Suicide Prevention in the Southeast Asia Region

Crisis ◽  
2020 ◽  
Vol 41 (Supplement 1) ◽  
pp. S21-S29 ◽  
Author(s):  
Lakshmi Vijayakumar ◽  
Caroline Daly ◽  
Yasir Arafat ◽  
Ella Arensman
Keyword(s):  
Southeast Asia ◽  
Suicide Prevention ◽  
Urban Areas ◽  
Middle Income ◽  
Female Ratio ◽  
Rural And Urban Areas ◽  
Data Registration ◽  
Middle Income Countries ◽  
Rural And Urban ◽  
Male Female Ratio

Abstract. This chapter provides an update on suicide and suicide prevention in the Southeast Asia Region, which covers 11 low- and middle-income countries, accounting for 26% of the world's population. More than one third (39%) of all suicides globally, occur in this region, with the highest suicide rate of 17.7 per 100,000, which is likely to be an underestimate due to differences in study populations, research methodology, and uncomprehensive data registration systems. The risk profile of people who die by suicide and the characteristics of suicides in Southeast Asia are distinctly different from other regions in many ways. In this region the male–female ratio for suicide is closer to 1, compared with 3:5 in higher-income countries, and the overall reported prevalence of mental disorders, such as depression or other psychiatric conditions, is lower. Both older people and adolescents show the highest rates of suicide. Suicide involving pesticide poisoning is the most common method used in both rural and urban areas in countries in this region. Updates are provided on national and regional suicide prevention activities in Bangladesh, Bhutan, Nepal, India, Sri Lanka, and Thailand.

scholarly journals Changing Incidence of Uterine Cancer in Rural Egypt: Possible Impact of Nutritional and Epidemiologic Transitions

2019 ◽  
pp. 1-7
Author(s):  
Saad Alshahrani ◽  
Ahmed Hablas ◽  
Robert M. Chamberlain ◽  
Jane Meza ◽  
Steven Remmenga ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Uterine Cancer ◽  
Population Based ◽  
Urban Residence ◽  
Middle Income ◽  
Rural And Urban Areas ◽  
Middle Income Countries ◽  
Rural And Urban ◽  
Low Incidence

PURPOSE Uterine cancer is a top-ranking women’s cancer worldwide, with wide incidence variations across countries and by rural and urban areas. Hormonal exposures and access to health care vary between rural and urban areas, globally. Egypt has an overall low incidence of uterine cancer but variable rural and urban lifestyles. Are there changes in the incidence of uterine cancer in rural and urban areas in middle-income countries such as Egypt? No previous studies have addressed this question from a well-characterized and validated population-based cancer registry resource in middle-income countries. The aim of this study was to explore the differences in clinical and demographic characteristics of uterine cancer over the period of 1999 to 2010 in rural and urban Gharbiah province, Egypt. METHODS Data were abstracted for all 660 patients with uterine cancer included in the Gharbiah Population-based Cancer Registry. Clinical variables included tumor location, histopathologic diagnosis, stage, grade, and treatment. Demographic variables included age, rural or urban residence, parity, and occupation. Crude and age-adjusted incidence rates (IRs) and rate ratios by rural or urban residence were calculated. RESULTS No significant differences were observed in most clinical and demographic characteristics between rural and urban patients. The age standardized IR (ASR) was 2.5 times higher in urban than in rural areas (6.9 and 2.8 per 100,000 in urban and rural areas, respectively). The rate ratio showed that the IR in urban areas was 2.46 times the rate in rural areas. CONCLUSION This study showed that the disease IR in rural areas has increased in the past decade but is still low compared with the incidence in urban areas in Egypt, which did not show a significant increase in incidence. Nutritional transitions, obesity, and epidemiologic and lifestyle changes toward Westernization may have led to IRs increasing more in rural than in urban areas in Egypt. This pattern of increasing incidence in Egypt, which used to have a low incidence of uterine cancer, may appear in other middle-income countries that experience emerging nutritional and epidemiologic transitions. The rate of uterine cancer in urban areas in Gharbiah is almost similar to the corresponding rates globally. However, the rate in rural areas in this population has increased over the past decade but is still lower than the corresponding global rates. Future studies should examine the etiologic factors related to increasing rates in rural areas and quantify the improvement in rural case finding.

scholarly journals Prevalence of COVID-19 In Rural Versus Urban Areas in a Low-Income Country: Findings from a State-Wide Study in Karnataka, India

2020 ◽  
Author(s):  
Manoj Mohanan ◽  
Anup Malani ◽  
Kaushik Krishnan ◽  
Anu Acharya
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Agricultural Activity ◽  
Middle Income ◽  
Low Income Country ◽  
Rural And Urban Areas ◽  
Middle Income Countries ◽  
Rural And Urban ◽  
Order Of Magnitude

