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Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography

Travel has individual, societal and planetary health implications. We explored socioeconomic and gendered differences in travel behaviour in Africa, to develop an understanding of travel-related inequity. We conducted a mixed-methods systematic review (PROSPERO CRD42019124802). In 2019, we searched...

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Autores principales: Foley, Louise, Brugulat-Panés, Anna, Woodcock, James, Govia, Ishtar, Hambleton, Ian, Turner-Moss, Eleanor, Mogo, Ebele R.I., Awinja, Alice Charity, Dambisya, Philip M., Matina, Sostina Spiwe, Micklesfield, Lisa, Abdool Karim, Safura, Ware, Lisa Jayne, Tulloch-Reid, Marshall, Assah, Felix, Pley, Caitlin, Bennett, Nadia, Pujol-Busquets, Georgina, Okop, Kufre, Anand, Tanmay, Mba, Camille M., Kwan, Haowen, Mukoma, Gudani, Anil, Megha, Tatah, Lambed, Randall, Lee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pergamon 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8783052/
https://www.ncbi.nlm.nih.gov/pubmed/34802781
http://dx.doi.org/10.1016/j.socscimed.2021.114545
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author Foley, Louise
Brugulat-Panés, Anna
Woodcock, James
Govia, Ishtar
Hambleton, Ian
Turner-Moss, Eleanor
Mogo, Ebele R.I.
Awinja, Alice Charity
Dambisya, Philip M.
Matina, Sostina Spiwe
Micklesfield, Lisa
Abdool Karim, Safura
Ware, Lisa Jayne
Tulloch-Reid, Marshall
Assah, Felix
Pley, Caitlin
Bennett, Nadia
Pujol-Busquets, Georgina
Okop, Kufre
Anand, Tanmay
Mba, Camille M.
Kwan, Haowen
Mukoma, Gudani
Anil, Megha
Tatah, Lambed
Randall, Lee
author_facet Foley, Louise
Brugulat-Panés, Anna
Woodcock, James
Govia, Ishtar
Hambleton, Ian
Turner-Moss, Eleanor
Mogo, Ebele R.I.
Awinja, Alice Charity
Dambisya, Philip M.
Matina, Sostina Spiwe
Micklesfield, Lisa
Abdool Karim, Safura
Ware, Lisa Jayne
Tulloch-Reid, Marshall
Assah, Felix
Pley, Caitlin
Bennett, Nadia
Pujol-Busquets, Georgina
Okop, Kufre
Anand, Tanmay
Mba, Camille M.
Kwan, Haowen
Mukoma, Gudani
Anil, Megha
Tatah, Lambed
Randall, Lee
author_sort Foley, Louise
collection PubMed
description Travel has individual, societal and planetary health implications. We explored socioeconomic and gendered differences in travel behaviour in Africa, to develop an understanding of travel-related inequity. We conducted a mixed-methods systematic review (PROSPERO CRD42019124802). In 2019, we searched MEDLINE, TRID, SCOPUS, Web of Science, LILACS, SciELO, Global Health, Africa Index Medicus, CINAHL and MediCarib for studies examining travel behaviour by socioeconomic status and gender in Africa. We appraised study quality using Critical Appraisal Skills Programme checklists. We synthesised qualitative data using meta-ethnography, followed by a narrative synthesis of quantitative data, and integrated qualitative and quantitative strands using pattern matching principles. We retrieved 103 studies (20 qualitative, 24 mixed-methods, 59 quantitative). From the meta-ethnography, we observed that travel is: intertwined with social mobility; necessary to access resources; associated with cost and safety barriers; typified by long distances and slow modes; and dictated by gendered social expectations. We also observed that: motorised transport is needed in cities; walking is an unsafe, ‘captive’ mode; and urban and transport planning are uncoordinated. From these observations, we derived hypothesised patterns that were tested using the quantitative data, and found support for these overall. In lower socioeconomic individuals, travel inequity entailed reliance on walking and paratransit (informal public transport), being unable to afford travel, travelling less overall, and travelling long distances in hazardous conditions. In women and girls, travel inequity entailed reliance on walking and lack of access to private vehicles, risk of personal violence, societally-imposed travel constraints, and household duties shaping travel. Limitations included lack of analytical rigour in qualitative studies and a preponderance of cross-sectional quantitative studies (offering a static view of an evolving process). Overall, we found that travel inequity in Africa perpetuates socioeconomic and gendered disadvantage. Proposed solutions focus on improving the safety, efficiency and affordability of public transport and walking.
