Abstract
Coastal cities face significant impacts from climate change, with potentially serious consequences for human health especially for the urban poor and other vulnerable groups. As part of a larger study in the Indian Ocean world, this paper assesses the joint effect of urbanicity and wealth status on reported number of barriers to climate change adaptation. Negative binomial regression models were fitted to cross-sectional survey data on 1823 and 1253 individuals in coastal Cambodia and Tanzania, respectively. In the pooled multivariate analysis, there exists an urban poor penalty regarding the total number of reported barriers to climate change adaptation. This relationship persists even when biosocial, socio-cultural, and contextual factors are taken into account. Also, there are differentials in self-ratings on health status by the rural poor, rural non-poor; urban poor, and urban non-poor. Only 20 % of urban poor and rural poor individuals rated their health status as either very good or excellent compared with 25 and 33 % of rural non-poor and urban non-poor individuals, respectively. Quite unexpectedly, individuals who considered their health status as either fair or good were more likely to report higher number of barriers to climate change adaptation compared with those with poor self-rated health. Individuals in only one age category (more than 65 years) in Cambodia and five age categories (26–30, 31–34, 35–40, 41–45, and 56–60 years) in Tanzania had lower incidence rates of reporting higher number of barriers to climate change adaptation compared with 18–25-year olds. Compared with female-centered households, extended family in Cambodia and male-centered households in Tanzania had lower incidence rates of reporting higher number of barriers to adaptation. Although in Tanzania, there was no relationship between relative household quality and number of barriers to adaptation, in Cambodia, individuals who rated their household quality as better had lower incidence rates of reporting higher number of barriers to adaptation compared with those who rated their household quality as worst in the neighborhood. A policy implication of this study is that sustaining and improving human settlements and health in the face of ongoing global climate change should become an important lens for coastal cities in both countries.
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References
Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50:179–211
Armah FA, Luginaah I, Hambati H, Chuenpagdee R, Campbell G. (2015a). Assessing barriers to adaptation to climate change in coastal Tanzania: does where you live matter?. Population and Environment, 1–33. doi: 10.1007/s11111-015-0232-9
Armah FA, Luginaah I, Yengoh GT, Hambati H, Chuenpagdee R, Campbell G. (2015b). Analyzing the relationship between objective-subjective health status and public perception of climate change as a human health risk in coastal Tanzania. Human and Ecological Risk Assessment: An International Journal. doi: 10.1080/10807039.2014.1003203.
Armah FA, Quansah R, Luginaah I, Chuenpagdee R, Hambati H, Campbell G (2015c) Historical perspective and risk of multiple neglected tropical diseases in coastal Tanzania: compositional and contextual determinants of disease risk. PLoS Negl Trop Dis 9(8), e0003939. doi:10.1371/journal.pntd.0003939
Baker, J. L. (2008). Urban poverty: a global view. Retrieved from http://documents.worldbank.org/curated/en/2008/01/9112288/urban-poverty-global-view. Accessed 26th May 2015
Benjaminsen TA, Alinon K, Buhaug H, Buseth JT (2012) Does climate change drive land-use conflicts in the Sahel? J Peace Res 49(1):97–111
Berk R, MacDonald JM (2008) Overdispersion and Poisson regression. J Quant Criminol 24(3):269–284
Biesbroek GR, Klostermann JE, Termeer CJ, Kabat P (2013) On the nature of barriers to climate change adaptation. Reg Environ Chang 13(5):1119–1129
Bocquier P, Beguy D, Zulu EM, Muindi K, Konseiga A, Yé Y (2011) Do migrant children face greater health hazards in slum settlements? Evidence from Nairobi, Kenya. J Urban Health 88(2):266–281
Campbell-Lendrum D, Corvalán C, Neira M (2007) Global climate change: implications for international public health policy. Bull World Health Organ 85(3):235–237
