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

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cam.issuedOnline2021-11-06
dc.contributor.authorFoley, Louise
dc.contributor.authorBrugulat-Panés, Anna
dc.contributor.authorWoodcock, James
dc.contributor.authorGovia, Ishtar
dc.contributor.authorHambleton, Ian
dc.contributor.authorTurner-Moss, Eleanor
dc.contributor.authorMogo, Ebele RI
dc.contributor.authorAwinja, Alice Charity
dc.contributor.authorDambisya, Philip M
dc.contributor.authorMatina, Sostina Spiwe
dc.contributor.authorMicklesfield, Lisa
dc.contributor.authorAbdool Karim, Safura
dc.contributor.authorWare, Lisa Jayne
dc.contributor.authorTulloch-Reid, Marshall
dc.contributor.authorAssah, Felix
dc.contributor.authorPley, Caitlin
dc.contributor.authorBennett, Nadia
dc.contributor.authorPujol-Busquets, Georgina
dc.contributor.authorOkop, Kufre
dc.contributor.authorAnand, Tanmay
dc.contributor.authorMba, Camille M
dc.contributor.authorKwan, Haowen
dc.contributor.authorMukoma, Gudani
dc.contributor.authorAnil, Megha
dc.contributor.authorTatah, Lambed
dc.contributor.authorRandall, Lee
dc.contributor.orcidFoley, Louise [0000-0003-3028-7340]
dc.contributor.orcidWoodcock, James [0000-0003-4769-5375]
dc.contributor.orcidTatah, Lambed [0000-0002-8967-6917]
dc.date.accessioned2021-12-04T00:30:06Z
dc.date.available2021-12-04T00:30:06Z
dc.date.issued2022-01
dc.description.abstractTravel 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.
dc.identifier.doi10.17863/CAM.78672
dc.identifier.eissn1873-5347
dc.identifier.issn0277-9536
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/331226
dc.languageen
dc.language.isoeng
dc.publisherElsevier BV
dc.publisher.urlhttp://dx.doi.org/10.1016/j.socscimed.2021.114545
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAfrica
dc.subjectEquity
dc.subjectGender
dc.subjectMeta-ethnography
dc.subjectSocioeconomic status
dc.subjectSystematic review
dc.subjectTravel
dc.subjectAfrica
dc.subjectAnthropology, Cultural
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectSocioeconomic Factors
dc.subjectTravel
dc.subjectTravel-Related Illness
dc.titleSocioeconomic and gendered inequities in travel behaviour in Africa: Mixed-method systematic review and meta-ethnography.
dc.typeArticle
dcterms.dateAccepted2021-11-04
prism.endingPage114545
prism.number114545
prism.publicationDate2021
prism.publicationNameSoc Sci Med
prism.startingPage114545
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (16/137/34)
rioxxterms.licenseref.startdate2021-11
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1016/j.socscimed.2021.114545

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