The in-home environment and household health: a cross-sectional study of informal urban settlements in northern México.

People living in poverty make up nearly half of the global population and a large proportion of these individuals inhabit cities, living in informal settlements. However, only limited research on in-home environmental exposures and the associated health effects in these communities is available. This research investigates the home environment in unplanned settlements of a rapidly growing city on the U.S.-México border and its impact on the health of households with children under 12 years of age. A cross-sectional design was used to assess household exposures and health outcomes at the household level. A total of 202 households were selected from two informal settlements in the peri-urban region of Ciudad Juárez, México. The following variables were significantly associated with the report of at least one household member experiencing a health outcome in a two week period. Allergies were positively associated with insecticide use inside the home (adjusted Relative Odds (RO), 2.71; 95% confidence interval (CI), 1.2-6.3). Respiratory problems were associated with households using a wood burning stove vs. a gas stove (adjusted RO, 5.64; 95% CI, 1.1-27.9). Diarrhea was negatively associated with presence of a flush toilet in the home (adjusted RO, 0.22; 95% CI,0.1-0.6). Finally, eye irritations were positively associated with indoor tobacco smoke (adjusted RO, 2.23; 95% CI, 1.1-4.5). This research highlights exposures associated with poor living conditions in informal settlements and their associations with detrimental effects on health. More efforts should be made to understand the dynamics of poor urban environments including the health effects of exposures linked with poor housing conditions.

Peri-urbanization and in-home environmental health risks: the side effects of planned and unplanned growth.

Urbanization is occurring at an explosive rate, and many cities, especially in low-income countries, are struggling to control growth and stop the development of unplanned communities. This research investigates the in-home environmental health risks associated with planned and unplanned growth in peri-urban communities (neighborhoods) of a rapidly growing city in Northern Mexico. Surveys were conducted during home visits to 98 households in a planned community and 202 households in unplanned communities of comparable, though slightly higher, socio-economic status. To assess the differences for the two types of communities, multiple risk factors were measured and compared. Results showed that households in both planned and unplanned communities were vulnerable to poor environmental health conditions, but more risk factors and negative health outcomes were associated with unplanned communities. Some of the obvious benefits of living in a planned community included better-constructed homes and water and sewer connections. Other study results indicated that households in the planned community reported fewer cases of respiratory problems (P = 0.039) and dizziness (P = 0.009). They were also less likely to store insecticides and other chemicals inappropriately in their home (P < 0.001). Providing adequate housing infrastructure appears to provide a number of important benefits to health and behavior beyond the simple provision of additional amenities in the home.