IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v301y2022ics0277953622002763.html
   My bibliography  Save this article

Experiences of inequalities in access to safe water and psycho-emotional distress in Ghana

Author

Listed:
  • Achore, Meshack
  • Bisung, Elijah

Abstract

Research suggests that experiences of water insecurity may negatively impact the psycho-emotional wellbeing of water-insecure households. This paper examines how perceived inequalities in water access mediate the relationship between water insecurity and psycho-emotional distress. Data were collected among 1192 men and women in Ghana who are active water collectors within their households. We employed a binary logistics regression to identify the determinants of psycho-emotional distress. Sobel test was used to test the indirect effect of water insecurity and psycho-emotional distress through perceived inequalities. The results show that wealth (OR = 6.6, CI = 2.784–14.076), number of people in a household (OR = 1.07, CI = 1.002–1.145) and perceived inequalities (OR = 4.6, CI = 2.737–7.907) are significant predictors of psycho-emotional distress. Sobel test indicated that the point estimate (PE) of the indirect effect between water insecurity and psycho-emotional distress through perceived inequality is -0.136 (p = 0.000), meaning households were less likely to experience psycho-emotional distress if they felt that safe water facilities were equally distributed. The findings suggest that the distribution of water resources in cities with water challenges, no matter how scarce those resources are, has a profound effect on psycho-emotional distress. In resources constrained cities, there is a need for holistic water-related interventions that make inclusivity and fairness their primary focus.

