scholarly journals The Impact of the Covid-19 Epidemic on Older Adults in Rural and Urban Areas in Mexico

2020 ◽  
Author(s):  
Maricruz Rivera-Hernandez ◽  
Nasim B Ferdows ◽  
Amit Kumar
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Access To Health Care ◽  
Health Care Services ◽  
Negative Binomial ◽  
Absolute Difference ◽  
Rural And Urban ◽  
The Impact

Abstract Objectives Mexico is among the countries in Latin America hit hardest by COVID-19. A large proportion of older adults in Mexico have high prevalence of multimorbidity and live in poverty with limited access to health care services. These statistics are even higher among adults living in rural areas, which suggests that older adults in rural communities may be more susceptible to COVID-19. The objectives of the article were to compare clinical and demographic characteristics for people diagnosed with COVID-19 by age group, and to describe cases and mortality in rural and urban communities. Methods We linked publicly available from the Mexican Ministry of Health and the Census. Municipalities were classified based on population as rural (<2500), semi-rural (≥ 2,500 and <15,000), semi-urban (≥15,000 and <100,000) and urban (≥100,000). Zero-inflated negative binomial models were performed to calculate the total number of COVID-19 cases, and deaths per 1,000,000 persons using the population of each municipality as a denominator. Results Older adults were more likely to be hospitalized and reported severe cases, with higher mortality rates. In addition, rural municipalities reported a higher number of COVID-19 cases and mortality related to COVID-19 per million than urban municipalities. The adjusted absolute difference in COVID-19 cases was 912.7 per million (95% Confidence Interval (CI),79.0 – 1746.4) and mortality related to COVID-19 was 390.6 per million (95% CI, 204.5 – 576.7). Discussion Urgent policy efforts are needed to mandate the use of face masks and encourage handwashing, and improve specialty care for Mexicans in rural areas.

scholarly journals The Impact of IT Development on Rural Communities 1n Korea

2009 ◽  
Vol 10 (1) ◽  
pp. 99-115
Author(s):  
Junghoon Moon ◽  
Joowon Park ◽  
Gu Hyun Jung ◽  
Young Chan Choe
Keyword(s):  
Rural Communities ◽  
Digital Divide ◽  
Rural Areas ◽  
Urban Areas ◽  
Perceived Usefulness ◽  
Urban Migration ◽  
Rural Residents ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
The Impact

The Internet has brought massive changes to human lives. Among the various positive and negative influences are the rural-urban digital divide, which refers to the information technology gap between rural and urban areas. The Korean government has made several effortS to close this digital divide. The main goal of this study is to identify how the personal and social lives of rural residents are affected by IT development in rural areas, and how the residents perceive the effect of IT development. To accomplish this goal, a survey research was conducted. A questionnaire was developed based on the current body of literature, and used to collect data. The questionnaire was distributed to rural residents in Korea and 272 responses our of a total of 300 collected were usable. Regression analysis methods were used for the analysis. On the analysis where the IT development index was used as an independent variable, positive relationships were found between the independent variables and some dependent variables such as perceived usefulness for jobs, IT usage skills, and tendencies of rural to urban migration. Findings show that rural residents are worried that IT development in rural areas may cause job loss in their respective communities, and decrease social interaction. However, positive perceptions were also apparent, as participants believed IT is useful for communications within the community, as well as better education and medical services.

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

scholarly journals The Gendered Path for Girls in Rural Communities: The Impact of COVID-19 on Youth Presenting at Juvenile Detention Facilities

2021 ◽  
pp. 001112872110226
Author(s):  
April N. Terry ◽  
Ashley Lockwood ◽  
Morgan Steele ◽  
Megan Milner
Keyword(s):  
Criminal Justice ◽  
Rural Communities ◽  
Juvenile Justice ◽  
Urban Areas ◽  
Juvenile Detention ◽  
Rural And Urban ◽  
Criminal Justice Systems ◽  
Court Processing ◽  
The Impact ◽  
Detention Facilities

Prior to the COVID-19 pandemic, girls and women represented one of the fastest growing populations within the juvenile and criminal justice systems. Since the spread of COVID-19, suggestions were provided to juvenile justice bodies, encouraging a reduction of youth arrests, detainments, and quicker court processing. Yet, the research comparing peri-COVID-19 changes for girls and boys is lacking, with an oversight to gender trends and rural and urban differences. This study used Juvenile Intake and Assessment Center (JIAC) data from a rural Midwestern state to look at rural and urban location trends for both boys and girls. Results suggest rural communities are responding differently to girls’ behaviors, revealing a slower decline in intakes compared to boys and youth in urban areas.

