scholarly journals Inequalities in life expectancy by place of residence and its changes in Lithuania during 1990-2018

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Sauliune ◽  
O Mesceriakova-Veliuliene ◽  
R Kalediene
Keyword(s):  
Life Expectancy ◽  
Rural Areas ◽  
Place Of Residence ◽  
Entire Study ◽  
Demographic Groups ◽  
National Mortality ◽  
Health Related ◽  
Urban Rural ◽  
Notable Increase ◽  
Males And Females

Abstract Introduction Health inequalities have emerged as a big issue of public health in Lithuania. Recent studies have demonstrated increasing mortality differentials between different socio-demographic groups of the population. Urban/rural place of residence is related with a set of socio-economic characteristics, different access to material resources, presence or absence of social support, and attitudes to health-related behavior. The aim of the study To determine inequalities in life expectancy and its changes by place of residence (urban/rural) in Lithuania during 1990-2018. Methods Information on deaths and population numbers for the period of 1990-2018 was obtained from National Mortality Register and Population Register. Life expectancy for males and females of urban and rural populations was calculated using life tables. Changes in the magnitude of life expectancy inequalities by place of residence were assessed using rate differences (urban-rural); while trends in inequalities were estimated by conducting the Joinpoint regression analysis. Results Life expectancy among males and females was longer in urban compared to rural areas throughout the entire study period. Life expectancy increased statistically significantly for urban and rural males and females with the most notable increase for males, especially those living in rural areas (on average by 0.4% per year from 64.1 years in 1990 to 70.05 years in 2018). Inequalities in life expectancy by place of residence decreased statistically significantly among Lithuanian males from 3.48 years in 1990 to 1.39 years in 2018, while among females only the tendency of decrease was estimated. Conclusions Inequalities in life expectancy of males and females by place of residence decreased significantly in Lithuania throughout the period of 1990-2018, mainly due to positive changes in life expectancy among rural males. Key messages Inequalities in life expectancy of males and females by place of residence decreased significantly in Lithuania throughout the period of 1990-2018. Life expectancy increased for Lithuanian urban and rural males and females with the most notable increase for males, especially those living in rural areas.

scholarly journals Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

2021 ◽  
Vol 18 (9) ◽  
pp. 4636
Author(s):  
Shengwei Wang ◽  
Songbo Hu ◽  
Pei Wang ◽  
Yuhang Wu ◽  
Zhitao Liu ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Life Expectancy ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Rural Elderly ◽  
Jiangxi Province ◽  
Urban Rural ◽  
Disability Free Life Expectancy ◽  
The Difference

Objective: To estimate and compare age trends and the disability-free life expectancy (DFLE) of the population over 60 years old in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: The model life table was employed to estimate the age-specific mortality rate by sex and urban–rural areas, based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province. DFLE and its ratio to life expectancy (LE) were obtained by the Sullivan method. Results: In 2018, the DFLE among people over 60 is 17.157 years for men and is 19.055 years for women, accounting for 89.7% and 86.5% of their LE respectively. The DFLE/LE of men is higher than that of women at all ages. LE and DFLE are higher for the population in urban areas than in rural areas. For women, DFLE/LE is higher in urban areas than in rural areas (except at ages 75 and 80). Urban men have a higher DFLE/LE than rural men (except at age 85). The difference in DFLE between men and women over 60 years is 1.898 years, of which 2.260 years are attributable to the mortality rate, and 0.362 years are due to the disability-free prevalence. In addition, the difference in DFLE between urban–rural elderly over 60 years old is mostly attributed to the mortality rate by gender (male: 0.902/1.637; female: 0.893/1.454), but the impact of the disability-free rate cannot be ignored either (male: 0.735/1.637; female: 0.561/1.454). Conclusions: The increase in DFLE is accompanied by the increase in LE, but with increased age, DFLE/LE gradually decreases. With advancing age, the effect of disability on elderly people becomes more severe. The government administration must implement some preventive actions to improve health awareness and the life quality of the elderly. Rural elderly; rural women in particular, need to be paid more attention and acquire more health care.

scholarly journals Disparity of the Chinese elderly’s health-related quality of life between urban and rural areas: a mediation analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024080 ◽  
Author(s):  
Xinyi You ◽  
Yali Zhang ◽  
Jinfeng Zeng ◽  
Congju Wang ◽  
Hongpeng Sun ◽  
...  
Keyword(s):  
Rural Areas ◽  
Health Related Quality ◽  
Mediating Effects ◽  
Mediation Analyses ◽  
Frequency Of Contact ◽  
Related Quality ◽  
Health Related ◽  
Urban Rural ◽  
The Relationship

