scholarly journals Association among multimorbidity, physical disability and depression trajectories: a study of urban–rural differences in China

2021 ◽  
Author(s):  
Chaoyang Yan ◽  
Hui Liao ◽  
Ying Ma ◽  
Qin Xiang ◽  
Jing Wang
Keyword(s):  
Activities Of Daily Living ◽  
Rural Areas ◽  
Urban Areas ◽  
Daily Living ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Rural China ◽  
Depression Symptoms ◽  
Depression Symptom ◽  
Urban And Rural Areas

Abstract Purpose The purpose of this study was to analyse the trajectories of depression in urban and rural areas, and to analyse the relationship among multimorbidity, disability and other variables and trajectories. Methods Data from the China Health and Retirement Longitudinal Study were used. A latent class growth model was used to characterise the trajectories of urban and rural depression symptoms. Chi-square test was used to test the differences in respondents’ characteristics among depression trajectories groups within urban and rural areas. The relationships among multimorbidity, disability and depression symptom trajectories were analysed via multinomial logistic regression. Results Urban and rural depression trajectories were divided into three categories. Respondents in urban areas were divided into rising, remaining-low and declining group, and those in rural areas were divided into rising, remaining-low and remaining-high group. The depression scores of respondents with multimorbidity were more likely to rise, and this result was similar for the disabled respondents. Respondents who need help on activities of daily living and instrumental activities of daily living in urban areas were more likely to decline in depression scores. In rural areas, however, the values were consistently high. In urban and rural areas, the relationships among marital status, education and age and depression trajectories were different. Conclusions The depression trajectories are different in urban and rural China. Improving the quality of medical services, promoting the distribution of rural social resources and implementing more recreational activities could be beneficial for the promotion of mental health in rural areas.

scholarly journals Functional limitation on elderly people in the northeast and the feminization of eld in urban and rural areas of Brazil

2021 ◽  
Vol 43 ◽  
pp. e51421
Author(s):  
Roberta Dayanny Soares ◽  
Aíla Maropô Araújo
Keyword(s):  
Activities Of Daily Living ◽  
Rural Areas ◽  
Urban Areas ◽  
Daily Living ◽  
Functional Limitation ◽  
Rio Grande ◽  
The Elderly ◽  
Northeast Region ◽  
Instrumental Activities ◽  
Urban And Rural Areas

Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living   and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.

scholarly journals Trends of low physical activity among Iranian adolescents across urban and rural areas during 2006–2011

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Parisa Amiri ◽  
Parisa Naseri ◽  
Golnaz Vahedi-Notash ◽  
Sara Jalali-Farahani ◽  
Yadollah Mehrabi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Rural Areas ◽  
Urban Areas ◽  
Physical Inactivity ◽  
Multinomial Logistic Regression ◽  
Prevalence Ratio ◽  
Sample Survey ◽  
Activity Levels ◽  
Urban Girls ◽  
Urban And Rural Areas

AbstractIt is well documented that physical inactivity is related to weight gain and a whole host of chronic diseases. This study investigated trends of low physical activity among Iranian adolescents in urban and rural areas between 2006–2011. A total of 12,178 adolescents, aged between 15 and 19 years, participated in National Surveys of Risk Factors for Non-Communicable Diseases. Data on physical activity was obtained using the global physical activity questionnaire. A complex sample survey and multinomial logistic regression were used to model physical activity levels. The percentage of adolescents who had low levels of physical activity increased from 2006 to 2011 in both urban and rural areas. Low and moderate levels of physical activity were lower in rural girls as compared with urban girls, with a prevalence ratio of 0.59 (95% CI 0.47–0.74) and 0.59 (95% CI 0.47–0.74), respectively. The corresponding values for boys residing in rural areas compared with boys in urban areas were 0.56 (95% CI 0.43–0.75) and 0.60 (95% CI 0.48–0.74), respectively. The adolescents' lifestyles showed an increasing trend for physical inactivity in both genders; however, in rural areas, only girls had a rising affinity for a sedentary lifestyle throughout the 2006–2011 years.

scholarly journals Prevalence of tobacco use in urban and rural areas of Pakistan; a sub-study from second National Diabetes Survey of Pakistan (NDSP) 2016 - 2017