AbstractAlthough the vast majority of confirmed cases of COVID-19 are in low- and middle-income countries, there are relatively few published studies on the epidemiology of SARS-CoV-2 in these countries. The few there are focus on disease prevalence in urban areas. We conducted state-wide surveillance for COVID-19, in both rural and urban areas of Karnataka between June 15-August 29, 2020. We tested for both viral RNA and antibodies targeting the receptor binding domain (RBD). Adjusted seroprevalence across Karnataka was 46.7% (95% CI: 43.3-50.0), including 44.1% (95% CI: 40.0-48.2) in rural and 53.8% (95% CI: 48.4-59.2) in urban areas. The proportion of those testing positive on RT-PCR, ranged from 1.5 to 7.7% in rural areas and 4.0 to 10.5% in urban areas, suggesting a rapidly growing epidemic. The relatively high prevalence in rural areas is consistent with the higher level of mobility measured in rural areas, perhaps because of agricultural activity. Overall seroprevalence in the state implies that by August at least 31.5 million residents had been infected by August, nearly an order of magnitude larger than confirmed cases.

scholarly journals ANALISIS KONSUMSI PANGAN TINGKAT RUMAH TANGGA DI PROPINSI LAMPUNG

Agro Ekonomi ◽  
2006 ◽  
Vol 13 (2) ◽  
Author(s):  
Meliyanah Meliyanah ◽  
Suhatmini Hardyastuti ◽  
Djuwari Djuwari
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Household Consumption ◽  
Income Level ◽  
High Income ◽  
Middle Income ◽  
Household Level ◽  
Rural And Urban Areas ◽  
Rural And Urban

This research diamed to: 1) knowing the selft-price elasticity, cross-price elasticity and income elasticity of consumption per food item on household level according to location and income level; and 2) knowing the reation between level of income and food consumption on household level according to location and income level.This research used data from SUSENAS of Lmapung Province in 2002 with number of sample of 2091 household, which being differed between rural and urban areas based on low, middle, and high level of income. The data analysis used tobit model and sensored regression.The result showed that: 1) the demand of rice and beeh for household consumption in every level of income in rural and urban areas were inelastic; 2) Coen only been consumed by low income level household in rural areas and the demand was inelastic; 3) the demand of cassava for household consumption on low income level in urban area was elastic, While in middle income level, high income level and every level of income in rural area, cassava demand was inelastic. Cassava was considered as inferior goods; 4) The demand of fish for household consumption an every level of income in rural and urban areas was elastic. Household in rural area on every level of income and in urban areas on middle and high income level consider fish as a main necessity. While on low income level  household in urban areas, it was considered as classy/exclusive good; 5) the demand of chicken; for household in rural areas on middle and high income level was inelastic. When in rural low income level and urban middle and high income level, was inelastic chicken meat was considend as classy/exclusive good the rural low income level household; 6) egg demand for household consumption in rural areas on every level of income was inelastic, while in urban area it was elastic for every level income; 7) the rural and urban household on every level of income considered rice as the stpale food; 8) Household in rural and urban areas on middle and high level of income considered beef as main necessity; 9) On household with middle income level in rural areas, egg was considere as inferior good; while an low income level in urban areas, egg was considere as expensive good.

scholarly journals Multimorbidity Among Migrant and Non-Migrant Ghanaians: The RODAM Study

2021 ◽  
Vol 66 ◽  
Author(s):  
Anna Marzà-Florensa ◽  
Daniel Boateng ◽  
Charles Agyemang ◽  
Erik Beune ◽  
Karlijn A. C. Meeks ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Middle Income ◽  
Migrant Populations ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Prevalence Ratios

Objectives: Multimorbidity is a growing public health concern due to the increasing burden of non-communicable diseases, yet information about multimorbidity in low- and middle-income countries and migrant populations is scarce. We aimed to investigate the distribution and patterns of multimorbidity in rural and urban areas in Ghana and Ghanaian migrants in Europe.Methods: The RODAM cross-sectional study included 4,833 participants. Multimorbidity was defined as presence of multiple non-communicable chronic conditions. Patterns were determined from frequent combination of conditions. Prevalence ratios were estimated by logistic regression.Results: Prevalence of multimorbidity was higher in women and in urban Ghana and Europe. We observed a cardiometabolic pattern in all sites as well as circulatory-musculoskeletal and metabolic-musculoskeletal combinations in Ghana. Multimorbidity prevalence ratios were higher in Europe (men 1.47, 95% CI 1.34–1.59, women 1.18, 1.10–1.26) and urban Ghana (men 1.46, 1.31–1.59, women 1.27, 1.19–1.34).Conclusion: Distribution and patterns of multimorbidity differed by sex and site. With a higher burden of multimorbidity in urban areas, prevention strategies should focus on forestalling its increase in rapidly growing rural areas.

