scholarly journals Determinants of BCG vaccination coverage in Ethiopia: a cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e023634 ◽  
Author(s):  
Asmamaw Ketemaw Tsehay ◽  
Getasew Tadesse Worku ◽  
Yihun Mulugeta Alemu
Keyword(s):  
Vaccination Coverage ◽  
Rural Areas ◽  
Urban Areas ◽  
Wealth Index ◽  
Outcome Variable ◽  
Antenatal Visit ◽  
Sampling Frame ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Bcg Vaccination

ObjectiveThe objective of this study is to assess the determinants of BCG vaccination in Ethiopia from 2016 Ethiopia Demographic and Health Survey (EDHS).SettingSince Ethiopia has nine regional states and two administrative cities, sample was taken from all the divisions. The population-based sample was intended to provide estimates of key indicators for the country.ParticipantThe sampling frame used for the 2016 EDHS is the Ethiopia Population and Housing Census. From 15 683 women recorded in EDHS dataset, women with no child (n=10 379) were excluded from the study. Therefore, the total sample size for this study was 5304 women. The outcome variable was BCG immunisation status of children.ResultOut of the study participants (n=5304), the majority were in between 20 and 34 years of age (73.8%). The median age of the respondents was 28.4 (SD=±6.5) years old. Prevalence of BCG vaccination was 63.6% (n=3373) and BCG vaccination coverage in urban residents was higher (88%) than rural residents (57.3%). Mothers’ age between 20 up to 34 (Adjusted odds ratio (AOR)=1.48; 95% CI: 1.13 to 1.93) and between 35 up to 49 (AOR=1.83; 95% CI: 1.35 to 2.46) were more likely to vaccinate their child’s than those mothers’ age less than 20. Mothers settled in urban areas were two times more likely to vaccinate their child’s than those living in rural areas (AOR=1.94; 95% CI: 1.45 to 2.60). Mothers with greater antenatal visits show higher BCG vaccination, Antenatal Care (ANC) 4 and above (AOR=3.48; 95% CI: 2.91 to 4.15). BCG vaccination is higher for mothers delivered at non-governmental organisation health facility than home (AOR=2.9; 95% CI: 1.69 to 4.96). Maternal occupation and wealth index also had a significant association with BCG vaccination.ConclusionBCG vaccination coverage, in this study, was lower and determinant factors for BCG vaccination were residence, mother’s age, place of delivery, mother’s antenatal visit, wealth index and mother’s occupation.

scholarly journals Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar

2021 ◽  
Vol 18 (6) ◽  
pp. 2818
Author(s):  
Yuri Sasaki ◽  
Yugo Shobugawa ◽  
Ikuma Nozaki ◽  
Daisuke Takagi ◽  
Yuiko Nagamine ◽  
...  
Keyword(s):  
Older Adults ◽  
Middle School ◽  
Depressive Symptoms ◽  
Rural Areas ◽  
Urban Areas ◽  
Depression Scale ◽  
Wealth Index ◽  
School Level ◽  
Cross Sectional ◽  
Middle School Level

The aim of the study was to investigate rural–urban differences in depressive symptoms in terms of the risk factors among older adults of two regions in Myanmar to provide appropriate intervention for depression depending on local characteristics. This cross-sectional study, conducted between September and December, 2018, used a multistage sampling method to recruit participants from the two regions, for face-to-face interviews. Depressive symptoms were assessed using the 15-item version of the Geriatric Depression Scale (GDS). Depressive symptoms were positively associated with living in rural areas (B = 0.42; 95% confidence interval (CI): 0.12,0.72), female (B = 0.55; 95% CI: 0.31,0.79), illness during the preceding year (B = 0.68; 95% CI: 0.45,0.91) and non-Buddhist religion (B = 0.57; 95% CI: 0.001,1.15) and protectively associated with education to middle school level or higher (B = −0.61; 95% CI: −0.94, −0.28) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.30, −0.10). In women in urban areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.78; 95% CI: 0.36, 1.20) and protectively associated with education to middle school level or higher (B = −0.67; 95% CI: −1.23, −0.11), middle or high wealth index (B = −0.92; 95% CI: −1.59, −0.25) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.38, −0.03). In men in rural areas, illness during the preceding year was positively associated with depressive symptoms (B = 0.87; 95% CI: 0.33, 1.42). In women in rural areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.83; 95% CI: 0.36, 1.30) and protectively associated with primary education (B = −0.62; 95% CI: −1.12, −0.12) and the frequency of visits to religious facilities (B = −0.44; 95% CI: −0.68, −0.21). Religion and wealth could have different levels of association with depression between older adults in the urban and rural areas and men and women. Interventions for depression in older adults should consider regional and gender differences in the roles of religion and wealth in Myanmar.