ObjectivesThis study aimed to examine the urban–rural disparity in health-related quality of life (HRQoL) of the Chinese elderly and to explore the mediating roles of socioeconomic status (SES) and frequency of contact with children in the relationship between urban/rural areas and HRQoL.MethodsThis cross-sectional study used data from China Health and Retirement Longitudinal Study for 2015–2016, involving 12 369 Chinese aged 45 years and over. HRQoL of respondents was measured by three-level EuroQol five dimensions (EQ-5D-3L). SES, based on principal components analysis, was combined by the individual possessions of durable consumer goods and houses. Frequency of contact with children was derived from the responses to whether they live with children and how often they contact with them. Mediation analyses were performed to examine the mediating effects of SES and frequency of contact in the relationship between urban/rural areas and HRQoL.ResultsUrban respondents had higher scores of HRQoL than rural respondents (p<0.05). As SES and frequency of contact with children increased, the scores of HRQoL of the elderly went up as well. Mediation analyses proved the possible mediating effects of SES and frequency of contact in the relationship between urban/rural areas and HRQoL (0.0713 and 0.0064). The indirect effects induced by SES and frequency of contact were 65.45% and 5.90%, respectively.ConclusionsThere was a significant difference in HRQoL between urban and rural middle-aged and elderly participants, which was partially mediated by urban–rural disparities in SES and frequency of contact with children. Higher SES and frequency of contact with children contributed to higher health status in the Chinese elderly.

scholarly journals Urban-Rural Disparities in Dental Services Utilization Among Adults in China's Megacities

2021 ◽  
Vol 2 ◽  
Author(s):  
Xiang Qi ◽  
Xiaomin Qu ◽  
Bei Wu
Keyword(s):  
Dental Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Living Arrangement ◽  
Place Of Residence ◽  
Dental Services ◽  
Services Utilization ◽  
Urban Rural ◽  
Dental Services Utilization ◽  
Urban And Rural Areas

Objective: China's dental care system is bifurcated between urban and rural areas. However, very few studies have examined the dental services utilization inequities in China's megacities, particularly in these urban and rural areas. This study aims to examine the urban-rural disparities in dental services utilization among adults living in China's megacities based on the Andersen dental services utilization model.Methods: This study used data from 4,049 residents aged 18–65 who participated in the “2019 New Era and Living Conditions in Megacities Survey.” Multivariate logistic regressions were employed to examine the associations between place of residence and dental services utilization for individuals from ten megacities in China. Predisposing variables (age, gender, marital status, living arrangement, and education), enabling variables (socioeconomic status, occupational status, income, insurance coverage, health attitude, and health behavior), and need variables (self-rated health, oral health status, gum bleeding) were controlled for.Results: The mean age of the 4,049 adults was 45.2 (standard deviation = 13.0), and 30.4% (n = 1,232) had no dental visits at all. Adults who resided in urban areas were more likely to use dental services [odds ratio (OR) = 1.57, 95% confidence interval (CI) = 1.30 to 1.91] than those residing in rural areas after controlling for key covariates. Factors associated with higher odds of visiting dentists include having a higher income (OR = 1.44, P &lt; 0.001), higher education level (OR = 1.53, P = 0.042), being covered by insurance for urban residents/employees (OR = 1.49, P = 0.031), having a positive attitude toward healthy diets (OR = 1.43, P &lt; 0.001), attending regular physical examination (OR = 1.66, P &lt; 0.001), having more tooth loss (OR = 1.05, P &lt; 0.001), and having frequent gum bleeding (OR = 2.29, P &lt; 0.001).Conclusion: The findings confirm that place of residence is associated with dental services utilization while adjusting for key covariates. Despite rapid economic development in China, many adults had never visited dentists at all. More efforts should be taken to encourage widespread dental care, such as providing more dental coverage and better access to dental care services.

scholarly journals The Great Migration and the Urban-Rural Divide: Lonely Life Expectancy in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 37-38
Author(s):  
Xueqing Wang ◽  
James Raymo
Keyword(s):  
Life Expectancy ◽  
Rural Areas ◽  
Large Population ◽  
Well Being ◽  
Older Men ◽  
Remaining Life ◽  
Men And Women ◽  
Left Behind ◽  
Urban Rural ◽  
Older Men And Women