scholarly journals Travel time to health facilities as a marker of geographical accessibility across heterogeneous land coverage in Peru

2019 ◽  
Author(s):  
Gabriel Carrasco-Escobar ◽  
Edgar Manrique ◽  
Kelly Tello-Lizarraga ◽  
J. Jaime Miranda
Keyword(s):  
Travel Time ◽  
Health Facility ◽  
Urban Areas ◽  
Health Facilities ◽  
Middle Income ◽  
Healthcare Facilities ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Tertiary Healthcare ◽  
Geographical Accessibility

ABSTRACTThe geographical accessibility to health facilities is conditioned by the topography and environmental conditions overlapped with different transport facilities between rural and urban areas. To better estimate the travel time to the most proximate health facility infrastructure and determine the differences across heterogeneous land coverage types, this study explored the use of a novel cloud-based geospatial modeling approach and use as a case study the unique geographical and ecological diversity in the Peruvian territory. Geospatial data of 145,134 cities and villages and 8,067 health facilities in Peru were gathered with land coverage types, roads infrastructure, navigable river networks, and digital elevation data to produce high-resolution (30 m) estimates of travel time to the most proximate health facility across the country. This study estimated important variations in travel time between urban and rural settings across the 16 major land coverage types in Peru, that in turn, overlaps with socio-economic profiles of the villages. The median travel time to primary, secondary, and tertiary healthcare facilities was 1.9, 2.3, and 2.2 folds higher in rural than urban settings, respectively. Also, higher travel time values were observed in areas with a high proportion of the population with unsatisfied basic needs. In so doing, this study provides a new methodology to estimate travel time to health facilities as a tool to enhance the understanding and characterization of the profiles of accessibility to health facilities in low- and middle-income countries (LMIC), calling for a service delivery redesign to maximize high quality of care.

scholarly journals ANALISIS KONSUMSI BERAS PADATINGKAT RUMAH TANGGA DI PROPINSI DAERAH ISTIMEWA YOGYAKARTA

Agro Ekonomi ◽  
2016 ◽  
Vol 14 (1) ◽  
pp. 50
Author(s):  
Cristovao R ◽  
Slamet Hartono ◽  
Jangkung Handoyo Mulyo
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Income Elasticity ◽  
Income Level ◽  
Middle Income ◽  
Household Level ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Rice Consumption

The objectives of the study were (1) to determine thefactors influencing rice consumption in urban and rural areas of Yogyakarta Special Province and (2) to determine the own price, cross price and income elasticity of rice consumption at different income levels in rural and urban areas. National Socio-Economic Survey (SUSENAS) data of 2005 Yogyakarta Special Province on rice consumption was used Totalrespondents 1990 households. Regression model used in the analysis was OLS. The result showed that thefactors that influence the consumption of rice are the price of the rice itself, price of the related household goods, income level, education of the mother, number offamily members, and location. Thefactors that individually influence rice consumption vary by kinds of rice, location, and income level. Therefore, the demand of rice in DIY is inelastic, the change of price did not significantly influence rice demand. Generally, rice is normal good at low income household level in the rural and urban areas andfor middle income in the rural, and in middle income and high income in the urban, rice is a inferior good. In other side, rice is Substituted for cassava and sweet potato. Rice is complementary for catfish, fermented soybean cake, cassava, egg, and tofu.Keywords: rice consumption, elasticity, substitution, complementary.

scholarly journals Epidemiology of adulthood drowning deaths in Bangladesh: Findings from a nationwide health and injury survey

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 589 ◽  
Author(s):  
Mohammad Jahangir Hossain ◽  
Animesh Biswas ◽  
Saidur Rahman Mashreky ◽  
Fazlur Rahman ◽  
Aminur Rahman
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Water Bodies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Rural And Urban ◽  
Adults And Children ◽  
Survey Finding

Background: Annual global death due to drowning accounts for 372,000 lives, 90% of which occur in low and middle income countries. Life in Bangladesh exposes adults and children to may water bodies for daily household needs, and as a result drowning is common. In Bangladesh, due to lack of systemic data collection, drowning among adults is unknown; most research is focused on childhood drowning. The aim of the present study was to explore the epidemiology of adulthood drowning deaths in Bangladesh. Methodology: A nationwide cross-sectional survey was conducted from January to December in 2003 among 171,366 rural and urban households, with a sample of 819,429 individuals to determine the epidemiology of adulthood drowning in Bangladesh.   Results:  Annual fatal drowning incidence among adults was 5.85/100,000 individuals. Of these, 71.4% were male and 28.6% were female (RR 2.39). In total, 90% of the fatalities were from rural areas. Rural populations were also found to have a 8.58 times higher risk of drowning than those in urban areas. About 95% of drowning occurred in natural water bodies. About 61.6% of the deaths occurred at the scene followed by 33.5% at the home. Of the drowning fatalities, 67% took place in water bodies within 100 meters of the household. Among the drowning fatalities 78.4% occurred in daylight between 7.00 and 18.00. Over 97% of the victims were from poor socio economic conditions with a monthly income tk. 6,000 ($94) or less. Only 25.5% of incidences were reported to the police station. Conclusions: Every year a significant number of adults die due to drowning in Bangladesh.  Populations living in rural areas, especially men, were the main victims of drowning. This survey finding might help policy makers and scientists to understand the drowning scenario among adults in Bangladesh.

