This study examined wealth trends in a rural Kenyan community between 2011 and 2018. Understanding wealth trends is important for understanding health outcomes and overall well-being of vulnerable communities, and for informing economic and health policy that can improve specific wealth challenges. Information regarding household materials, assets, education, and mortality from 20,370 households in the Kombewa Health and Demographic Surveillance System was used. Three indices were developed and compared to quantify wealth: a principal component analysis of assets, a multiple correspondence analysis of assets, and the multidimensional poverty index. Wealth quintiles and levels of deprivation relating to socioeconomic status were then created and analyzed over time. Wealth measured by the asset-based indices, suggested an increase in wealth during the assessment period with the percentage of households in the wealthiest quintile increasing from 19 to 23%. The multidimensional poverty index, however, suggests no change in socioeconomic status over time. Among other factors, a lack of access to sanitation and improved water seems to be the main justification. Our results indicate that households are accumulating assets, but their increased accumulation is not translating to changes in living conditions known to improve health. Hence, while houses may be getting wealthier, they may not necessarily be getting healthier.

这项研究调查了2011年至2018年肯尼亚农村社区的财富趋势。了解财富趋势对于理解健康结果和弱势社区的整体福祉，以及为制定可改善特定财富挑战的经济和卫生政策提供信息非常重要。使用了有关Kombewa健康和人口监视系统中20,370个家庭的家庭材料，资产，教育和死亡率的信息。制定并比较了三个指标以量化财富：资产的主成分分析，资产的多重对应分析以及多维贫困指数。然后建立和分析与社会经济地位有关的财富五分位数和剥夺水平。以资产为基础的指数衡量的财富，建议在评估期间增加财富，最富有的五分之一家庭的百分比从19％增至23％。但是，多维贫困指数表明，随着时间的推移，社会经济地位没有变化。除其他因素外，缺乏卫生设施和改善水质似乎是主要理由。我们的结果表明，家庭正在积累资产，但其积累的增加并未转化为改善健康的已知生活条件的变化。因此，尽管房屋可能变得更富裕，但不一定会变得更健康。缺乏卫生条件和改善水质似乎是主要理由。我们的结果表明，家庭正在积累资产，但其积累的增加并未转化为改善健康的已知生活条件的变化。因此，尽管房屋可能变得更富裕，但不一定会变得更健康。缺乏卫生条件和改善水质似乎是主要理由。我们的结果表明，家庭正在积累资产，但其积累的增加并未转化为改善健康的已知生活条件的变化。因此，尽管房屋可能变得更富裕，但不一定会变得更健康。