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Urbanization and health in developing countries: a systematic review.
Sophie Eckert1, Stefan Kohler1
1Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, Berlin, Germany.
Urbanization in developing countries presents a mixed health impact, improving some areas like nutrition but worsening others such as chronic disease risk. Policy must address these complex health outcomes.
Area of Science:
- Public Health
- Urban Studies
- Global Health
Background:
- Population growth is concentrated in developing world cities.
- The health effects of urbanization are debated.
- Research on urban-rural health disparities in developing nations is reviewed.
Purpose of the Study:
- To investigate urban-rural and intra-urban health differences in developing countries.
- To determine if urban areas offer a health advantage.
Main Methods:
- Systematic literature search of JSTOR, PubMed, ScienceDirect, and SSRN.
- Included studies comparing health status in urban and rural areas.
- Focused on selected World Health Organization health indicators.
Main Results:
- Urbanization linked to lower childhood undernutrition but higher overweight risk.
- Urban areas showed lower fertility rates and birth odds.
- Life expectancy association with urbanization was positive but not significant.
- Chronic disease risk factors were more common in urban settings.
- Communicable disease mortality varied by disease and location.
Conclusions:
- Urbanization correlates with diverse health outcomes in developing nations.
- It can alleviate some health issues while exacerbating others.
- Urbanization alone is not a health solution; informed health policy is crucial.
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