scholarly journals The unequal impact of the COVID-19 pandemic on life expectancy across Chile

Author(s):  
Gonzalo E Mena ◽  
Jose Manuel Aburto

Objectives: To quantify the effect of the COVID-19 pandemic on life expectancy in Chile categorized by rural and urban, and to correlate life expectancy changes with socioeconomic factors at the municipal level. Design: Retrospective cross-sectional demographic analysis using aggregated data. Setting: Vital and demographic statistics from the national institute of statistics and department of vital statistics of ministry of health. Participants: Aggregated national all-cause death data stratified by year (2000-2020), sex, and municipality. Main Outcome measures: Stratified mortality rates using a Bayesian methodology. With this, we assessed the unequal impact of the pandemic in 2020 on life expectancy across Chilean municipalities for men and women and analyzed previous mortality trends since 2010. Results: Life expectancy declined for both men and women in 2020. Urban areas were the most affected, with males losing 1.89 and females 1.33 in 2020. The strength of the decline in life expectancy correlated with indicators of social deprivation and poverty. Also, inequality in life expectancy between municipalities increased, largely due to excess mortality among the working-age population in socially disadvantaged municipalities. Conclusions: Not only do people in poorer areas live shorter lives, they also have been substantially more affected by the COVID-19 pandemic, leading to increased population health inequalities. Quantifying the impact of the COVID-19 pandemic on life expectancy provides a more comprehensive picture of the toll.

2018 ◽  
Vol 5 (2) ◽  
pp. 9-17
Author(s):  
Harikishni Harikishni

This study has been undertaken (i) to examine the extent of disagreements in the perceptions of children and their mothers about the influence exerted by children in family buying decisions; (ii) to evaluate the impact of child’s gender on the agreement in the perceptions of children and their mothers about the influence exerted by children in family buying decisions. A cross-sectional survey method was carried out with “structured non-disguised” questionnaires to collect the primary data from 400 families residing in rural and urban areas of Delhi, capital of India. Children’s influence across stages of decision making process was measured by using an eleven-item scale developed by Talpade and Talpade (1995). The primary data are analyzed and interpreted with the help of statistical tools such as means, standard deviation, and paired t-test by using SPSS (version 16). Descriptive analysis has also been used to support the results of statistical analysis. The analysis results indicate that disagreements exists in the perceptions of children and their mothers about the influence exerted by children in Indian family buying decisions irrespective of child’s gender. The analysis results, thus, supported all the hypotheses exceptH3 (a/b).


2013 ◽  
Vol 27 (2) ◽  
pp. 115-130 ◽  
Author(s):  
O. Ed Reitz ◽  
MyoungJin Kim

This study examined the measurement equivalency (ME) of the job embeddedness (JE) instrument for rural and urban registered nurses (RNs) using a secondary analysis of a cross-sectional mailed survey. JE represents the sum of reasons an employee remains at the present job. RNs from both rural and urban areas returned a 40-item JE instrument designed to assess their level of embeddedness. Analysis was performed using a multi-group confirmatory factor analysis for JE ratings of rural and urban RNs. The findings indicated that the original 40-item JE instrument needed to be respecified to achieve adequate fit for the sample of rural and urban RNs. This 32-item respecified instrument demonstrated that rural and urban RNs use the same metric when giving ratings for JE items. The findings of ME across rural and urban RNs facilitate comparisons between the two groups. The implications of these findings are that differences in ratings between rural and urban RNs may be attributed to real differences and not merely measurement artifact. Examination of these differences may lead to real strategies to retain nurses, thus mitigating the impact of the global nursing shortage.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Małgorzata Lesińska-Sawicka

