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Correction published on 8 June 2017, see Int. J. Environ. Res. Public Health 2017, 14(6), 608.

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(1), 106;

Toward a Socio-Territorial Approach to Health: Health Equity in West Africa

Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre, 92000 Nanterre, France
Biomedical Research Center EPLS, BP 226, Saint-Louis, Senegal
Institut Pasteur of Lille, University of Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, U1019-UMR 8204-CIIL-Center for Infection and Immunity of Lille, F-59000 Lille, France
Unité Mixte de Recherche Maladies Infectieuses et Vecteurs: Ecologie, Génétique, Evolution et Contrôle (MIVEGEC), Institut de Recherche pour le Développement, 34394 Montpellier, France
Centre Population et Développement (CEPED), Université Paris Descartes-Institut de Recherche pour le Développement, 75006 Paris, France
International Development and Social Change, IDCE, Clark University, Worcester, MA 01610, USA
Author to whom correspondence should be addressed.
Academic Editor: Jason Corburn
Received: 31 October 2016 / Revised: 5 January 2017 / Accepted: 18 January 2017 / Published: 22 January 2017
(This article belongs to the Special Issue Urban Place and Health Equity)
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This study contributes to the literature about the effects of space and place on health by introducing a socio-territorial approach to urban health disparities in West Africa. It explores how urban spaces, specifically neighbourhoods, are shaped by social and economic relations and strategies of territorial control. We examine the potential influence of socio-territorial processes on vulnerability to disease, access to medical care, healthscapes, and illness experiences. Our research was conducted in Senegal and relied on a mixed methods design. We identified four neighbourhoods that represent the socio-spatial heterogeneity of the city of Saint-Louis and utilized the following methods: geographic and anthropological field research, household surveys, health knowledge and behaviour surveys, clinical exams, and illness interviews. Our results highlight the socio-territorial processes at work in each neighbourhood, clinical findings on three health measures (overweight, high blood pressure, and hyperglycaemia) and health experiences of individuals with hypertension or type II diabetes. We found significant differences in the prevalence of the three health measures in the study sites, while experiences managing hypertension and diabetes were similar. We conclude that a socio-territorial approach offers insight into the complex constellation of forces that produce health disparities in urban settings. View Full-Text
Keywords: socio-territorial approach; health disparities; hypertension; diabetes; urban health; West Africa socio-territorial approach; health disparities; hypertension; diabetes; urban health; West Africa

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Vialard, L.; Squiban, C.; Riveau, G.; Hermann, E.; Diop, D.; Fournet, F.; Salem, G.; Foley, E.E. Toward a Socio-Territorial Approach to Health: Health Equity in West Africa. Int. J. Environ. Res. Public Health 2017, 14, 106.

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