scholarly journals Acute food insecurity and short-term coping strategies of urban and rural households of Bangladesh during the lockdown period of COVID-19 pandemic of 2020: report of a cross-sectional survey

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043365
Author(s):  
Subhasish Das ◽  
Md. Golam Rasul ◽  
Md Shabab Hossain ◽  
Ar-Rafi Khan ◽  
Md Ashraful Alam ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Coping Strategies ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Rural Households ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Insecure Households

IntroductionWe conducted a cross-sectional survey to assess the extent and to identify the determinants of food insecurity and coping strategies in urban and rural households of Bangladesh during the month-long, COVID-19 lockdown period.SettingSelected urban and rural areas of Bangladesh.Participants106 urban and 106 rural households.Outcome variables and methodHousehold food insecurity status and the types of coping strategies were the outcome variables for the analyses. Multinomial logistic regression analyses were done to identify the determinants.ResultsWe found that around 90% of the households were suffering from different grades of food insecurity. Severe food insecurity was higher in urban (42%) than rural (15%) households. The rural households with mild/moderate food insecurity adopted either financial (27%) or both financial and food compromised (32%) coping strategies, but 61% of urban mild/moderate food insecure households applied both forms of coping strategies. Similarly, nearly 90% of severely food insecure households implemented both types of coping strategies. Living in poorest households was significantly associated (p value <0.05) with mild/moderate (regression coefficient, β: 15.13, 95% CI 14.43 to 15.82), and severe food insecurity (β: 16.28, 95% CI 15.58 to 16.97). The statistically significant (p <0.05) determinants of both food compromised and financial coping strategies were living in urban areas (β: 1.8, 95% CI 0.44 to 3.09), living in poorest (β: 2.7, 95% CI 1 to 4.45), poorer (β: 2.6, 95% CI 0.75 to 4.4) and even in the richer (β: 1.6, 95% CI 0.2 to 2.9) households and age of the respondent (β: 0.1, 95% CI 0.02 to 0.21).ConclusionBoth urban and rural households suffered from moderate to severe food insecurity during the month-long lockdown period in Bangladesh. But, poorest, poorer and even the richer households adopted different coping strategies that might result in long-term economic and nutritional consequences.

scholarly journals Career Intentions and Dropout Causes Among Medical Students in Kazakhstan

Medicina ◽  
2013 ◽  
Vol 49 (6) ◽  
pp. 45
Author(s):  
Kamila Faizullina ◽  
Galina Kausova ◽  
Zhanna Kalmataeva ◽  
Ardak Nurbakyt ◽  
Saule Buzdaeva
Keyword(s):  
Medical Students ◽  
Human Resources ◽  
Rural Areas ◽  
Urban Areas ◽  
Human Resources For Health ◽  
Medical Schools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Unequal Distribution ◽  
Survey Tool

Background and Objective. The number of new entrants to higher medical schools of Kazakhstan increased by 1.6 times from 2007 to 2012. However, it is not known how it will affect the shortage of human resources for health. Additionally, human resources for health in rural areas of Kazakhstan are 4 times scarcer than in urban areas. The aim of the present study was to investigate the intentions of students toward their professional future and readiness to work in rural areas, as well as to determine the causes for dropping out from medical schools. Material and Methods. A cross-sectional survey was conducted in 2 medical universities in Almaty during the academic year 2011–2012. The study sample included medical students and interns. In total, 2388 students participated in the survey. The survey tool was an anonymous questionnaire. Results. The students of the first years of studies compared with those of later years of studies were more optimistic about the profession and had more intentions to work in the medical field. Only 8% of the students reported a wish to work in rural localities. On the other hand, 4% of the students did not plan to pursue the profession. On the average, every third medical student dropped out on his/her own request. Conclusions. Associations between intentions to work according to the profession and the year of studies, faculty, and residence area before enrolling in a medical school were documented. The majority of the students who came from rural areas preferred to stay and look for work in a city, which might contribute to an unequal distribution of physicians across the country.

