This study examines the interplay between household economic conditions and health outcomes in Katsina State, Nigeria, focusing on the moderating role of community security. Using a cross-sectional design, primary data were collected from 384 households across twelve communities in six local government areas affected by insecurity. Structured questionnaires measured economic conditions (income level), community security (crime perception), and health outcomes (healthcare access). Data were analysed using descriptive statistics, Pearson correlation, and OLS regression with interaction terms. Results showed that economic conditions (β = 0.321, p < 0.01) and community security (β = 0.274, p < 0.01) independently and positively influenced health outcomes. Critically, the interaction between economic conditions and community security was positive and significant (β = 0.118, p < 0.05), confirming that security moderates this relationship. The model’s explanatory power increased from R² = 0.42 to 0.47 with the interaction term, indicating that secure communities enable households to better translate economic resources into improved health. The findings imply that insecurity weakens the health returns of economic improvements. Health interventions in conflict-affected regions must integrate economic empowerment with security stabilization. This study provides household-level evidence on the social determinants of health in insecure contexts and offers policy insights for coordinated economic, health, and security interventions in Katsina State.
Keywords: Economic conditions, health outcomes, community security, moderation, Katsina State
Article-4-Bishir-et-al