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Reading: Rural-Urban Differences in Trends in the Wealth Index in Kenya: 1993-2009

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Original Research

Rural-Urban Differences in Trends in the Wealth Index in Kenya: 1993-2009

Authors:

Leonard E. Egede ,

Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI; Center for Patient Care and Outcomes Research (PCOR), Medical College of Wisconsin, Milwaukee, WI
About Leonard E.
MD, MS
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Delia Voronca,

Emmes, Vaccine and Infectious Diseases, Rockville, MD
About Delia
PhD
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Rebekah J. Walker,

Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI; Center for Patient Care and Outcomes Research (PCOR), Medical College of Wisconsin, Milwaukee, WI
About Rebekah J.
PhD
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Craig Thomas

United States Navy, Naval Hospital, Pensacola, FL
About Craig
MD
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Abstract

Background

The aim of this study was to construct a wealth index that could be compared over time in order to understand the trends in wealth in Kenya and determine predictors of change in wealth index.

Methods

Data were from the Demographic and Health Survey program collected in Kenya between 1993 and 2009. Variable categories were collapsed to match and factor analysis was performed on the 4-year pooled data to generate a harmonized wealth index. Possible predictors of wealth were selected from household variables available for all 4 years. Household sampling weights and stratification by rural/urban was used.

Results

Overall, wealth increased in Kenya between 1993 and 2008; however, when stratified, no significant increase existed in urban areas and a significant increase was identified in rural areas specifically between 2003 and 2008. The strongest predictor was education, with more than a standard deviation difference for secondary or higher levels of education over those with no education. The association of gender of the head of household and whether the head of household had a partner differed between rural and urban areas, with household heads who were women and those who had a partner having more wealth in urban areas but less wealth in rural areas.

Conclusion

Wealth in Kenya increased over time, specifically in rural regions. Differences were identified in predictors of wealth by urban/rural residence, educational level, and gender of the head of household and should be taken into account when planning interventions to target those in disproportionately low wealth brackets.

How to Cite: Egede, L.E., Voronca, D., Walker, R.J. and Thomas, C., 2017. Rural-Urban Differences in Trends in the Wealth Index in Kenya: 1993-2009. Annals of Global Health, 83(2), pp.248–258. DOI: http://doi.org/10.1016/j.aogh.2017.04.001
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Published on 20 May 2017.
Peer Reviewed

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