Kaur Manmeet, Sharma Abhishek, Vijin P P, Kaur Rupinder, Kaur Rajbir, Anupama G, Singh Prabhjot, Bansal V K, Sharma Nidhi, Sahni Mona, Gupta Jyoti, Lakshmi Pvm, Kumar Rajesh
Health Equity Action Learnings, Chandigarh, India.
Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2432692. doi: 10.1080/17482631.2024.2432692. Epub 2024 Dec 15.
The study explores the conditions contributing to slum dweller's vulnerability to poor health and examines interplay between economic, physical/infrastructural, and social factors affecting health status to inform policy and programme.
The methodology deployed for data analysis was mixed deductive-inductive. A deductive framework was adapted for categorizing the data into four broad themes: Economic, Physical/Infrastructure, Social, and Health. Using Braun and Clarke's principle, we also mapped sub themes based on researchers' insights with the experiences shared by the slum populations. The study was conducted across 13 districts in slum areas to gather information from vulnerable groups based on the 40 focus group discussions.
Poverty serves as a primary driver of domestic/internal migration from rural to urban areas, aggravating issues such as illiteracy, unemployment, and inadequate living conditions, which predispose slum dwellers to various health problems. Limited access to food, poor water quality, and improper waste disposal further compound health risks. People living in slums face economic, social, and physical vulnerabilities leading to health vulnerability and outcome.
Enhancing the health and well-being of slum dwellers requires adopting an integrated and comprehensive approach of policy intervention, community mobilization, and multisectoral intervention.
本研究探讨导致贫民窟居民健康状况不佳的因素，并考察影响健康状况的经济、物质/基础设施和社会因素之间的相互作用，以为政策和项目提供参考。
数据分析采用演绎归纳相结合的方法。采用一个演绎框架将数据分为四大主题：经济、物质/基础设施、社会和健康。根据布劳恩和克拉克的原则，我们还根据研究人员的见解以及贫民窟居民分享的经历确定了子主题。该研究在13个贫民窟地区开展，通过40场焦点小组讨论收集弱势群体的信息。
贫困是农村人口向城市地区进行国内/内部迁移的主要驱动因素，加剧了文盲、失业和生活条件不足等问题，使贫民窟居民易患各种健康问题。粮食获取有限、水质差和垃圾处理不当进一步增加了健康风险。生活在贫民窟的人们面临经济、社会和物质方面的脆弱性，从而导致健康方面的脆弱性及相应后果。
改善贫民窟居民的健康和福祉需要采取综合全面的政策干预、社区动员和多部门干预措施。