scholarly journals Study of Working Experience in Remote Rural Areas after Medical Graduation

2015 ◽  
Vol 12 (2) ◽  
pp. 121-125
Author(s):  
KR Thapa ◽  
BK Shrestha ◽  
MD Bhattarai
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Sampling Method ◽  
Postgraduate Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Remote Areas ◽  
Convenience Sampling ◽  
A Priority

Background Posting of doctors in remote rural areas has always been a priority for Government; however data are scarce in the country about experience of doctors of working in remote areas after medical graduation.Objective A questionnaire survey of doctors was planned to analyze their experience of working after graduation in remote rural areas in various parts of the country.Method The cross-sectional survey was done by convenience sampling method. A one-page questionnaire with one partially closed-end and five open-end type questions was distributed to the doctors who had worked in remote rural areas after graduation under various governments’ postings.Result Two-third of participants had their home in urban areas and 89.8% had stayed for 1 to 5 years. About half of the participants had difficulty in getting the posting in the remote areas of their choice. Most participants indicated provision of opportunities for Residential (postgraduate) Training as their reasons of going to remote areas as well as their suggestions to encourage young graduates to go there. Similarly most also suggested appropriate career, salary and incentives to encourage doctors to go to work in remote areas. About 85% of participants pointed out the major problem faced while posted in remote areas as difficulty in handling varied situations with no guidance or seniors available around.Conclusion The notable points indicated by the participants are centered on the opportunity for Residential Training and difficulties faced without such training. Residential Training is a priority to be considered while planning the health policy for optimum health care of people.Kathmandu University Medical Journal Vol.12(2) 2014: 121-125

scholarly journals Examining the Dietary Diversity of Children in Niger

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Dietary Diversity ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Child Factors

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.

scholarly journals Socio-economic inequalities in the association between alcohol use disorder and depressive disorder among Thai adults: a population-based study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sawitri Assanangkornchai ◽  
Jiraluck Nontarak ◽  
Wichai Aekplakorn ◽  
Suwat Chariyalertsak ◽  
Pattapong Kessomboon ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Depressive Disorder ◽  
Rural Areas ◽  
Urban Areas ◽  
Alcohol Use Disorder ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Outcome Variable ◽  
Health Examination ◽  
Major Depressive

Abstract Background Previous evidence indicates significant associations between depressive disorders and alcohol use disorder (AUD) and their strong links with social conditions. This study aims to investigate the association between major depressive episode (MDE) and AUD across various socio-economic groups. Methods We analysed data from the 2014 Thai National Health Examination Survey containing a random sample of 13,177 adults aged > 20 years from the general population. The Alcohol Use Disorder Identification Test was used to classify respondents into non-problem drinking (score 0–7), hazardous drinking (score 8–15), and harmful-dependent drinking (score 16–40). MDE was identified using questions based on the DSM-IV. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using multinomial logistic regression to determine the strength of associations between MDE as a predictor and AUD as an outcome variable across different socio-economic levels. Results The prevalence of MDE, hazardous, and harmful-dependent drinking was 2.5, 10.3, and 1.9%, respectively. The association between MDE and AUD was modified by wealth index, education level and area of residence. AORs for the association between MDE and harmful-dependent drinking were high among those in the highest (AOR = 8.68, 95% CI: 5.34, 14.11) and lowest (AOR = 7.14, 95% CI: 3.71, 13.73) levels of wealth index but not significant among those in the middle level (AOR = 1.78, 95% CI: 0.74, 4.25). Education had the strongest effect on the relationship between MDE and harmful-dependent drinking (AOR = 16.0, 95% CI: 10.30, 24.90 among those completing secondary school or higher and AOR = 1.44, 95% CI: 0.63, 3.33 among those completing primary school only). The association between MDE and harmful-dependent drinking was higher among people who lived in urban areas (AOR = 8.50, 95% CI: 5.50, 13.13) compared to those living in rural areas (AOR = 4.73, 95% CI: 3.31, 6.77). Conclusion Socio-economic factors modify the association between alcohol use disorder and major depressive disorder among Thai people.