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spelling pubmed-87830522022-01-28 Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography Foley, Louise Brugulat-Panés, Anna Woodcock, James Govia, Ishtar Hambleton, Ian Turner-Moss, Eleanor Mogo, Ebele R.I. Awinja, Alice Charity Dambisya, Philip M. Matina, Sostina Spiwe Micklesfield, Lisa Abdool Karim, Safura Ware, Lisa Jayne Tulloch-Reid, Marshall Assah, Felix Pley, Caitlin Bennett, Nadia Pujol-Busquets, Georgina Okop, Kufre Anand, Tanmay Mba, Camille M. Kwan, Haowen Mukoma, Gudani Anil, Megha Tatah, Lambed Randall, Lee Soc Sci Med Article Travel has individual, societal and planetary health implications. We explored socioeconomic and gendered differences in travel behaviour in Africa, to develop an understanding of travel-related inequity. We conducted a mixed-methods systematic review (PROSPERO CRD42019124802). In 2019, we searched MEDLINE, TRID, SCOPUS, Web of Science, LILACS, SciELO, Global Health, Africa Index Medicus, CINAHL and MediCarib for studies examining travel behaviour by socioeconomic status and gender in Africa. We appraised study quality using Critical Appraisal Skills Programme checklists. We synthesised qualitative data using meta-ethnography, followed by a narrative synthesis of quantitative data, and integrated qualitative and quantitative strands using pattern matching principles. We retrieved 103 studies (20 qualitative, 24 mixed-methods, 59 quantitative). From the meta-ethnography, we observed that travel is: intertwined with social mobility; necessary to access resources; associated with cost and safety barriers; typified by long distances and slow modes; and dictated by gendered social expectations. We also observed that: motorised transport is needed in cities; walking is an unsafe, ‘captive’ mode; and urban and transport planning are uncoordinated. From these observations, we derived hypothesised patterns that were tested using the quantitative data, and found support for these overall. In lower socioeconomic individuals, travel inequity entailed reliance on walking and paratransit (informal public transport), being unable to afford travel, travelling less overall, and travelling long distances in hazardous conditions. In women and girls, travel inequity entailed reliance on walking and lack of access to private vehicles, risk of personal violence, societally-imposed travel constraints, and household duties shaping travel. Limitations included lack of analytical rigour in qualitative studies and a preponderance of cross-sectional quantitative studies (offering a static view of an evolving process). Overall, we found that travel inequity in Africa perpetuates socioeconomic and gendered disadvantage. Proposed solutions focus on improving the safety, efficiency and affordability of public transport and walking. Pergamon 2022-01 /pmc/articles/PMC8783052/ /pubmed/34802781 http://dx.doi.org/10.1016/j.socscimed.2021.114545 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Foley, Louise
Brugulat-Panés, Anna
Woodcock, James
Govia, Ishtar
Hambleton, Ian
Turner-Moss, Eleanor
Mogo, Ebele R.I.
Awinja, Alice Charity
Dambisya, Philip M.
Matina, Sostina Spiwe
Micklesfield, Lisa
Abdool Karim, Safura
Ware, Lisa Jayne
Tulloch-Reid, Marshall
Assah, Felix
Pley, Caitlin
Bennett, Nadia
Pujol-Busquets, Georgina
Okop, Kufre
Anand, Tanmay
Mba, Camille M.
Kwan, Haowen
Mukoma, Gudani
Anil, Megha
Tatah, Lambed
Randall, Lee
Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography
title Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography
title_full Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography
title_fullStr Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography
title_full_unstemmed Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography
title_short Socioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography
title_sort socioeconomic and gendered inequities in travel behaviour in africa: mixed-method systematic review and meta-ethnography
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8783052/
https://www.ncbi.nlm.nih.gov/pubmed/34802781
http://dx.doi.org/10.1016/j.socscimed.2021.114545
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