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Abdul Basit ◽  
Bilal Bin Younus ◽  
Nazish Waris ◽  
Asher Fawwad ◽  
NDSP Members*
Keyword(s):  
Tobacco Use ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Control Program ◽  
Ratio Test ◽  
Multinomial Logistic Regression Analysis ◽  
Creative Commons ◽  
Diabetes Survey ◽  
Urban And Rural Areas

Objective: To assess age standardized prevalence of tobacco use in urban and rural areas of Pakistan. Methods: This is a sub-study of second National Diabetes Survey of Pakistan (NDSP) 2016-2017. Prevalence of tobacco, ex-tobacco and non-tobacco users was determined in urban/rural areas of four provinces (Punjab, Sindh, Khyber Pakhtunkhwa, and Baluchistan) of Pakistan amongst people aged greater than or equal to 20 years. Information regarding tobacco and non-tobacco users were obtained from second NDSP (2016-2017) predesigned questionnaire. Detailed methodology for demographic, anthropometric and biochemical parameters remained same as reported in second NDSP (2016-2017). Results: The age-standardized prevalence of tobacco use in Pakistan was found to be 13.4%. Tobacco use in urban areas was 16.3% and rural areas was 11.7%. Tobacco use in urban and rural males was 26.1% and 24.1%, while in females was 7.7% and 3.1%, respectively. The age-standardized prevalence of ex-tobacco use in Pakistan was found to be 2.3%. Ex-tobacco use in urban areas was 2.6% and rural areas was 2.3%. Similarly, ex-tobacco use in urban and rural males was 4.6% and 4.6%, while in females was 0.7% and 0.5%, respectively. Multinomial logistic regression analysis shows that increasing age does not relate towards addiction of tobacco. Males were found to be 7 times (OR 6.94, 95% CI 5.68-8.49) and urban residents twice (OR 2.09, 95% CI 1.73-2.52) more tobacco users than females and those living in rural areas, respectively. From the likelihood ratio test, all variables were found to be statistically significant except for dysglycemia, dyslipidemia and hypertension. Conclusion: The prevalence of tobacco use is high. As a sub paper of a large national survey, this evidence is expected to serve as an important tool to plan larger studies leading in turn to develop strategies for a successful tobacco control program in the country. doi: https://doi.org/10.12669/pjms.36.4.1705 How to cite this:Basit A, Younus BB, Waris N, Fawwad A, NDSP members. Prevalence of tobacco use in urban and rural areas of Pakistan; a sub-study from second National Diabetes Survey of Pakistan (NDSP) 2016 - 2017. Pak J Med Sci. 2020;36(4):---------.  doi: https://doi.org/10.12669/pjms.36.4.1705 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals The Current Situation and Future Trend of Leukemia Mortality by Sex and Area in China

2020 ◽  
Vol 8 ◽  
Author(s):  
Baojing Li ◽  
Hong Tang ◽  
Zilu Cheng ◽  
Yuxiao Zhang ◽  
Hao Xiang
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Rural China ◽  
National Level ◽  
Temporal Trends ◽  
Future Trend ◽  
Mortality Trends ◽  
Projection Model ◽  
Precautionary Measures ◽  
Urban And Rural Areas

Leukemia is one of the most common cancers. We conducted this study to comprehensively analyze the temporal trends of leukemia mortality during 2003–2017 and project the trends until 2030. We extracted national-level data on annual leukemia mortality from China Health Statistics Yearbooks (2003–2017). We applied the Joinpoint regression model to assess leukemia mortality trends in urban and rural China by sex during 2003–2017. We also produced sex-specific leukemia mortality using the adjusted Global Burden Disease (GBD) 2016 projection model. In urban areas, age-standardized leukemia mortality decreased significantly among females during 2003–2017 (APC = −0.9%; 95% CI: −1.7, −0.1%). In rural areas, significant decreases of age-standardized leukemia mortality were both found among males (APC = −1.7%; 95% CI: −2.9, −0.5%) and females (APC = −1.6%; 95% CI: −2.6, −0.7%) from 2008 to 2017. Rural-urban and sex disparities of leukemia mortality will continue to exist until the year 2030. According to projection, the leukemia mortality rates of males and rural populations are higher than that of females and urban populations. In 2030, leukemia mortality is projected to decrease to 3.03/100,000 and 3.33/100,000 among the males in urban and rural areas, respectively. In females, leukemia mortality will decrease to 1.87/100,000 and 2.26/100,000 among urban and rural areas, respectively. Our study suggests that more precautionary measures to reduce leukemia mortality are need, and more attention should be paid to rural residents and males in primary prevention of leukemia in China.