Suggested Citation

  • Achore, Meshack & Bisung, Elijah, 2022. "Experiences of inequalities in access to safe water and psycho-emotional distress in Ghana," Social Science & Medicine, Elsevier, vol. 301(C).
    • Handle: RePEc:eee:socmed:v:301:y:2022:i:c:s0277953622002763
    DOI: 10.1016/j.socscimed.2022.114970
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953622002763
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2022.114970?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Workman, Cassandra L. & Ureksoy, Heather, 2017. "Water insecurity in a syndemic context: Understanding the psycho-emotional stress of water insecurity in Lesotho, Africa," Social Science & Medicine, Elsevier, vol. 179(C), pages 52-60.
    2. Wutich, Amber & Ragsdale, Kathleen, 2008. "Water insecurity and emotional distress: Coping with supply, access, and seasonal variability of water in a Bolivian squatter settlement," Social Science & Medicine, Elsevier, vol. 67(12), pages 2116-2125, December.
    3. Stevenson, Edward G.J. & Greene, Leslie E. & Maes, Kenneth C. & Ambelu, Argaw & Tesfaye, Yihenew Alemu & Rheingans, Richard & Hadley, Craig, 2012. "Water insecurity in 3 dimensions: An anthropological perspective on water and women's psychosocial distress in Ethiopia," Social Science & Medicine, Elsevier, vol. 75(2), pages 392-400.
    4. Sahoo, Krushna Chandra & Hulland, Kristyna R.S. & Caruso, Bethany A. & Swain, Rojalin & Freeman, Matthew C. & Panigrahi, Pinaki & Dreibelbis, Robert, 2015. "Sanitation-related psychosocial stress: A grounded theory study of women across the life-course in Odisha, India," Social Science & Medicine, Elsevier, vol. 139(C), pages 80-89.
    5. Joseph Kangmennaang & Elijah Bisung & Susan J. Elliott, 2020. "‘We Are Drinking Diseases’: Perception of Water Insecurity and Emotional Distress in Urban Slums in Accra, Ghana," IJERPH, MDPI, vol. 17(3), pages 1-17, January.
    6. Dickin, Sarah & Bisung, Elijah & Nansi, Juste & Charles, Katrina, 2021. "Empowerment in water, sanitation and hygiene index," World Development, Elsevier, vol. 137(C).
    7. Farhana Sultana, 2020. "Embodied Intersectionalities of Urban Citizenship: Water, Infrastructure, and Gender in the Global South," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 110(5), pages 1407-1424, September.
    8. Bisung, Elijah & Elliott, Susan J., 2014. "Toward a social capital based framework for understanding the water-health nexus," Social Science & Medicine, Elsevier, vol. 108(C), pages 194-200.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Acheampong, Alex O. & Opoku, Eric Evans Osei & Tetteh, Godsway Korku, 2024. "Unveiling the effect of income inequality on safe drinking water, sanitation and hygiene (WASH): Does financial inclusion matter?," World Development, Elsevier, vol. 178(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Brewis, Alexandra & Choudhary, Neetu & Wutich, Amber, 2019. "Household water insecurity may influence common mental disorders directly and indirectly through multiple pathways: Evidence from Haiti," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Maxfield, Amanda, 2020. "Testing the theoretical similarities between food and water insecurity: Buffering hypothesis and effects on mental wellbeing," Social Science & Medicine, Elsevier, vol. 244(C).
    3. Mushavi, Rumbidzai C. & Burns, Bridget F.O. & Kakuhikire, Bernard & Owembabazi, Moran & Vořechovská, Dagmar & McDonough, Amy Q. & Cooper-Vince, Christine E. & Baguma, Charles & Rasmussen, Justin D. & , 2020. "“When you have no water, it means you have no peace”: A mixed-methods, whole-population study of water insecurity and depression in rural Uganda," Social Science & Medicine, Elsevier, vol. 245(C).
    4. Korzenevica, Marina & Fallon Grasham, Catherine & Johnson, Zoé & Gebreegzabher, Amleset & Mebrahtu, Samrawit & Zerihun, Zenawi & Ferdous Hoque, Sonia & Charles, Katrina Jane, 2022. "Negotiating spaces of marginality and independence: On women entrepreneurs within Ethiopian urbanization and water precarity," World Development, Elsevier, vol. 158(C).
    5. Godfred O Boateng & Shalean M Collins & Patrick Mbullo & Pauline Wekesa & Maricianah Onono & Torsten B Neilands & Sera L Young, 2018. "A novel household water insecurity scale: Procedures and psychometric analysis among postpartum women in western Kenya," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-28, June.
    6. Rosinger, Asher Y. & Bethancourt, Hilary J. & Young, Sera L. & Schultz, Alan F., 2021. "The embodiment of water insecurity: Injuries and chronic stress in lowland Bolivia," Social Science & Medicine, Elsevier, vol. 291(C).
    7. Young, Sera L., 2021. "Viewpoint: The measurement of water access and use is key for more effective food and nutrition policy," Food Policy, Elsevier, vol. 104(C).
    8. Bisung, Elijah & Elliott, Susan J., 2018. "Improvement in access to safe water, household water insecurity, and time savings: A cross-sectional retrospective study in Kenya," Social Science & Medicine, Elsevier, vol. 200(C), pages 1-8.
    9. Margarita Garfias Royo & Elinor Parrott & Emily-Marie Pacheco & Imaduddin Ahmed & Ella Meilianda & Intan Kumala & Rina Suryani Oktari & Helene Joffe & Priti Parikh, 2022. "A Structured Review of Emotional Barriers to WASH Provision for Schoolgirls Post-Disaster," Sustainability, MDPI, vol. 14(4), pages 1-20, February.
    10. Winter, James C. & Darmstadt, Gary L. & Davis, Jennifer, 2021. "The role of piped water supplies in advancing health, economic development, and gender equality in rural communities," Social Science & Medicine, Elsevier, vol. 270(C).
    11. Joseph Kangmennaang & Elijah Bisung & Susan J. Elliott, 2020. "‘We Are Drinking Diseases’: Perception of Water Insecurity and Emotional Distress in Urban Slums in Accra, Ghana," IJERPH, MDPI, vol. 17(3), pages 1-17, January.
    12. Farooq Ahmed & Muhammad Shahid & Yang Cao & Madeeha Gohar Qureshi & Sidra Zia & Saireen Fatima & Jing Guo, 2021. "A Qualitative Exploration in Causes of Water Insecurity Experiences, and Gender and Nutritional Consequences in South-Punjab, Pakistan," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    13. Maes, Kenneth & Closser, Svea & Tesfaye, Yihenew & Abesha, Roza, 2019. "Psychosocial distress among unpaid community health workers in rural Ethiopia: Comparing leaders in Ethiopia's Women's Development Army to their peers," Social Science & Medicine, Elsevier, vol. 230(C), pages 138-146.
    14. Sahoo, Krushna Chandra & Hulland, Kristyna R.S. & Caruso, Bethany A. & Swain, Rojalin & Freeman, Matthew C. & Panigrahi, Pinaki & Dreibelbis, Robert, 2015. "Sanitation-related psychosocial stress: A grounded theory study of women across the life-course in Odisha, India," Social Science & Medicine, Elsevier, vol. 139(C), pages 80-89.
    15. Boateng, Godfred O. & Balogun, Mobolanle R. & Dada, Festus O. & Armah, Frederick A., 2020. "Household energy insecurity: dimensions and consequences for women, infants and children in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 258(C).
    16. Kumar, Tanu & Post, Alison E. & Ray, Isha, 2018. "Flows, leaks and blockages in informational interventions: A field experimental study of Bangalore's water sector," World Development, Elsevier, vol. 106(C), pages 149-160.
    17. Rosinger, Asher Y., 2018. "Household water insecurity after a historic flood: Diarrhea and dehydration in the Bolivian Amazon," Social Science & Medicine, Elsevier, vol. 197(C), pages 192-202.
    18. Barrington, D.J. & Sridharan, S. & Saunders, S.G. & Souter, R.T. & Bartram, J. & Shields, K.F. & Meo, S. & Kearton, A. & Hughes, R.K., 2016. "Improving community health through marketing exchanges: A participatory action research study on water, sanitation, and hygiene in three Melanesian countries," Social Science & Medicine, Elsevier, vol. 171(C), pages 84-93.
    19. Workman, Cassandra L. & Ureksoy, Heather, 2017. "Water insecurity in a syndemic context: Understanding the psycho-emotional stress of water insecurity in Lesotho, Africa," Social Science & Medicine, Elsevier, vol. 179(C), pages 52-60.
    20. Craig Hadley & Matthew C. Freeman, 2016. "Assessing reliability, change after intervention, and performance of a water insecurity scale in rural Ethiopia," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(4), pages 855-864, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:301:y:2022:i:c:s0277953622002763. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.