Carr ER, Thompson MC (2014) Gender and climate change adaptation in agrarian settings: current thinking, new directions, and research frontiers. Geography Compass 8(3):182–197
Carvajal-Escobar Y, Quintero-Angel M, Garcia-Vargas M (2008) Women’s role in adapting to climate change and variability. Adv Geosci 14:277–280
CCSP (2008) Analyses of the effects of global change on human health and welfare and human systems. A report by the U.S. In: Gamble JL, Ebi KL, Sussman FG, Wilbanks TJ (eds) Climate change science program and the subcommittee on global change research. U.S. Environmental Protection Agency, Washington, DC, USA
Chotamonsak C, Salathé EP, Kreasuwan J, Chantara S, Siriwitayakorn K (2011) Projected climate change over Southeast Asia simulated using a WRF regional climate model. Atmos Sci Lett 12(2):213–219
Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, Patterson C (2009) Managing the health effects of climate change: lancet and University College London Institute for Global Health Commission. Lancet 373(9676):1693–1733
Coxe S, West SG, Aiken LS (2009) The analysis of count data: a gentle introduction to Poisson regression and its alternatives. J Pers Assess 91(2):121–136
Dai A (2013) Increasing drought under global warming in observations and models. Nat Clim Chang 3(1):52–58
Deressa TT, Hassan RM, Ringler C, Alemu T, Yesuf M (2009) Determinants of farmers’ choice of adaptation methods to climate change in the Nile Basin of Ethiopia. Glob Environ Chang 19(2):248–255
Djoudi H, Brockhaus M (2011) Is adaptation to climate change gender neutral? Lessons from communities dependent on livestock and forests in northern Mali. Int For Rev 13(2):123–135
Douglas I, Alam K, Maghenda M, Mcdonnell Y, McLean L, Campbell J (2008) Unjust waters: climate change, flooding and the urban poor in Africa. Environ Urban 20(1):187–205
Eisenack K, Moser SC, Hoffmann E, Klein RJ, Oberlack C, Pechan A, Termeer CJ (2014) Explaining and overcoming barriers to climate change adaptation. Nat Clim Chang 4(10):867–872
Fleiss JL, Levin B, Paik MC. (2013). Statistical methods for rates and proportions. John Wiley & Sons.
Fotso JC (2007) Urban–rural differentials in child malnutrition: trends and socioeconomic correlates in sub-Saharan Africa. Health Place 13(1):205–223
Francis J, Bryceson I (2001) Tanzanian coastal and marine resources: some examples illustrating questions of sustainable use. Chapter 4:76–102
Frantz CM, Mayer FS (2009) The emergency of climate change: why are we failing to take action? Anal Social Issues Public Policy 9:205–222
Galea S, Vlahov D (2005) Urban health: evidence, challenges, and directions. Annu Rev Public Health 26:341–365
Garland, A. M. (Ed.). (2007). Global urban poverty: setting the agenda. Woodrow Wilson International Center for Scholars. Retrieved from http://www.wilsoncenter.org/sites/default/files/GlobalPoverty.pdf. Accessed 26th May 2015
Giannini A (2015) Hydrology: climate change comes to the Sahel. Nat Clim Chang 5(8):720–721
Gifford R (2008) Toward a comprehensive model of social dilemmas. In: Biel A, Eek D, Garling T, Gustaffson M (eds) New issues and paradigms in research on social dilemmas. Springer, NY, pp 265–280
Gifford R, Kormos C, McIntyre A (2011) Behavioral dimensions of climate change: drivers, responses, barriers, and interventions. Wiley Interdiscip Rev Clim Chang 2(6):801–827
Grob A (1995) A structural model of environmental attitudes and behavior. J Environ Psychol 15:209–220
Halfani M (2007) The urban face of poverty: Innovation and new approaches. Presentation at the conference, Why Is Urban Assistance Important? Inserting Urban Issues into the Development Agenda, Comparative Urban Studies Project, Woodrow Wilson International Center for Scholars, Washington, DC
Halsnæs K, Verhagen J (2007) Development based climate change adaptation and mitigation—conceptual issues and lessons learned in studies in developing countries. Mitig Adapt Strat Glob Chang 12(5):665–684
Harpham T (2009) Urban health in developing countries: what do we know and where do we go? Health Place 15(1):107–116
Hilbe J (2011) Negative binomial regression, 2nd edn. Cambridge University Press, New York
