The University of Southampton
University of Southampton Institutional Repository

Does socioeconomic inequality in health persist among older people living in resource-poor urban slums?

Falkingham, Jane C., Chepngeno-Langat, Gloria, Kyobutungi, Catherine, Ezeh, Alex and Evandrou, Maria (2011) Does socioeconomic inequality in health persist among older people living in resource-poor urban slums? [in special issue: Urbanization, Poverty, and Health Dynamics in sub-Saharan Africa: Insights from Nairobi Slum Settlements] Journal of Urban Health, 88, (2), supplement , pp. 381-400. (doi:10.1007/s11524-011-9559-4).

Record type: Article


Using self-reported health that assesses functionality or disability status, this paper investigates whether there are any differences in health status among older people living in a deprived area of Nairobi, Kenya. Data from a cross-sectional survey of 2,037 men and women aged 50 years and older are used to examine the association between socioeconomic position and self-reported health status across 6 health domains. Education, occupation, a wealth index, and main source of livelihood are used to assess the presence of a socioeconomic gradient in health. All the indicators showed the expected negative association with health across some, but not all, of the disability domains. Nonetheless, differences based on occupation, the most commonly used indicators to examine health inequalities, were not statistically significant. Primary level of education was a significant factor for women but not for men; conversely, wealth status was associated with lower disability for both men and women. Older people dependent on their own sources of livelihood were also less likely to report a disability. The results suggest the need for further research to identify an appropriate socioeconomic classification that is sensitive in identifying poverty and deprivation among older people living in slums.

Full text not available from this repository.

More information

Published date: June 2011
Keywords: health inequality, older people, urban slums, socioeconomic position


Local EPrints ID: 181995
PURE UUID: e058c4c5-2e02-4546-9608-e9c5be37c519

Catalogue record

Date deposited: 24 Apr 2011 17:07
Last modified: 18 Jul 2017 11:58

Export record



Author: Catherine Kyobutungi
Author: Alex Ezeh
Author: Maria Evandrou

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.