scholarly journals Standard Precautions Among Emergency Medical Services in Urban and Rural Areas

2019 ◽  
Vol 68 (2) ◽  
pp. 73-80
Author(s):  
Riyadh A. Alhazmi ◽  
R. David Parker ◽  
Sijin Wen
Keyword(s):  
West Virginia ◽  
Emergency Medical Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Medical Services ◽  
Cross Sectional Survey ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Rural And Urban

Backround: Emergency medical services (EMS) workers are at risk of exposure to bloodborne pathogens and frequently exposed to blood and bodily fluids through percutaneous injuries. This study aimed to assess the consistency with which standard precautions (SPs) among rural and urban EMS providers were used. Methods: This study consisted of a cross-sectional survey conducted with a sample of certified EMS providers in West Virginia in which we ascertained details about sociodemographic characteristics, and the frequency of consistent SP. An email invitation was sent to a comprehensive list of agencies obtained from the Office of West Virginia EMS. Findings: A total of 248 out of 522 (47%) EMS providers completed the survey. The majority of the EMS providers (76%) consistently complied with SPs; however, more than one third (38%) of urban EMS providers indicated inconsistent use compared with 19% of rural EMS providers ( p = .002). Most EMS providers reported low prevention practices to exposure of blood and body fluids in both areas. Conclusion/Application to Practice: The results emphasize the need to enhanced safe work practices among EMS providers in both rural and urban areas through education and increasing self-awareness. Occupational health professional in municipalities that serve these workers are instrumental in ensuring these workers are trained and evaluated for their compliance with SPs while in the field.

scholarly journals Socio-economic inequalities in the association between alcohol-use disorder and depressive disorder among Thai adults: a population-based study

2020 ◽  
Author(s):  
Sawitri Assanangkornchai ◽  
Jiraluck Nontarak ◽  
Wichai Aekplakorn ◽  
Suwat Chariyalertsak ◽  
Pattapong Kessomboon ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Depressive Disorder ◽  
Rural Areas ◽  
Urban Areas ◽  
Alcohol Use Disorder ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Outcome Variable ◽  
Health Examination ◽  
Major Depressive

Abstract Background: Previous evidence indicates significant associations between depressive disorders and alcohol use disorder (AUD) and their strong links with social conditions. This study aims to investigate the association between major depressive episode (MDE) and AUD across various socio-economic groups.Methods: We analysed data from the 2014 Thai National Health Examination Survey containing a random sample of 13,177 adults aged >20 years from the general population. The Alcohol Use Disorder Identification Test was used to classify respondents into non-problem drinking (score 0-7), hazardous drinking (score 8-15), and harmful-dependent drinking (score 16-40). MDE was identified using questions based on the DSM-IV. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using multinomial logistic regression to determine the strength of associations between MDE as a predictor and AUD as an outcome variable across different socio-economic levels.Results: The prevalence of MDE, hazardous, and harmful-dependent drinking was 2.5%, 10.3%, and 1.9%, respectively. The association between MDE and AUD was modified by wealth index, education level and area of residence. AORs for the association between MDE and harmful-dependent drinking were high among those in the highest (AOR=8.68, 95% CI: 5.34, 14.11) and lowest (AOR=7.14, 95% CI: 3.71, 13.73) levels of wealth index but not significant among those in the middle level (AOR=1.78, 95% CI: 0.74, 4.25). Education had the strongest effect on the relationship between MDE and harmful-dependent drinking (AOR=16.0, 95% CI: 10.30, 24.90 among those completing secondary school or higher and AOR=1.44, 95% CI: 0.63, 3.33 among those completing primary school only). The association between MDE and harmful-dependent drinking was higher among people who lived in urban areas (AOR=8.50, 95% CI: 5.50, 13.13) compared to those living in rural areas (AOR=4.73, 95% CI: 3.31, 6.77).Conclusion: Socio-economic factors modify the association between alcohol use disorder and major depressive disorder among Thai people.