scholarly journals THE EFFECT OF ACTIVITIES OF DAILY LIVING AND DEPRESSION SYMPTOM LEVEL ON SLEEP QUALITY IN THE ELDERLY WITH HEART FAILURE

2021 ◽  
Vol 54 (1) ◽  
pp. 64-72
Author(s):  
Abdullah Avcı ◽  
Meral GÜN
Keyword(s):  
Heart Failure ◽  
Sleep Quality ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Short Form ◽  
The Elderly ◽  
Depression Symptoms ◽  
Depression Symptom ◽  
Symptom Level

Objective: To determine the effect of activities of daily living and depression symptom level on sleep quality in the elderly with heart failure. Methodology: In this descriptive study the sample consisted of 95 patients presented to the cardiology outpatient clinic of a university hospital due to heart failure and who met the inclusion criteria of the study. The research data wss collected using the Personal Information Form, the Pittsburgh Sleep Quality Index, the Katz Index-Activities of Daily Living and the Geriatric Depression Scale-Short Form. Results: It was found that the sleep quality of all patients who participated in the study was low (9.98 ± 2.74). The mean depression symptom level score of the patients was high (7.58 ± 3.58), and that sleep quality decreased as the depression symptom level score increased (p<0.05). There was no relationship between the total activities of daily living score and the total sleep quality score, and that the sleep quality of the dependent patients in the washing and transfer dimensions, which are the sub-dimensions of activities of daily living, were lower than that of the independent ones. Also, it was found that as the level of dependence increased in the daily living activities increased, the level of depression symptoms increased too. Conclusions: The study revealed that elderly patients with heart failure experienced significant sleep problems and that their sleep quality decreased as the depression symptom levels increased.

scholarly journals Unmet needs for assistance with activities of daily living among elderly in rural and urban areas in Kwara State Central Senatorial District, Nigeria

2021 ◽  
Vol 4 (2) ◽  
pp. 78-85
Author(s):  
Mojirola Martina Fasiku ◽  
Kabir Adekunle Durowade ◽  
Matthew Olumuyiwa Bojuwoye ◽  
Abdullahi Ahmed ◽  
Medinat Omobola Osinubi ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Rural Areas ◽  
Urban Areas ◽  
Daily Living ◽  
Unmet Needs ◽  
The Elderly ◽  
P Value ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Rural And Urban

Objective: The elderly usually require assistance and sometimes have unmet needs for assistance with activities of daily living. This study assessed the unmet needs for assistance with activities of daily living among the elderly in rural and urban areas in Kwara Central Senatorial District, Nigeria.  Methods:  Cross-sectional data were collected using pre-tested semi-structured interviewer-administered questionnaires from 300 elderly using the multistage sampling technique. The Statistical Package for Social Sciences 20 was used to analyze data, and the level of significance was predetermined at a p-value less than 0.05.  Results: Overall, 60% of the elderly in the urban than rural group (46%) had unmet needs for assistance with activities of daily living. The prevalence of unmet needs for assistance with basic activities of daily living in the rural areas ranged from 0.0% (eating) to 70.8 % (bathing) and 0.0% (eating) to 68.8 % (transferring) in the urban areas. The prevalence of unmet needs for instrumental activities of daily living ranged from 16.7% (handling finances) to 59.3 % (cooking) for those in the rural areas. However, the range was from 33.3% (transportation) to 75.0% (taking medications) in the urban areas. The urban respondents had higher unmet needs for assistance with telephone use than rural respondents. (p=0.004*).  Conclusion: The elderly in the urban areas had a higher prevalence of unmet needs for assistance with activities of daily living. The government must address the needs of the elderly through a policy to prevent unmet needs for assistance with activities of daily living.

