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The asset-vulnerability trap

Climate shocks and health-seeking behavior for chronic diseases in Somalia

Datos Bibliográficos

ID22089952
AutoresAbdirashid Jama Abdullahi (0009-0004-4041-4985, Amoud University), Abdirizak Mohamed Moumin (0009-0002-9453-4048, Amoud University), Khadar Mowlid Abdi (0009-0007-9987-7855, Amoud University)
Año2026
Volumen14
Fecha de publicación2026-07-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1869640
OpenAlexW7167837905
IdiomaEN
Referencias citadas7

Somalia faces a dual crisis of high chronic disease burden and extreme climate vulnerability. This study examines the predictors of health-seeking behavior (HSB) for chronic diseases among Somali households. Using data from the 2020 Somali Demographic and Health Survey (SDHS), survey-weighted probit model was applied to a sample of 69,998 individuals to analyze predictors of regular treatment-seeking behavior. Approximately 6.6% of the population reported a chronic disease, with 48.8% of those individuals seeking regular treatment. Wealth (AME = 0.094, p < 0.001) and urban residence (AME = 0.078, p < 0.001) were the strongest predictors of HSB. Secondary education increased HSB by 6.2 percentage points ( p = 0.012). Conversely, climate-induced livestock loss significantly hindered HSB, reducing the probability of treatment-seeking by 3.4 percentage points ( p = 0.035). Internet access was not a significant predictor. Climate shocks create an economic barrier that prevents vulnerable households from managing chronic conditions. Policy interventions should focus on integrating NCD care into climate adaptation strategies and reducing the rural–urban health gap

Chronic disease · Climate change · Ordered probit · Population · Probit model · Psychological intervention · Residence · Socioeconomic status · Somali · Climate Change and Health Impacts · Health disparities and outcomes · Zoonotic diseases and public health

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