Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa

Abstract Background Rapid urbanization, unmatched by an associated supply of housing, has resulted in overcrowding in the cities of many developing countries, including in Johannesburg, South Africa. Household overcrowding has been associated with a range of ill-health outcomes, including acute resp...

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Main Authors: Vusumuzi Nkosi, Tanya Haman, Nisha Naicker, Angela Mathee
Format: Article
Language:English
Published: BMC 2019-10-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-7665-5
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author Vusumuzi Nkosi
Tanya Haman
Nisha Naicker
Angela Mathee
author_facet Vusumuzi Nkosi
Tanya Haman
Nisha Naicker
Angela Mathee
author_sort Vusumuzi Nkosi
collection DOAJ
description Abstract Background Rapid urbanization, unmatched by an associated supply of housing, has resulted in overcrowding in the cities of many developing countries, including in Johannesburg, South Africa. Household overcrowding has been associated with a range of ill-health outcomes, including acute respiratory infections and diarrhoeal diseases. The aim of this study was to describe the levels of household crowding, and examine associations with respiratory and gastrointestinal symptoms in selected two low-income neighbourhoods in Johannesburg. Methods Questionnaire data from a panel study conducted over an 11-year period between 2006 and 2016 were extracted to conduct the analyses. Structured questionnaires, designed to collect information on housing conditions, socio-economic and health status were administered to adult representatives of households occupying the primary dwelling on pre-selected study sites. Results Over the 11-year study period, levels of overcrowding remained unchanged. Around 57.6% of dwellings in the study neighbourhoods were determined to be overcrowded in relation to international guidelines. Results from the multiple logistic regression analyses indicated that crowded dwellings were associated with elevated levels of acute respiratory and gastrointestinal symptoms, as well as fever/chills. Conclusion Respondent perceptions varied from objective measures of overcrowding. Crowded dwellings were associated with elevated reports of acute respiratory and gastrointestinal symptoms, as well as fever/chills.
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spelling doaj.art-460540d8c0c44f30871b9747fcf13af42022-12-21T20:20:48ZengBMCBMC Public Health1471-24582019-10-011911810.1186/s12889-019-7665-5Overcrowding and health in two impoverished suburbs of Johannesburg, South AfricaVusumuzi Nkosi0Tanya Haman1Nisha Naicker2Angela Mathee3Environment and Health Research Unit, South African Medical Research CouncilEnvironment and Health Research Unit, South African Medical Research CouncilEnvironment and Health Research Unit, South African Medical Research CouncilEnvironment and Health Research Unit, South African Medical Research CouncilAbstract Background Rapid urbanization, unmatched by an associated supply of housing, has resulted in overcrowding in the cities of many developing countries, including in Johannesburg, South Africa. Household overcrowding has been associated with a range of ill-health outcomes, including acute respiratory infections and diarrhoeal diseases. The aim of this study was to describe the levels of household crowding, and examine associations with respiratory and gastrointestinal symptoms in selected two low-income neighbourhoods in Johannesburg. Methods Questionnaire data from a panel study conducted over an 11-year period between 2006 and 2016 were extracted to conduct the analyses. Structured questionnaires, designed to collect information on housing conditions, socio-economic and health status were administered to adult representatives of households occupying the primary dwelling on pre-selected study sites. Results Over the 11-year study period, levels of overcrowding remained unchanged. Around 57.6% of dwellings in the study neighbourhoods were determined to be overcrowded in relation to international guidelines. Results from the multiple logistic regression analyses indicated that crowded dwellings were associated with elevated levels of acute respiratory and gastrointestinal symptoms, as well as fever/chills. Conclusion Respondent perceptions varied from objective measures of overcrowding. Crowded dwellings were associated with elevated reports of acute respiratory and gastrointestinal symptoms, as well as fever/chills.http://link.springer.com/article/10.1186/s12889-019-7665-5OvercrowdingHealthSouth AfricaHousingEnvironmental health
spellingShingle Vusumuzi Nkosi
Tanya Haman
Nisha Naicker
Angela Mathee
Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa
BMC Public Health
Overcrowding
Health
South Africa
Housing
Environmental health
title Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa
title_full Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa
title_fullStr Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa
title_full_unstemmed Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa
title_short Overcrowding and health in two impoverished suburbs of Johannesburg, South Africa
title_sort overcrowding and health in two impoverished suburbs of johannesburg south africa
topic Overcrowding
Health
South Africa
Housing
Environmental health
url http://link.springer.com/article/10.1186/s12889-019-7665-5
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AT nishanaicker overcrowdingandhealthintwoimpoverishedsuburbsofjohannesburgsouthafrica
AT angelamathee overcrowdingandhealthintwoimpoverishedsuburbsofjohannesburgsouthafrica