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Improper management of municipal waste has become a growing concern globally due to its impact on the environment, health, and overall living conditions of households in cities. Waste production has increased because households do not adopt waste management practices that ensure sustainability. Previous studies on household waste management often considered socio-economic aspects and overlooked the environmental and behavioral factors influencing the disposal practices and health status. This study adopted four constructs, defensive attitude, environmental knowledge, environmental quality, and waste disposal, by employing a structural equation modeling approach to explore research objectives. Data from 849 households of the Islamabad-Rawalpindi metropolitan was collected by using a multi-stage sampling technique. The structural model results showed that the two constructs, environmental knowledge and defensive behavior, positively affect household health status. The most significant health-related considerations are waste disposal and environmental quality, both of which negatively impact health status and do not support our hypothesis. The results provide valuable perspectives to enable households to engage actively in waste management activities. The findings indicate that understanding the intentions of household health status drivers can assist policymakers and agencies in promoting an efficient and successful community programmes related to sustainable solid waste management by allowing them to foster how the desired behavior can be achieved.

Testing the Role of Waste Management and Environmental Quality on Health Indicators Using Structural Equation Modeling in Pakistan