ASSESSMENT OF IMMUNIZATION OF UNDER FIVE CHILDREN OF RURAL AND URBAN AREAS OF UDAIPUR DISTRICT, RAJASTHAN

2021 ◽  
pp. 5-6
Author(s):  
Ganesh Salvi ◽  
Maitri Hathi
Keyword(s):  
Economic Development ◽  
Health Education ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Groups ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Socio Economic Development ◽  
Level Of Knowledge ◽  
The Impact

Background: The impact of immunization is not uniform in different social groups till today despite of EPI since long. Current study was held to assess the level of knowledge and actual practice of immunization by mothers of under ve children in a rural and urban belt of Udaipur district. A cross sect Methods: ional study was conducted in blocks Binder, Badgav, Ladiya , Kotra, Girva and Salumber of Udaipur district. Randomly 400 families (200 urban, 200 rural) were selected. Ample health education should be given to parents residing in rural areas to rai Result and conclusion: se their knowledge regarding immunization. In rural areas anganwadi workers, ASHA etc should play a signicant role in bringing awareness about immunization and their benets. The group based approach, frequent camps would be more rewarding compared to area approach due to poor socio-economic development of marginalized group likes rural area for programmes like immunization of children.

Access to cataract services in selected rural communities in South Africa

2019 ◽  
Author(s):  
Lunic Base Khoza ◽  
Wilfred Njabulo Nunu ◽  
Bumani Solomon Manganye ◽  
Pfungwa Mambanga ◽  
Shonisani Tshivhase ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Services ◽  
Secondary Data ◽  
Demographic Characteristics ◽  
Outcome Variable ◽  
Patient Records

Abstract Background Despite government efforts to improve access to health care services through the re-engineered Primary Health Care and National Health insurance platform, access still remain a challenge particularly in rural areas. The aim of this study was to analyse secondary data on cataract patients who were attended to in selected hospitals in rural Limpopo of South Africa. Methodology A cross section survey was conducted on 411 patient records from five selected hospitals in Vhembe district. A pre tested structured checklist was used to guide retrieval of variables from patient records. The collected data was entered into excel spreadsheet, cleaned and imported into Statistical Package for Social Sciences version 26 for analysis. Proportions of demographic characteristics were presented and these were cross tabulated with the outcome variable “success of operation” using Chi Squared tests. Results Findings point out that majority of patients who attended hospital for eye services were aged 65 years above and females (63%). There was no association between the tested demographic characteristics and the outcome variable. Most patients were diagnosed in the period 2015-2018 (60%). Over 90% of those that were operated had successful operations. Of the remaining 10% that had unsuccessful operations, 30% cited complications as being the reason why these operations were unsuccessful. Conclusions It is evident from the findings that cataract services offered in rural areas have low impact as they are not accessible to the patient. It is critical to have a worker retention strategy to retain experts.

ICT-Supported Education for Sustainable Development of South Korean Rural Communities

2012 ◽  
pp. 769-785
Author(s):  
K. P. Joo
Keyword(s):  
Adult Education ◽  
Rural Communities ◽  
South Korea ◽  
Rural Areas ◽  
Urban Areas ◽  
The South ◽  
Social Challenges ◽  
Rural And Urban Areas ◽  
South Korean ◽  
Rural And Urban

The rural communities in South Korea have faced serious challenges as the country has gradually opened the agricultural market and extended the conclusion of Free Trade Agreement with more and more countries. Moreover, due to the national socio-economic and political structures, South Korea has been undergoing the technological imbalance between rural and urban areas. In order to cope with these vital social challenges, the South Korean government has exerted considerable investment and effort in establishing ICT knowledge and skills as well as infrastructure in rural areas. Thus, conceptualizing ICT in the context of adult education, this chapter addresses three ICT-supported adult education programs oriented toward developing ICT skills and competencies of people in agricultural areas of South Korea. The South Korean cases of agricultural ICT education represent the vast and concentrated national efforts in integrating ICT across rural areas in this fast changing global situation.

scholarly journals Socioeconomic status and survival among older adults with dementia and depression

2014 ◽  
Vol 204 (6) ◽  
pp. 436-440 ◽  
Author(s):  
Ruoling Chen ◽  
Zhi Hu ◽  
Li Wei ◽  
Kenneth Wilson
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Urban Areas ◽  
Computer Assisted ◽  
Late Life Depression ◽  
People With Dementia ◽  
Risk Of Mortality ◽  
The Impact

BackgroundPeople from lower socioeconomic groups have a higher risk of mortality. The impact of low socioeconomic status on survival among older adults with dementia and depression remains unclear.AimsTo investigate the association between socioeconomic status and mortality in people with dementia and late-life depression in China.MethodUsing Geriatric Mental Status – Automated Geriatric Examination for Computer Assisted Taxonomy (GMS-AGECAT) we interviewed 2978 people aged ⩾60 years in Anhui, China. We characterised baseline socioeconomic status and risk factors and diagnosed 223 people with dementia and 128 with depression. All-cause mortality was followed up over 5.6 years.ResultsIndividuals with dementia living in rural areas had a three times greater risk of mortality (multivariate adjusted hazard ratio (HR) = 2.96, 95% CI 1.45–6.04) than those in urban areas, and for those with depression the HR was 4.15 (95% CI 1.59–10.83). There were similar mortality rates when comparing people with dementia with lowv.high levels of education, occupation and income, but individuals with depression with lowv.high levels had non-significant increases in mortality of 11%, 50% and 55% respectively.ConclusionsOlder adults with dementia and depression living in rural China had a significantly higher risk of mortality than urban counterparts. Interventions should be implemented in rural areas to tackle survival inequality in dementia and depression.

