Toward a Socio-Territorial Approach to Health: Health Equity in West Africa
Identifieur interne : 000098 ( Main/Exploration ); précédent : 000097; suivant : 000099Toward a Socio-Territorial Approach to Health: Health Equity in West Africa
Auteurs : Lucie Vialard ; Clara Squiban ; Florence Fournet ; Gérard Salem [France] ; Ellen E. Foley [États-Unis]Source :
- International Journal of Environmental Research and Public Health [ 1661-7827 ] ; 2017.
Abstract
This study contributes to the literature about the effects of space and place on health by introducing a socio-territorial approach to urban health disparities in West Africa. It explores how urban spaces, specifically neighbourhoods, are shaped by social and economic relations and strategies of territorial control. We examine the potential influence of socio-territorial processes on vulnerability to disease, access to medical care, healthscapes, and illness experiences. Our research was conducted in Senegal and relied on a mixed methods design. We identified four neighbourhoods that represent the socio-spatial heterogeneity of the city of Saint-Louis and utilized the following methods: geographic and anthropological field research, household surveys, health knowledge and behaviour surveys, clinical exams, and illness interviews. Our results highlight the socio-territorial processes at work in each neighbourhood, clinical findings on three health measures (overweight, high blood pressure, and hyperglycaemia) and health experiences of individuals with hypertension or type II diabetes. We found significant differences in the prevalence of the three health measures in the study sites, while experiences managing hypertension and diabetes were similar. We conclude that a socio-territorial approach offers insight into the complex constellation of forces that produce health disparities in urban settings.
Url:
DOI: 10.3390/ijerph14010106
PubMed: 28117751
PubMed Central: 5295356
Affiliations:
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Foley</name><affiliation wicri:level="2"><nlm:aff id="af4-ijerph-14-00106">International Development and Social Change, IDCE, Clark University, Worcester, MA 01610, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Development and Social Change, IDCE, Clark University, Worcester, MA 01610</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><series><title level="j">International Journal of Environmental Research and Public Health</title><idno type="ISSN">1661-7827</idno><idno type="eISSN">1660-4601</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This study contributes to the literature about the effects of space and place on health by introducing a socio-territorial approach to urban health disparities in West Africa. It explores how urban spaces, specifically neighbourhoods, are shaped by social and economic relations and strategies of territorial control. We examine the potential influence of socio-territorial processes on vulnerability to disease, access to medical care, healthscapes, and illness experiences. Our research was conducted in Senegal and relied on a mixed methods design. We identified four neighbourhoods that represent the socio-spatial heterogeneity of the city of Saint-Louis and utilized the following methods: geographic and anthropological field research, household surveys, health knowledge and behaviour surveys, clinical exams, and illness interviews. Our results highlight the socio-territorial processes at work in each neighbourhood, clinical findings on three health measures (overweight, high blood pressure, and hyperglycaemia) and health experiences of individuals with hypertension or type II diabetes. We found significant differences in the prevalence of the three health measures in the study sites, while experiences managing hypertension and diabetes were similar. We conclude that a socio-territorial approach offers insight into the complex constellation of forces that produce health disparities in urban settings.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kearns, R" uniqKey="Kearns R">R. Kearns</name></author><author><name sortKey="Moon, G" uniqKey="Moon G">G. Moon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Logan, J R" uniqKey="Logan J">J.R. Logan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Macintyre, S" uniqKey="Macintyre S">S. Macintyre</name></author><author><name sortKey="Ellaway, A" uniqKey="Ellaway A">A. Ellaway</name></author><author><name sortKey="Cummins, S" uniqKey="Cummins S">S. 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Renzaho</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>Massachusetts</li><li>Île-de-France</li></region></list><tree><noCountry><name sortKey="Fournet, Florence" sort="Fournet, Florence" uniqKey="Fournet F" first="Florence" last="Fournet">Florence Fournet</name><name sortKey="Squiban, Clara" sort="Squiban, Clara" uniqKey="Squiban C" first="Clara" last="Squiban">Clara Squiban</name><name sortKey="Vialard, Lucie" sort="Vialard, Lucie" uniqKey="Vialard L" first="Lucie" last="Vialard">Lucie Vialard</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Salem, Gerard" sort="Salem, Gerard" uniqKey="Salem G" first="Gérard" last="Salem">Gérard Salem</name></region></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Foley, Ellen E" sort="Foley, Ellen E" uniqKey="Foley E" first="Ellen E." last="Foley">Ellen E. Foley</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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