scholarly journals Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems

2021 ◽  
Vol 18 (8) ◽  
pp. 4185
Author(s):  
Katarzyna Zatońska ◽  
Piotr Psikus ◽  
Alicja Basiak-Rasała ◽  
Zuzanna Stępnicka ◽  
Maria Wołyniec ◽  
...  
Keyword(s):  
Cohort Study ◽  
Alcohol Consumption ◽  
Rural Areas ◽  
Urban Areas ◽  
Level Of Education ◽  
Adult Participants ◽  
Frequent Consumption ◽  
Urban And Rural Areas ◽  
Socio Demographic Factors ◽  
High Level

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007–2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64–10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03–2.17; OR 1.66, CI 1.27–2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05–2.85; OR 1.76, CI 1.22–2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.

scholarly journals Identifying classes of the pain, fatigue, and depression symptom cluster in long-term prostate cancer survivors—results from the multi-regional Prostate Cancer Survivorship Study in Switzerland (PROCAS)

2021 ◽  
Author(s):  
Salome Adam ◽  
Melissa S. Y. Thong ◽  
Eva Martin-Diener ◽  
Bertrand Camey ◽  
Céline Egger Hayoz ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Depressive Symptoms ◽  
Cancer Survivorship ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Symptom Cluster ◽  
Depression Symptom ◽  
Class 1 ◽  
Eortc Qlq

Abstract Purpose Aside from urological and sexual problems, long-term (≥5 years after initial diagnosis) prostate cancer (PC) survivors might suffer from pain, fatigue, and depression. These concurrent symptoms can form a cluster. In this study, we aimed to investigate classes of this symptom cluster in long-term PC survivors, to classify PC survivors accordingly, and to explore associations between classes of this cluster and health-related quality of life (HRQoL). Methods Six hundred fifty-three stage T1-T3N0M0 survivors were identified from the Prostate Cancer Survivorship in Switzerland (PROCAS) study. Fatigue was assessed with the EORTC QLQ-FA12, depressive symptoms with the MHI-5, and pain with the EORTC QLQ-C30 questionnaire. Latent class analysis was used to derive cluster classes. Factors associated with the derived classes were determined using multinomial logistic regression analysis. Results Three classes were identified: class 1 (61.4%) – “low pain, low physical and emotional fatigue, moderate depressive symptoms”; class 2 (15.1%) – “low physical fatigue and pain, moderate emotional fatigue, high depressive symptoms”; class 3 (23.5%) – high scores for all symptoms. Survivors in classes 2 and 3 were more likely to be physically inactive, report a history of depression or some other specific comorbidity, be treated with radiation therapy, and have worse HRQoL outcomes compared to class 1. Conclusion Three distinct classes of the pain, fatigue, and depression cluster were identified, which are associated with treatment, comorbidities, lifestyle factors, and HRQoL outcomes. Improving classification of PC survivors according to severity of multiple symptoms could assist in developing interventions tailored to survivors’ needs.

The Rural-Urban Continuum of Polarization: Understanding the Geography of the 2018 Midterms

The Forum ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kenneth M. Johnson ◽  
Dante J. Scala
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Political Attitudes ◽  
The United States ◽  
Rural America ◽  
Rural Regions ◽  
Urban America ◽  
Urban And Rural Areas ◽  
The Continuum

Abstract This study of the 2018 congressional midterms demonstrates how voting patterns and political attitudes vary across a spectrum of urban and rural areas in the United States. Rural America is no more a monolith than is urban America. The rural-urban gradient is better represented by a continuum than a dichotomy. This is evident in the voting results in 2018, just as it was in 2016. We found that the political tipping point lies beyond major metropolitan areas, in the suburban counties of smaller metropolitan areas. Democrats enjoyed even greater success in densely populated urban areas in 2018 than in 2016. Residents of these urban areas display distinctive and consistent social and political attitudes across a range of scales. At the other end of the continuum in remote rural areas, Republican candidates continued to command voter support despite the challenging national political environment. Voters in these rural regions expressed social and political attitudes diametrically opposed to their counterparts in large urban cores.

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