Abstract Introduction Cervical cancer and its etiopathogenesis, the age of women in whom it is diagnosed, average life expectancy, and prognosis are information widely covered in scientific reports. However, there is no coherent information regarding which regions—urban or rural—it may occur more often. This is important because the literature on the subject reports that people living in rural areas have a worse prognosis when it comes to detection, treatment, and life expectancy than city dwellers. Material and methods The subjects of the study were women and their knowledge about cervical cancer. The research was carried out using a survey directly distributed among respondents and via the Internet, portals, and discussion groups for women from Poland. Three hundred twenty-nine women took part in the study, including 164 from rural and 165 from urban areas. The collected data enabled the following: (1) an analysis of the studied groups, (2) assessment of the respondents’ knowledge about cervical cancer, and (3) comparison of women’s knowledge depending on where they live. Results The average assessment of all respondents’ knowledge was 3.59, with women living in rural areas scoring 3.18 and respondents from the city—4.01. Statistical significance (p < 0.001) between the level of knowledge and place of residence was determined. The results indicate that an increase in the level of education in the subjects significantly increases the chance of getting the correct answer. In the case of age analysis, the coefficients indicate a decrease in the chance of obtaining the correct answer in older subjects despite the fact that a statistically significant level was reached in individual questions. Conclusions Women living in rural areas have less knowledge of cervical cancer than female respondents from the city. There is a need for more awareness campaigns to provide comprehensive information about cervical cancer to women in rural areas. A holistic approach to the presented issue can solve existing difficulties and barriers to maintaining health regardless of the place of life and residence. Implication for cancer survivors They need intensive care for women’s groups most burdened with risk factors.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042762
Author(s):  
Shuai Yuan ◽  
Shao-Hua Xie

ObjectiveThe substantial differences in socioeconomic and lifestyle exposures between urban and rural areas in China may lead to urban–rural disparity in cancer risk. This study aimed to assess the urban–rural disparity in cancer incidence in China.MethodsUsing data from 36 regional cancer registries in China in 2008–2012, we compared the age-standardised incidence rates of cancer by sex and anatomic site between rural and urban areas. We calculated the rate difference and rate ratio comparing rates in rural versus urban areas by sex and cancer type.ResultsThe incidence rate of all cancers in women was slightly lower in rural areas than in urban areas, but the total cancer rate in men was higher in rural areas than in urban areas. The incidence rates in women were higher in rural areas than in urban areas for cancers of the oesophagus, stomach, and liver and biliary passages, but lower for cancers of thyroid and breast. Men residing in rural areas had higher incidence rates for cancers of the oesophagus, stomach, and liver and biliary passages, but lower rates for prostate cancer, lip, oral cavity and pharynx cancer, and colorectal cancer.ConclusionsOur findings suggest substantial urban–rural disparity in cancer incidence in China, which varies across cancer types and the sexes. Cancer prevention strategies should be tailored for common cancers in rural and urban areas.


2021 ◽  
pp. 001112872110226
Author(s):  
April N. Terry ◽  
Ashley Lockwood ◽  
Morgan Steele ◽  
Megan Milner

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.


2021 ◽  
Vol 8 (32) ◽  
pp. 2938-2942
Author(s):  
Ganga Raju Godasi ◽  
Abdul Salaam Mohammed ◽  
Raj Kiran Donthu ◽  
Jaya Prakash Nunna

BACKGROUND COVID-19 is a novel disease caused by Coronavirus. It was declared a pandemic by WHO in March 2020. To reduce the impact of the disease lockdown was imposed by various governments. This has a psychological impact on various groups of people. Schoolteachers are no less affected. There is scarcity in our understanding of the psychological impact among schoolteachers. This study is an attempt to understand the psychological impact among schoolteachers. We wanted to study the psychological impact of the COVID-19 pandemic on schoolteachers. METHODS The study was a cross-sectional one and conducted using online Google forms. A total of seventy-nine schoolteachers were included in the study analysis. The data were analysed using R language; nonparametric tests like Mann Whitney U and Kruskal Wallis test were used. The data obtained were tabulated and discussed. RESULTS Nearly half the sample belongs to 46 to 55 years, males constitute 57 %, majority of the participants were married, there was an equal distribution from a rural and urban background and teachers working in Government setup were 86 %. Females had significantly higher levels of depression and stress. Married had significantly higher levels of depression. Moderate to severe levels of depression, anxiety and stress were seen in 2.6 %, 10 %, and 2.5 % of the participants. CONCLUSIONS The study has found an increase in psychological impact among the schoolteachers. But the reported increase is less than that observed during the peak of the pandemic. Females have more depression and stress compared to males. KEYWORDS COVID-19, Mental Disorders, Pandemic, Schoolteachers


