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The Impact of Road Construction on Subjective Well-Being in Communities in Madre de Dios, Peru.
Riley-Powell, Amy R; Lee, Gwenyth O; Naik, Nehal S; Jensen, Kelly E; O'Neal, Christina; Salmón-Mulanovich, Gabriela; Hartinger, Stella M; Bausch, Daniel G; Paz-Soldan, Valerie A.
Afiliación
  • Riley-Powell AR; Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, New Orleans, LA 70112, USA. amyrileypowell@gmail.com.
  • Lee GO; Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, New Orleans, LA 70112, USA. gwenyth.lee@gmail.com.
  • Naik NS; School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. gwenyth.lee@gmail.com.
  • Jensen KE; School of Medicine, Virginia Commonwealth University, 1201 E Marshall St, Richmond, VA 23298, USA. nnaik27@gmail.com.
  • O'Neal C; Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, New Orleans, LA 70112, USA. kjensen1@tulane.edu.
  • Salmón-Mulanovich G; Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112, USA. kjensen1@tulane.edu.
  • Hartinger SM; Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, New Orleans, LA 70112, USA. coneal3@tulane.edu.
  • Bausch DG; Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112, USA. coneal3@tulane.edu.
  • Paz-Soldan VA; U.S. Naval Medical Research Unit No. 6, Callao, Callao 2, Peru. gsalmonm.veid@gmail.com.
Article en En | MEDLINE | ID: mdl-29914119
ABSTRACT
The interoceanic highway (IOH) in Madre de Dios, Peru has driven dramatic change in the Peruvian Amazon basin. We conducted a mixed methods study to examine the impact of these changes on the subjective well-being (SWB) of four communities on the IOH. Themes that emerged qualitatively included changing health threats, environmental degradation, and the impact of increased migration. To achieve a higher level of SWB, respondents emphasized the need for higher incomes, opportunities to learn new skills, and a better education for their children. Potential threats to SWB included marital problems and poorer health. Quantitative analyses suggested that social support and a sense of security impacted reported SWB scores based on life satisfaction, and the impact of income on life satisfaction was mediated by food security. Although long-term residents felt that specific determinants of SWB had both increased (food variety, transport and access to work) and decreased (access to natural resources and hunting), the majority reported that their lives had improved overall. Health had been affected by the IOH in both negative ways (increased dengue and road accidents) and positive ways (improved access to health services). Our results suggest that the rapidly-changing communities near the IOH link well-being to health, income, community, and the environment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 3_ND Problema de salud: 3_dengue Asunto principal: Transportes / Industria de la Construcción / Salud Ambiental / Estado de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Peru Idioma: En Revista: Int J Environ Res Public Health Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 3_ND Problema de salud: 3_dengue Asunto principal: Transportes / Industria de la Construcción / Salud Ambiental / Estado de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Peru Idioma: En Revista: Int J Environ Res Public Health Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos
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