Abstract After decades of below replacement fertility, China is now experiencing rapid population aging and the lives of the growing older population are being shaped by massive social and economic change. Of particular importance, is the large-scale migration of working-age adults from rural areas to large cities in search of job opportunities. The departure of migrants from their rural hometowns has resulted in a large population of left-behind older men and women. This distinctively Chinese demographic phenomenon has spurred scholarly interest in the emotional well-being of this older left-behind population, but careful demographic description of aging, migration, grandparenting, and loneliness has yet to be conducted. We bridge this gap by describing the average remaining life spent lonely by older men and women in China. We use Sullivan’s method to calculate lonely life expectancy by urban/rural residence and by the migration status of adult children (as proxied by the presence or absence of coresiding children). We use data from the Harmonized version of the Chinese Health and Retirement Longitudinal Study and focus the analysis on adults aged 55-100. Preliminary results show that, at age 55, women on average spend 9% more of remaining life lonely than men and that rural men and women spend more of their remaining life lonely than their urban counterparts. We will extend these life table analyses by conducting multivariate analyses of the correlates of loneliness in urban and rural China to better understand the role of migration and grandparenting responsibilities.

scholarly journals Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

2020 ◽  
Vol 17 (16) ◽  
pp. 5665 ◽  
Author(s):  
Yuhang Wu ◽  
Huilie Zheng ◽  
Zhitao Liu ◽  
Shengwei Wang ◽  
Yong Liu ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
The Elderly ◽  
Jiangxi Province ◽  
Urban Men ◽  
Urban Rural ◽  
The Government ◽  
Urban And Rural Areas

Objective: To estimate and compare the dementia-free life expectancy (DemFLE) and age trends of the population over 60 in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: Based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. DemFLE and its ratio to life expectancy (LE) were calculated using the Sullivan method. Results: In 2018, the DemFLE at age 60 was 18.48 years for men and 21.31 years for women, accounting for 96.62% and 96.67% of their LE. LE and DemFLE were higher for those in urban areas than in rural areas, except for men aged 90 and above; higher in women than in men, except for people in rural areas aged 90 and above. In urban areas, DemFLE/LE was higher for women than for men; the opposite was observed in rural areas. Urban women had a higher DemFLE/LE than rural women did, urban men had a lower DemFLE/LE than rural men did. Conclusions: With increased LE, DemFLE also increases, but with older age and over time, DemFLE/LE gradually decreases. The effect of dementia on elderly adults becomes more serious. It is necessary for the government to implement a series of prevention strategies to improve the quality of life and health awareness of the elderly. Elderly urban men and elderly rural women need more attention and health care.

scholarly journals Rural and Urban Disparities of Scheduled Caste Population: A Study with Special Reference to Viluppuram District, Tamil Nadu

2020 ◽  
Vol 16 ◽  
pp. 13-32
Author(s):  
Dr. A. RANJITHKUMAR
Keyword(s):  
Sex Ratio ◽  
Rural Areas ◽  
Urban Areas ◽  
Tamil Nadu ◽  
Participation Rate ◽  
Work Participation ◽  
Literacy Rate ◽  
Rural And Urban ◽  
Urban Rural ◽  
Males And Females

The scheduled caste population is being deprived segment of the population. It is necessary to see its progress in terms of demographic and socio-economic conditions to improve it with the help of existing and innovative programs available with the government and the voluntary organizations so that social and economic equality efforts could be made possible. The percentage of scheduled caste population and the other demographic characteristics such as sex ratio, literacy rate, and work participation rate of Tamil Nadu seem to be desirably high as compared to the national averages of the same. It is found that among 32 districts of Tamil Nadu, Thiruvalluvar district tops with 34 % of scheduled caste population, Tirunelveli tops in sex ratio in total and rural areas, Kanniyakumari tops in literacy rate in total, rural, urban among both males and females, Tiruppur tops in work participation rate both rural and urban areas and more or less among both males and females. Karur district has more male-female differences and Coimbatore district has more urban-rural differences in literacy rate. Chennai district accounts for more male-female differences and Kanniyakumari accounts for the more urban-rural difference in the work participation rate. It may be suggested that the District, which has more proportion of scheduled caste population with low sex ratio both in total and child populations and high gender and residential differences in literacy rate and works participation rate may be more concentrated with suitable awareness and reformative social welfare measures.

scholarly journals The Lag Effect of Long-Term Exposure to PM2.5 on Esophageal Cancer in Urban-Rural Areas Across China

2021 ◽  
Author(s):  
peng li ◽  
Xiya Guo ◽  
Jing Jing ◽  
Wenbiao Hu ◽  
Wen-Qiang Wei ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Concern ◽  
Lag Effects ◽  
Pm 2.5 ◽  
Urban Rural ◽  
Males And Females ◽  
Specific Association

