+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The concentration of disadvantage and the rise of an urban penalty: urban slum prevalence and the social production of health inequalities in the developing countries



The concentration of disadvantage and the rise of an urban penalty: urban slum prevalence and the social production of health inequalities in the developing countries



International Journal of Health Services 39(4): 749-770



Urban slums are proliferating in the developing countries. A corollary of this structural transformation is the increasing recognition of an urban penalty wherein slum populations exhibit notable inequalities in health relative to non-slum urban residents and even rural populations. The built urban environment, in turn, is a crucial context within which the social production of disproportionate morbidity and mortality is enacted. The authors develop this assertion and use bivariate and partial correlation analysis to highlight the association of urban slum prevalence, or proportion of the total population living in urban slum conditions, with indicators of mortality and gender parity, measured at the national level. Data for 99 developing countries show that greater urban slum prevalence is strongly correlated with higher levels of infant, child, and maternal mortality. Further, urban slum prevalence exhibits strong, deleterious correlations with gender parity (measured by the gender development index) and fertility rate, factors that have a crucial direct impact in shaping variant mortality levels. Future research is warranted on the social inequalities in health and illness derived from the expansion of urban slum conditions in the developing countries.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056270525

Download citation: RISBibTeXText

PMID: 19927413

DOI: 10.2190/hs.39.4.i


Related references

Policy directions in urban health in developing countries--the slum improvement approach. Social Science and Medicine 35(2): 111-120, 1992

Beyond urban penalty and urban sprawl: back to living conditions as the focus of urban health. Journal of Community Health 30(1): 1-11, 2005

Slum Definitions in Urban India: Implications for the Measurement of Health Inequalities. Population and Development Review 41(1): 59-84, 2015

Construction of growth reference standards for urban slum children in developing countries. Indian Pediatrics 27(10): 1081-1087, 1990

Conceptual evaluation of urban and peri-urban production and marketing of fruits and vegetables in developing countries. Urban and peri urban agriculture in Africa: proceedings of a workshop, Netanya, Israel, 23-27 June 1996: 267-296, 1999

Comparative prevalence of otitis media in children living in urban slums, non-slum urban and rural areas of Delhi. International Journal of Pediatric Otorhinolaryngology 78(12): 2271-2274, 2014

Social Inequalities and Urban Restructuring || The working class, minorities and housing in Paris, the rise of fragmentations. Geojournal 46(1): 51-62, 1998

Prevalence and correlates of smoking among urban adult men in Bangladesh: slum versus non-slum comparison. Bmc Public Health 9: 149, 2009

Assessing the Temporal and Regional Differences in the Relationships between Infant and Child Mortality and Urban Slum Prevalence in Less Developed Countries, 1990-2005. Urban Studies 49(16): 3495-3512, 2012

Primary care, social inequalities and all-cause, heart disease and cancer mortality in US counties: a comparison between urban and non-urban areas. Public Health 119(8): 699-710, 2005

Social determinants and inequalities in urban health. ReviewsonEnvironmentalHealth15(1-2):97, 2000

Urban equity and urban health: using existing data to understand inequalities in health and environment in Accra, Ghana and Sao Paulo, Brazil. Environment and Urbanization 9(1): 181-202, 1997

Social determinants, suboptimal health behavior, and morbidity in urban slum population: an Indian perspective. Journal of Urban Health 85(4): 607-618, 2008

Prevalence of physically handicapped in an urban slum community detected through different categories of health personnel (survey methods). Indian Journal of Public Health 26(3): 187-193, 1982

Urban solid waste management in developing countries from the sustainable supply chain management perspective: A case study of Brazil's largest slum. Journal of Cleaner Production 233: 1377-1386, 2019