or fidelity, and intended outcomes. With a sample of low-income adults (N=83), the study revealed that T-SBIRT is suitable for employment service participants given high rates of trauma exposure (90.4% experienced two or more lifetime traumas), along with high rates of positive screening results for post-traumatic stress disorder (48.8%), major depression (35.4%), and generalized anxiety (47.6%). Study participants appeared to find T-SBIRT acceptable as evidenced by an 83% acceptance rate. All participants accepting T-SBIRT services completed them, revealing strong client adherence. Provider adherence or model fidelity was high, that is, 98.5%. Finally, the majority of participants accepted a referral to a mental health care (i.e., 56.6%), and over three-quarters accepted a referral to any outside service including primary or mental health care. Implications of findings are discussed.

Physical Activity and Health-Related Quality of Life Among Low-Income Adults in Metropolitan Kuala Lumpur

BackgroundThe aim of this research is to assess the level of physical activity (PA) in relation to different socio-economic factors and to examine the effect of the recommended level of PA on the domains of quality of life (QoL) among residents of low-income housing in the metropolitan area of Kuala Lumpur, Malaysia.MethodsThis was a cross-sectional study that included 680 respondents from community housing projects. Reported PA was assessed using the Global Physical Activity Questionnaire (GPAQ) short form version 2. The SF-12v2 was administered to assess the health-related QoL (HRQoL) among the study population. Respondents were grouped into “active” and “insufficient” groups according to reported weekly PA level. One-way analysis of variance, analysis of co-variance, and multiple linear regression were used in the analysis.ResultsOverall, 17.6% (95% CI, 14.3–20.9) of the respondents did not achieve the recommended levels of PA (≥600 metabolic equivalent [MET]-minutes week−1). Level of achieving recommended PA was higher among younger participants, females, members belonging to nuclear families, and in self-employed participants. The group that fulfilled recommended PA levels (active) has higher levels of QoL in all domains except physical functioning.ConclusionsAlmost one out of five low-income urban residents were physically inactive. In addition, individuals who attained recommended PA levels had better scores on some domains of HRQOL than those who did not. Our findings call for tailor-made public health interventions to improve PA levels among the general population and particularly for low-income residents.

Is living in African cities expensive?

ABSTRACTAlthough several studies have examined why overall price levels are higher in richer countries, little is known about whether there is a similar relationship at the urban and city level across countries. This paper compares the price levels of cities in Sub-Saharan Africa with those of other regions by analyzing price information collected for the purpose of calculating official purchasing power parities. The approach of the paper is to readjust the calculated price levels from national to urban levels, using known price-level ratios between those areas. The results indicate that African cities are relatively more expensive, despite having lower income levels. The price levels of goods and services consumed by households are 25 to 28 percent higher in Sub-Saharan Africa than in other low- and middle-income countries, relative to their income levels. Such high costs of living could constrain livelihood of low-income urban residents, as well as the development of Africa’s urban economies.

A sharing economy? Unpacking demand and living conditions in the urban housing market in Kenya

Abstract With Africa’s urban transition underway, housing is a formidable challenge. Housing shortfalls and continued slum growth are consistently forecast. But what kinds of housing do current residents occupy? Do owners have better quality housing than tenants? How much do tenants pay and what features do they value? This study builds a demand-side understanding of housing using survey data from over 14,000 households in 15 Kenyan cities. Kenya’s urban housing market is characterized by renting and sharing. Approximately 86 percent of residents are tenants; they outnumber owners in 14 of 15 cities. Sharing is ubiquitous—households share houses, rooms, and/or facilities such as toilets and taps. In contrast to standard notions of an “acceptable” housing unit, only 18 percent of urban Kenyans live in a self-contained unit with a toilet, kitchen, electricity, and private water connection. The market is delivering two under-studied housing categories—compounds and dormitories—explicitly designed for sharing. These house 40 percent of urban households in individual rooms, but require sharing of toilets and water connections. Rents represent a significant share of household income, but indicate low ability to achieve ownership, if viewed as monthly mortgage payments. Hedonic regression analyses reveal the relative value of house features with electricity, kitchens and number of rooms emerging as important drivers of rent. Neighborhood conditions, such as lack of flooding and perceived safety, and neighborhood level infrastructure and services, such as garbage collection and access to transport, also have positive impacts upon rents. Our analysis urges a rethinking of housing policies, including reevaluation of what type of housing is deemed acceptable and affordable for very low income urban residents. It underscores the need to develop more and better-quality rental housing and calls for a reassessment of housing and infrastructure investment programs, as well as more creative approaches for expanding home ownership.

Cash assistance by smart card: from multiple functions to multiple legitimacies of a municipal social policy instrument

ABSTRACTA policy instrument can take on multi-dimensional objectives as additional elements are added over time. I examine this through analysis of the ‘support card’ established by the Turkish district municipality of Başakşehir. In this case, a market-based system of income support and instrument for partizan mobilization subsequently transformed into a technology demonstration project. The appearance of multiple objectives is the result of the juxtaposition of target audiences, including a European-based innovation network, low income urban residents, local businesses, and volunteers for the ruling Justice and Development Party (Adalet ve Kalkınma Partisi, AKP) party. This analysis also contributes to a better conceptualization of the AKP's capacity to enhance its legitimacy beyond electoral mobilization.

Can low-carbon urban development be pro-poor? The case of Kolkata, India

Fast-growing cities in the global South have an important role to play in climate change mitigation. However, city governments typically focus on more pressing socioeconomic needs, such as reducing urban poverty. To what extent can social, economic and climate objectives be aligned? Focusing on Kolkata in India, we consider the economic case for low-carbon urban development, and assess whether this pathway could support wider social goals. We find that Kolkata could reduce its energy bill by 8.5 per cent and greenhouse gas emissions by 20.7 per cent in 2025, relative to business-as-usual trends, by exploiting readily available, economically attractive mitigation options. Some of these measures offer significant social benefits, particularly in terms of public health; others jeopardize low-income urban residents’ livelihoods, housing and access to affordable services. Our findings demonstrate that municipal mitigation strategies need to be designed and delivered in collaboration with affected communities in order to minimize social costs and – possibly – achieve transformative change.