Abstract Long-term exposure to PM 2.5 pollution is a significant health concern and increases risks for cancers in China. However, the studies regarding the effect of PM 2.5 and esophageal cancer incidence (ECI) among urban-rural areas are limited. In this study, we examined the sex- and area-specific association between long-term exposure to PM 2.5 and ECI, as well as explored the corresponding lag effects on ECI using a geographical weighted Poisson regression. We found that each 10 ug/m 3 PM 2.5 caused ECI risk increases of 1.22% (95% CI: 1.09%, 1.36%) and 1.90% (95% CI: 1.66%, 2.14%) for males and females after covariates controlled, respectively, during the study period. Moreover, the higher 0.17% and 0.64% incidence risks for males and females in rural areas than urban areas, as well as a larger lag period in rural areas, respectively. In addition, higher risks for both sexes appeared in north, northwestern, and east China. The findings indicated that long-term exposure to PM 2.5 was significantly associated with increased risks for ECI, which reinforce a comprehensive understanding for ECI related to PM 2.5.

scholarly journals Depression and Anxiety-Free Life Expectancy by Sex and Urban–Rural Areas in Jiangxi, China in 2013 and 2018

2021 ◽  
Vol 18 (4) ◽  
pp. 1991
Author(s):  
Yuhang Wu ◽  
Huilie Zheng ◽  
Zhitao Liu ◽  
Shengwei Wang ◽  
Xiaoyun Chen ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Rural Areas ◽  
Urban Areas ◽  
Jiangxi Province ◽  
Depression And Anxiety ◽  
The Public ◽  
Urban Men ◽  
Estimate Life Expectancy ◽  
Urban Rural ◽  
The Government

Objective: To quantitatively estimate life expectancy (LE) and depression and anxiety-free life expectancy (DAFLE) for the years 2013 and 2018 in Jiangxi Province, China, by sex and urban–rural areas. Additionally, to compare the discrepancy of DAFLE/LE of different sexes and urban-rural areas over various years. Methods: Based on the summary of the health statistics of Jiangxi Province in 2013 and 2018 and the results of the 5th and 6th National Health Service Surveys in Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. Sullivan’s method was used to calculate DAFLE. Results: Data from 2013 indicate that those aged 15 can expect to live 56.20 years without depression and anxiety for men and 59.67 years without depression and anxiety for women. Compared to 2013, DAFLE had not fluctuated significantly in 2018. The proportion of life expectancy without depression and anxiety (DAFLE/LE) declined between 2013 and 2018. DAFLE/LE in urban areas was higher than in rural areas. Men had higher DAFLE/LE than women. From 2013 to 2018, the DAFLE aged 15 decreased by 0.18 years for urban men and decreased by 0.52 years for urban women, rural areas also decreased to varying degrees. Conclusions: Even if women had a longer life span than men, they would spend more time with depression or anxiety. DAFLE did not increase with the increase in LE from 2013 to 2018, suggesting an absolute expansion of the burden, especially in rural areas. Depression and anxiety health services in Jiangxi, China will face more serious obstacles and challenges, which may lead to more disability. This requires more attention and more effective measures from the public, medical departments and the government.

Socio-Economic Characteristics of Immigrants in Western Greece Region: Urban – Rural Continuum or Divide?

2006 ◽  
Vol 3 (2) ◽  
pp. 91-105 ◽  
Author(s):  
Theodoros Iosifides ◽  
Thanasis Kizos ◽  
Elektra Petracou ◽  
Ekaterini Malliotaki ◽  
Konstantina Katsimantou ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Centers ◽  
Spatial Factors ◽  
Limited Role ◽  
Urban Rural ◽  
Of Greece ◽  
Western Greece

This paper aims at an investigation of factors of differentiation of basic social and economic characteristics of foreign immigrants in the Region of Western Greece. The paper explores whether the thesis of urban-rural divide is relevant for the differentiation of immigrants’ socio-economic characteristics in a typical Region of Greece, where there is a strong interplay between major urban centers and large rural areas. Findings show that spatial factors play a very limited role in the differentiation of socio-economic characteristics of immigrants and indicate that other factors are more important. Thus, and as regards socio-economic characteristics of immigrants, the overall picture is that of urban-rural continuum rather than divide. 

An Analysis of Consumption Pattern in Pakistan

1982 ◽  
Vol 21 (4) ◽  
pp. 275-296 ◽  
Author(s):  
Rehana Siddiqui
Keyword(s):  
Growth Rates ◽  
Rural Areas ◽  
Household Size ◽  
Consumption Pattern ◽  
Total Expenditure ◽  
Demand Growth ◽  
Food Items ◽  
Urban Rural ◽  
Urban And Rural Areas

The paper aims at testing the validity of Engel's law with data on Pakistan. Consumption functions for urban and rural areas have been estimated separately. These functions are shown to be determined by total expenditure and household size. Engel's law is confirmed for some commodity groups but not for all. Following tests of urban-rural homogeneity and of stability of urban and rural consumption functions, demand growth rates for different food and non-food items have been calculated, assuming different growth rates of total expenditure and household size.

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