scholarly journals Epidemiological study of obesity and overweight among adolescents in schools in district Ghaziabad

2019 ◽  
Vol 6 (8) ◽  
pp. 3177
Author(s):  
Susmita Thakur ◽  
Narendra Singh ◽  
Mitasha Singh
Keyword(s):  
Private School ◽  
Rural Areas ◽  
Urban Areas ◽  
Overweight And Obesity ◽  
Cross Sectional Survey ◽  
Government Schools ◽  
Cross Sectional ◽  
Government School ◽  
Obesity And Overweight ◽  
The Government

Background: Developing countries are experiencing an epidemic of obesity and overweight. Adolescence is the stage when the lifestyle behavior sets in and decides the future pattern of health. The objective was to study the prevalence and correlates of overweight and obesity among school going adolescents of district Ghaziabad.Methods: A school based cross sectional survey was conducted in district Ghaziabad. Adolescents (10-19 years) from both urban and rural government and private schools were included. Multistage sampling technique was used to study 1128 study population. Anthropometry and a structured questionnaire were used as study tool.Results: In urban area, the proportion of underweight students in government schools (20.9%) was significantly more than the private school (13.8%) whereas the number of overweight students in private school (18.2%) was significantly more than the government schools (10.3%). In rural area underweight students in government school (30.5%) was significantly more than the private school (21.3%) whereas the number of overweight students in private school (11.3%) was significantly more than the government school (3.2%). Obesity was significantly associated with the area of residence, type of school, consumption of carbonated drinks, fast foods and decreased physical activity.Conclusions: An overall higher prevalence of overweight and obesity among adolescents in urban areas and increasing trend in rural areas too alarm us to focus on the modifiable risk factors. 

scholarly journals Comparative Study of Attitude of Adolescents Studying in Junior Colleges of Rural and Urban Areas of Vijayapura towards Social Aspects of Life

2021 ◽  
Vol 10 (18) ◽  
pp. 1280-1285
Author(s):  
Sadashiva Basavantappa Ukkali ◽  
Nagamani Kulkarni ◽  
Thobbi A.N. ◽  
Ayesha Siddiqua ◽  
Shruthi Reddy
Keyword(s):  
Risk Taking ◽  
Rural Areas ◽  
Urban Areas ◽  
Urban Adolescents ◽  
Peer Pressure ◽  
Social Aspects ◽  
Rural Adolescents ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban

BACKGROUND Adolescent period is that part of exciting period of life which marks the transition from being a dependent kid to an independent and responsible adult. It is recognised as a fascinating period that poses specific challenges and has a great impact on the physical, social and emotional behaviour in the family and society. METHODS A comparative cross-sectional survey of a total of 1000 adolescents, 16 - 18 years of age – 250 each from 4 PU colleges (2 urban + 2 rural) were interviewed using a pretested questionnaire. Based on responses, their attitude towards social aspects of life were assessed, analysed and compared. RESULTS There were significant differences in attitude of adolescents residing in urban areas on various social aspects of life as compared to the adolescents residing in rural areas. Significant differences were observed in personality development traits like selfesteem and self-concept, shrewdness, tender mindedness, internal restraint and individual capacities. Risk taking behaviour was more common in urban adolescents and academic underachievement was more common in rural adolescents. There were no significant differences between the two groups with respect to home / college environment, safety at home / college, relationships with parents, siblings and friends, depression and social ideation. CONCLUSIONS We observed that rural and urban adolescents differed significantly in their attitude towards development of personality traits. Rural adolescents were academically underachievers because of poor facilities, less opportunities and lack of motivation. Urban adolescents exhibited high risk-taking behaviour compared to rural adolescents because of high peer-pressure, curiosity and more exposure to mass media. KEY WORDS Adolescent, Attitude, Rural, Urban, Social

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