2019 ◽  
Vol 1 (38) ◽  
pp. 191
Author(s):  
Mieczysław Dudek ◽  
Eva Dolinská ◽  
Vladimir Klein ◽  
Viera Šilonová

<p>Family and emotional relationships governing its functioning have a great influence upon the development of a person and his/her adult life. The specificity of a family environment is believed to be the key factor which either protects against, or contributes to, the emergence of developmental disorders during adolescence. Research results<br />presented in this paper aim at highlighting the relationships between traits of family environment and children’s anxiety level. The research was conducted from 2015 to 2016 among 180 students of Polish junior high schools located in both: rural and urban areas.</p><p> Šeima ir emociniai ryšiai daro didelę įtaką vaiko raidai ir suaugusiojo gyvenimui. Manoma, kad šeimos aplinkos specifika yra esminis veiksnys, kuris arba apsaugo nuo vystymosi sutrikimų paauglystės laikotarpiu atsiradimo, arba juos sukelia. Straipsnyje pateikiami tyrimų rezultatai siekia pabrėžti ryšį tarp šeimos aplinkos ypatybių ir vaikų nerimo lygio. Tyrimas buvo atliekamas 2015 m., apklausiant 180 Lenkijos aukštesniųjų<br />klasių mokinių iš kaimiškųjų vietovių ir miestų</p>


2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.


2020 ◽  
Author(s):  
Jianli Hu ◽  
Xiaoqing Cheng ◽  
Li Luo ◽  
Zeyu Zhao ◽  
Nan Zhang ◽  
...  

Abstract Background: With the strength intervention of China, the outbreak of Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2) had a great control effect. The measures may influence the development and progression of others infectious diseases.Method: The data of daily coronavirus virus disease 2019 (COVID-19) confirmed cases from January 3, 2020 to April 30, 2020 and natural focal disease cases from January, 2005 to April, 2020 were collected from Jiangsu Provincial Center for Disease Control and Prevention (Jiangsu Provincial CDC). We describe and compare the data of natural focal diseases from January to April, 2020 with the same months from 2015 to 2019 in the four aspects: trend of incidence, regional, age and sex distribution. Nonparametric tests were used to analyzed to the difference between the duration from onset of illness to date of diagnosis of natural focal diseases and the same period of the previous year. Results: The incidence of malaria in February (0.9 per 10,000,000 people), March (0.3 per 10,000,000 people) and April (0.1 per 10,000,000 people) 2020 less than the lower limit for range of February (1.6-4.5 per 10,000,000 people), March (0.8-3.3 per 10,000,000 people) and April (1.0-2.9 per 10,000,000 people) from 2015 to 2019 respectively. The incidence of brucellosis in February was 0.9 (per 10,000,000 people), less than the lower limit for the range from 2015 to 2019 (1.6-4.5 per 10,000,000 people). The incidence of hemorrhagic fever (HF) in March was 1.0 (per 10,000,000 people), less than the lower limit for the range from 2015 to 2019 (1.4-2.6 per 10,000,000 people). However, the incidence of Severe Fever with Thrombocytopenia Syndrome (SEFT) in March was 0.3 (per 10,000,000 people), higher than the upper limit for the range from 2015 to 2019 (0.0-0.1 per 10,000,000 people). Furthermore, we respectively observed the incidence with various degree of reduction in male, 20-60 years old and both rural and urban areas. Conclusions: In Jiangsu province, the incidence of natural focal diseases decreased during the outbreak of COVID-19 in 2020, especially malaria, HF and SEFT. The impact of interventions were felt most by male individuals within the age group of 20-50 years. The interventions for COVID-19 may control the epidemics of natural focal diseases.


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