Kesztenbaum L, Rosenthal JL (2011) The health cost of living in a city: the case of France at the end of the 19th century. Explor Econ Hist 48(2):207–225
Kollmuss A, Agyeman J (2002) Mind the gap: why do people act environmentally and what are the barriers to pro-environmental behavior? Environ Educ Res 8:239–260
Laukkonen J, Blanco PK, Lenhart J, Keiner M, Cavric B, Kinuthia-Njenga C (2009) Combining climate change adaptation and mitigation measures at the local level. Habitat International 33(3):287–292
Lavell A, Oppenheimer M, Diop C, Hess J, Lempert R, Li J, Muir-Wood R, Myeong S (2012) Climate change: new dimensions in disaster risk, exposure, vulnerability, and resilience. In: Field CB, Barros V, Stocker TF, Qin D, Dokken DJ, Ebi KL, Mastrandrea MD, Mach KJ, Plattner G-K, Allen SK, Tignor M, Midgley PM (eds) Managing the risks of extreme events and disasters to advance climate change adaptation. A Special Report of Working Groups I and II of the Intergovernmental Panel on Climate Change (IPCC). Cambridge University Press, Cambridge, UK
Lorenzoni I, Nicholson-Cole S, Whitmarsh L (2007) Barriers perceived to engaging with climate change among the UK public and their policy implications. Glob Environ Chang 17:445–459
Martens P (2014) Health and climate change: modelling the impacts of global warming and ozone depletion., Routledge
Matthews Z, Channon A, Neal S, Osrin D, Madise N, Stones W (2010) Examining the “urban advantage” in maternal health care in developing countries. PLoS Med 7(9), e1000327
McMichael AJ (2013) Globalization, climate change, and human health. N Engl J Med 368(14):1335–1343
Ministry of Planning (2008). General population census of Cambodia 2008. Provisional population totals. National Institute of Statistics, Phnom Penh, Cambodia
Mitchell, T. (2009). Climate change adaptation and social protection. In: Prepared for practical action seminar on integrating approaches: sustainable livelihoods, disaster risk reduction and climate change adaptation. London (vol. 3)
Mngulwi BS (2003) Country review: United Republic of Tanzania. Review of the state of world marine capture fisheries management: Indian Ocean., p 447
Montavon A, Jean‐Richard V, Bechir M, Daugla DM, Abdoulaye M, Naré B, Zinsstag J (2013) Health of mobile pastoralists in the Sahel—assessment of 15 years of research and development. Trop Med Int Health 18(9):1044–1052
Montgomery, M. R. (2009). Urban poverty and health in developing countries. Population Bulletin 64(2), 1–16. Retrieved from http://www.igwg.org/pdf09/64.2urbanization.pdf. Accessed 29th May 2015
Montgomery MR, Stren R, Cohen B, Reed HE (eds) (2003) Cities transformed: demographic change and its implications in the developing world. Panel on Urban Population Dynamics, National Research Council. National Academies Press, Washington, DC, USA
Moser SC, Ekstrom JA (2010) A framework to diagnose barriers to climate change adaptation. Proc Natl Acad Sci 107(51):22026–22031
Mulyana, W., Setiono, I., Selzer, A. K., Zhang, S., Dodman, D., & Schensul, D. (2013). Urbanisation, demographics and adaptation to climate change in Semarang, Indonesia
National Bureau of Statistics (2013). Tanzania in figures 2012. Ministry of Finance, June 2013, page 23. Retrieved from http://www.nbs.go.tz/takwimu/references/Tanzania_in_figures2012.pdf. Accessed July 2014
Niang I, Ruppel OC, Abdrabo MA, Essel A, Lennard C, Padgham J, Urquhart P (2014) Africa. In: Barros VR, Field CB, Dokken DJ, Mastrandrea MD, Mach KJ, Bilir TE, Chatterjee M, Ebi KL, Estrada YO, Genova RC, Girma B, Kissel ES, Levy AN, MacCracken S, Mastrandrea PR, White LL (eds) Climate change 2014: impacts, adaptation, and vulnerability. Part B: regional aspects. Contribution of working group II to the fifth assessment report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, UK, pp 1199–1265
NRC (2010) Advancing the science of climate change. National Research Council. The National Academies Press, Washington, DC, USA
Omariba DWR, Boyle MH (2010) Rural–urban migration and cross-national variation in infant mortality in less developed countries. Popul Res Policy Rev 29(3):275–296
