Asymmetry in an uneven place: migrants' lifestyles, social capital, and self-rated health status in James Town, Accra

Abstract

This exploratory study examines how migrants' lifestyles are associated with subjective assessment of their health status in a relatively poor urban neighborhood in Accra. For more than half a century, urban centers have been on the receiving end of internal migrants in Ghana with Accra, Kumasi, and Sekondi-Takoradi receiving the lion's share. However, a lot of migrants end up in poor neighborhoods due to inability to afford relatively costly rents in the better residential areas in the cities. Migrants who live on the margins of society are adversely impacted by poor environmental conditions that make them susceptible to environmentally-induced diseases such as malaria, cholera, and typhoid. While the poverty, health, and place research in Accra, Ghana, have focused on spatial distribution of inequalities in health, burden of sexual ill health, double burden of diseases, environment, wealth and health relationship, as well as income and health connections, there is paucity of research on association between the daily lifestyles of migrants in poor urban neighborhoods and their health status. Specifically on lifestyle and contextual factors, we examine (1) eating and drinking behavior, (2) perception of environmental factors, (3) attitudes and practices during illnesses, and (4) physical activities. Results from Ordinal Logit Regression models suggest that the key predictors of self-rated health status are: (1) socio-demographic elements like length of stay, job type, and religiosity; and (2) eating and drinking behavior-frequency of buying food from food vendors, and (3) social capital.