scholarly journals Pengelolaan Dana Desa di Kecamatan Balong Kabupaten Ponorogo

2019 ◽  
Vol 7 (1) ◽  
pp. 63
Author(s):  
Maretha Berlianantiya Muhammad Ridwan Eka Wardani
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Poverty Reduction ◽  
Agricultural Sector ◽  
Rural Poverty ◽  
Infrastructure Development ◽  
The Impact ◽  
The Village

<p><em>Poverty often occurs in rural areas rather than urban areas, low education which results in low quality of human resources and lack of access is often the cause of rural poverty. In addition, most of the economies of rural communities rely solely on the traditional agricultural sector. Various poverty reduction policies have been implemented, including village fund policies. This study aims to examine the management of village funds in the Balong sub-district of Madiun Regency with a case study in the villages of Tatung and Karangmojo villages covering the management of village funds in Tatung village and Karangmojo village. Balong Subdistrict and the impact of empowerment in the villages of Tatung and Karangmojo, Balong District. This research was conducted in Balong Subdistrict, Ponorogo Regency with a Case study in Tatung Village and Karangmojo Village with qualitative methods. In the village of Tatung village funds are managed as tourist villages with a focus on Paragliding tourist rides. Whereas in Karangmojo village it is used for Bumdes in the form of Lovebird birds, providing Gapoktan assistance, and infrastructure development.</em></p>

Tantalus and the Tyranny of Territory: Pursuing the dream of parity in rural and metropolitan population health outcomes through primary health care programs

2004 ◽  
Vol 10 (3) ◽  
pp. 83 ◽  
Author(s):  
Peter Harvey
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Communities ◽  
Health Outcomes ◽  
Rural Health ◽  
Rural Areas ◽  
Access To Health Care ◽  
Fundamental Problem ◽  
Primary Health ◽  
Rural And Urban

Many health professionals and rural health academics are motivated by the challenge of achieving equitable access to health care in rural communities with the implicit vision that fairer access to services might ultimately lead to more equitable health outcomes for people living in rural and remote settings. The purpose of this paper is to put the issue of rural and urban health outcome parity into perspective and assess recent progress towards achieving the ultimate goal of improving rural health status. I will also explore ways in which rural communities might increase their access to and use of primary health care revenue in the future to improve community health outcomes. While some improvements have been achieved across the rural health system in recent times, the fundamental problem of maintaining infrastructure to service community needs in rural areas remains as daunting as ever. Extensive evidence has now been assembled to show that rural people generally enjoy a much lower standard of health care, health outcomes and life expectancy than their urban cousins. The question underlying all of this evidence, however, is... must this always be so? Is it possible to redress the current inequities between rural and urban populations and could new primary health care initiatives, such as the Enhanced Primary Care (EPC) program, be vehicles for achieving more equitable health care arrangements and health outcomes for people living in rural communities?

scholarly journals Age-Friendly Online Training Programs for Long-Term Services and Supports Staff to Improve Care for Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 532-532
Author(s):  
Linda Edelman ◽  
Kara Dassel
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Online Training ◽  
Team Leadership ◽  
Educational Opportunities ◽  
Opioid Use ◽  
Term Care

Abstract The purpose of our Geriatric Workforce Enhancement Program is to provide geriatric and primary care education and training to long-term care (LTC) providers and staff, health professions students and community members. Our LTC partners and the communities we serve are often very rural and travel to urban areas for training can be difficult. Therefore, we have developed four online training that are offered free to our partners and rural communities statewide. These programs are designed to integrate the aims of the Age-Friendly 4M’s model (i.e., What Matters, Mobility, Medication, Mentation). The LTC nurse residency program provides gerontological nursing and inter-professional leadership training (all 4M’s), in a synchronous online environment. The asynchronous Alzheimer’s Disease and Related Dementias training modules educate LTC staff and family caregivers about types, diagnosis and care of older adults with dementia (Mentation and Medication). The asynchronous Opioid Use in LTC modules were developed with partners to deliver live at LTC staff trainings about opioid stewardship (Medication). The LTC Learning Communities are monthly tele-health sessions for inter-professional LTC teams to discuss current issues and propose solutions (all 4M’s). We have successfully leveraged different synchronous and asynchronous online modalities to increase educational opportunities for formal and informal caregivers, including those in rural areas whose educational opportunities are geographically limited. To date our programs have reached over 500 individuals across our state, increasing knowledge about geriatric concepts, communication and team leadership. Moving forward, we will continue to develop and refine educational programs that promote the Age-Friendly geriatric-focused health care.

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