Patel RB, Burke TF (2009) Urbanization—an emerging humanitarian disaster. N Engl J Med 361(8):741–743
Pelletier LG, Dion S, Tuson K, Green-Demers I (1999) Why do people fail to adopt environmental protective behaviors? Toward a taxonomy of environmental amotivation. J Appl Soc Psychol 29:2481–2504
Revi A, Satterthwaite DE, Aragón-Durand F, Corfee-Morlot J, Kiunsi RBR, Pelling M, Roberts DC, Solecki W (2014) Urban areas. In: Field CB, Barros VR, Dokken DJ, Mach KJ, Mastrandrea MD, Bilir TE, Chatterjee M, Ebi KL, Estrada YO, Genova RC, Girma B, Kissel ES, Levy AN, MacCracken S, Mastrandrea PR, White LL (eds) Climate change 2014: impacts, adaptation, and vulnerability. Part a: global and sectoral aspects. Contribution of working group II to the fifth assessment report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, UK, pp 535–612
Rice J, Rice JS (2009) The concentration of disadvantage and the rise of an urban penalty: urban slum prevalence and the social production of health inequalities in the developing countries. Int J Health Serv 39(4):749–770
Satterwaite, D., Mitlin, D. (2013). A future that low-income urban dwellers want and can help secure. IIED, London. Retrieved from http://pubs.iied.org/pdfs/10626IIED.pdf. Accessed 26th May 2015
Schensul D, Dodman D (2013) Populating adaptation. In: George Martine and Daniel Schensul (ed) Incorporating demographic dynamics in climate change adaptation policy and practice, in the demography of adaptation to climate change. UNFPA, IIED, and El Colegio de México, New York, USA, pp 1–23
Smith KR, Woodward A, Campbell-Lendrum D, Chadee DD, Honda Y, Liu Q, Olwoch JM, Revich B, Sauerborn R (2014) Human health: impacts, adaptation, and co-benefits. In: Field CB, Barros VR, Dokken DJ, Mach KJ, Mastrandrea MD, Bilir TE, Chatterjee M, Ebi KL, Estrada YO, Genova RC, Girma B, Kissel ES, Levy AN, MacCracken S, Mastrandrea PR, White LL (eds) Climate change 2014: impacts, adaptation, and vulnerability. Part a: global and sectoral aspects. Contribution of working group II to the fifth assessment report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, UK, pp 709–754
Stern PC (2000) Towards a coherent theory of environmentally significant behavior. J Soc Issues 56:407–424
Unger A, Riley LW (2007) Slum health: from understanding to action. PLoS Med 4(10):1561–1566
United Nations (2014). Department of Economic and Social Affairs, Population Division (2014). World urbanization prospects: the 2014 revision, highlights (ST/ESA/SER.A/352). Retrieved from http://esa.un.org/unpd/wup/Highlights/WUP2014-Highlights.pdf. Accessed 26th May 2015
United Nations Human Settlement Program-UN HABITAT (2013) State of the world’s cities 2012/13—prosperity of cities. London, Earthscan 2013, 184 pp
Vlahov D, Galea S, Freudenberg N (2005) The urban health “advantage”. J Urban Health 82(1):1–4
Wetzel FT, Kissling WD, Beissmann H, Penn DJ (2012) Future climate change driven sea‐level rise: secondary consequences from human displacement for island biodiversity. Glob Chang Biol 18(9):2707–2719
Wilbanks TJ, Romero Lankao P, Bao M, Berkhout F, Cairncross S, Ceron J-P, Kapshe M, Muir-Wood R, Zapata-Marti R (2007) Industry, settlement and society. In: Parry ML, Canziani OF, Palutikof JP, van der Linden PJ, Hanson CE (eds) Climate change 2007: impacts, adaptation and vulnerability . Contribution of working group II to the fourth assessment report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, UK
Wilkinson RG (1992) Income distribution and life expectancy. BMJ 304:165–68
Acknowledgments
For the study in Cambodia and Tanzania, we acknowledge research funding from “the Indian Ocean World: The Making of the First Global Economy in the Context of Human Environment Interaction” project within the framework of Major Collaborative Research Initiative (MCRI), Canada. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Armah, F.A., Ung, M., Boamah, S.A. et al. Out of the frying pan into the fire? Urban penalty of the poor and multiple barriers to climate change adaptation in Cambodia and Tanzania. J Environ Stud Sci 7, 69–86 (2017). https://doi.org/10.1007/s13412-015-0334-9
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DOI: https://doi.org/10.1007/s13412-015-0334-9