On energy equity and China’s policy choices

2016 ◽  
Vol 28 (3) ◽  
pp. 288-301 ◽  
Author(s):  
Shengqing Xu ◽  
Tao Wang
Keyword(s):  
Environmental Protection ◽  
Urban Areas ◽  
Energy Utilization ◽  
Environmental Equity ◽  
Middle Income ◽  
Rural And Urban Areas ◽  
Policy Choices ◽  
Rural And Urban ◽  
Middle Income Trap ◽  
Political Economic

Energy is a resource that is essential to economic, cultural, and social development. As China’s economy enters its “new normal” state, it risks falling into the middle income trap, and energy equity is critical for China to get rid of the middle income trap, considering the great gap on energy utilization (including quantity, quality, and infrastructure) between rural and urban areas and the negligence of environmental equity. This article explains the political, economic, and environmental significance of energy equity from the perspectives of the energy trilemma, Engel’s coefficient, and environmental equity. After analyzing the meaning of energy consumption equity and environmental equity and identifying the problems facing China in these aspects, the authors suggest that China can do the following to promote energy equity: (1) ensure access to modern energy; (2) intensify the focus on environmental protection; (3) employ a nexus approach to energy management; (4) establish an energy eco-compensation mechanism; and (5) implement differential environmental protection standards and measures.

Hidden Change in Late Colonial Urban Society in Indonesia

1983 ◽  
Vol 14 (2) ◽  
pp. 354-371 ◽  
Author(s):  
William H. Frederick
Keyword(s):  
Sixteenth Century ◽  
Southeast Asia ◽  
Urban Areas ◽  
Urban Society ◽  
Air Travel ◽  
Aerial Photographs ◽  
Architectural Style ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
European Populations

From at least the early sixteenth century, when Tomé Pires acclaimed the marvels of Malacca, Westerners have evinced an interest in the cities of Southeast Asia, though for different reasons and from varying perspectives. Travellers like Cesare Fredrici, Ralph Fitch, and Gasparo Balbi were generally impressed with what they saw and compared it favourably in many respects with Europe of the 1580s. In the course of the two hundred years, however, this appreciation altered markedly. Western authors after the late eighteenth century took a less sanguine view and tended to describe towns and cities rather disparagingly as little more than collections of villages. During the late 1920s, the panorama made possible by the advent of air travel in Southeast Asia distinguished clearly between rural and urban areas, but showed the latter as thoroughly Europeanized enclaves. In the popular aerial photographs of the day, these cities appeared slick in their new tropical-colonial architectural style and uncomplicated by large or even particularly visible non-European populations.

scholarly journals Self-supplied drinking water in low- and middle-income countries in the Asia-Pacific

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Tim Foster ◽  
Cindy Priadi ◽  
Krishna Kumar Kotra ◽  
Mitsunori Odagiri ◽  
Emily Christensen Rand ◽  
...  
Keyword(s):  
Drinking Water ◽  
Southeast Asia ◽  
South Asia ◽  
Urban Areas ◽  
Temporal Trends ◽  
Asia Pacific ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Pacific ◽  
Low And Middle Income

AbstractThere is increasing awareness of household self-supply and the role it can play in securing water for domestic needs in low- and middle-income countries (LMICs), but its scale across the Asia-Pacific has not previously been quantified. This study analysed 77 datasets from 26 countries to estimate the prevalence of self-supplied drinking water, and its associated trends in LMICs in South Asia, Southeast Asia and the Pacific. When factoring in temporal trends, results suggest that >760 million people—or 31% of the population—relied on self-supply for their drinking water in these regions in 2018, with the number of users increasing by >9 million each year. Reliance on self-supply for drinking water is greater in rural areas than in urban areas (37% of rural population vs 20% of urban population), though results vary considerably between countries. Groundwater sources constitute the most common form of self-supply in South Asia and Southeast Asia, while rainwater collection is dominant in the Pacific. The results confirm the significance of self-supply in the Asia-Pacific and suggest that households are a major but often overlooked source of financing within the water sector. The findings raise important questions about how policy and practice should respond to this widespread phenomenon.

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