scholarly journals S21.3 Authentic and successful community engagement for STI/HIV prevention, screening and treatment in rural and urban settings

2019 ◽  
Author(s):  
Scott Rhodes
Keyword(s):  
Hiv Prevention ◽  
Community Engagement ◽  
Urban Settings ◽  
Rural And Urban

Women's Perceptions of the Superintendency

1994 ◽  
Vol 4 (2) ◽  
pp. 156-170 ◽  
Author(s):  
Marilyn L. Grady ◽  
Theresa Ourada-Sieb ◽  
Linda H. Wesson
Keyword(s):  
Job Satisfaction ◽  
Educational Administration ◽  
Graduate Programs ◽  
Women Superintendents ◽  
Urban Settings ◽  
Personal Strengths ◽  
Rural And Urban ◽  
Study Results ◽  
Women’S Perceptions

The majority of students enrolled in graduate programs in educational administration are women. However, few of these students aspire to be superintendents. This study was undertaken to identify the sources of job satisfaction, the benefits of the job, the sources of self-fulfillment, and the personal strengths that women bring to the superintendent's role. The study results are based on interviews with 51 women superintendents from rural and urban settings. For individuals considering assuming a superintendent's position, the findings offer a positive portrait of the superintendency from the perspectives of the women interviewed.

scholarly journals Decomposing the rural–urban gap in factors associated with childhood immunisation in sub-Saharan Africa: evidence from surveys in 23 countries

2021 ◽  
Vol 6 (1) ◽  
pp. e003773
Author(s):  
Edward Kwabena Ameyaw ◽  
Yusuf Olushola Kareem ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Sanni Yaya
Keyword(s):  
Decomposition Analysis ◽  
Household Wealth ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Childhood Immunisation ◽  
Urban Settings ◽  
Factors Associated ◽  
Rural And Urban ◽  
Full Immunisation ◽  
Sub Saharan

BackgroundAbout 31 million children in sub-Saharan Africa (SSA) suffer from immunisation preventable diseases yearly and more than half a million children die because of lack of access to immunisation. Immunisation coverage has stagnated at 72% in SSA over the past 6 years. Due to evidence that full immunisation of children may be determined by place of residence, this study aimed at investigating the rural–urban differential in full childhood immunisation in SSA.MethodsThe data used for this study consisted of 26 241 children pooled from 23 Demographic and Health Surveys conducted between 2010 and 2018 in SSA. We performed a Poisson regression analysis with robust Standard Errors (SEs) to determine the factors associated with full immunisation status for rural and urban children. Likewise, a multivariate decomposition analysis for non-linear response model was used to examine the contribution of the covariates to the observed rural and urban differential in full childhood immunisation. All analyses were performed using Stata software V.15.0 and associations with a p<0.05 were considered statistically significant.ResultsMore than half of children in urban settings were fully immunised (52.8%) while 59.3% of rural residents were not fully immunised. In all, 76.5% of rural–urban variation in full immunisation was attributable to differences in child and maternal characteristics. Household wealth was an important component contributing to the rural–urban gap. Specifically, richest wealth status substantially accounted for immunisation disparity (35.7%). First and sixth birth orders contributed 7.3% and 14.9%, respectively, towards the disparity while 7.9% of the disparity was attributable to distance to health facility.ConclusionThis study has emphasised the rural–urban disparity in childhood immunisation, with children in the urban settings more likely to complete immunisation. Subregional, national and community-level interventions to obviate this disparity should target children in rural settings, those from poor households and women who have difficulties in accessing healthcare facilities due to distance.

scholarly journals Examine the association between key determinants identified by the chronic disease indicator framework and multimorbidity by rural and urban settings

2021 ◽  
Vol 11 ◽  
pp. 263355652110281
Author(s):  
John S. Moin ◽  
Richard H. Glazier ◽  
Kerry Kuluski ◽  
Alex Kiss ◽  
Ross E.G. Upshur
Keyword(s):  
Chronic Disease ◽  
Low Income ◽  
Rural Areas ◽  
Chronic Conditions ◽  
Significant Risk ◽  
Administrative Databases ◽  
Multivariable Logistic Regression Model ◽  
Urban Settings ◽  
Rural And Urban ◽  
Indicator Framework

Background: Multimorbidity, often defined as having two or more chronic conditions is a global phenomenon. This study examined the association between key determinants identified by the chronic disease indicator framework and multimorbidity by rural and urban settings. The prevalence of individual diseases was also investigated by age and sex. Methods: The Canada Community Health Survey and linked health administrative databases were used to examine the association between multimorbidity, sociodemographic, behavioral, and other risk factors in the province of Ontario. A multivariable logistic regression model was used to conduct the main analysis. Results: Analyses were stratified by age (20–64 and 65–95) and area of residence (rural and urban). A total sample of n = 174,938 residents between the ages of 20–95 were examined in the Ontario province, of which 18.2% (n = 31,896) were multimorbid with 2 chronic conditions, and 23.4% (n = 40,883) with 3+ chronic conditions. Females had a higher prevalence of 2 conditions (17.9% versus 14.6%) and 3+ conditions (19.7% vs. 15.6%) relative to males. Out of all examined variables, poor self-perception of health, age, Body Mass Index, and income were most significantly associated with multimorbidity. Smoking was a significant risk factor in urban settings but not rural, while drinking was significant in rural and not urban settings. Income inequality was associated with multimorbidity with greater magnitude in rural areas. Prevalence of multimorbidity and having three or more chronic conditions were highest among low-income populations. Conclusion: Interventions targeting population weight, age/sex specific disease burdens, and additional focus on stable income are encouraged.

Relocation in Rural and Urban Settings

2007 ◽  
Vol 40 (2) ◽  
pp. 269-295 ◽  
Author(s):  
Zehavit Gross
Keyword(s):  
Urban Settings ◽  
Rural And Urban

scholarly journals The impact of ACE gene polymorphism on the incidence and phenotype of sarcoidosis in rural and urban settings

2016 ◽  
Vol 6 ◽  
pp. 1263-1272 ◽  
Author(s):  
Robert Kieszko ◽  
Paweł Krawczyk ◽  
Tomasz Powrózek ◽  
Aneta Szudy-Szczyrek ◽  
Michał Szczyrek ◽  
...  
Keyword(s):  
Gene Polymorphism ◽  
Urban Settings ◽  
Ace Gene ◽  
Ace Gene Polymorphism ◽  
Rural And Urban ◽  
The Impact

The Scope and Impact of a Novel, Urban, Rapid Patient Interhospital Transfer System to Improve Neuroemergent Care: The Design and Development of the Neuroemergency Transfer Program

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
John S ◽  
◽  
Woodward J ◽  
Keegan KC ◽  
Tchalukov K ◽  
...  
Keyword(s):  
Care Facility ◽  
The United States ◽  
Health Concern ◽  
Transfer Program ◽  
Transfer Time ◽  
Urban Settings ◽  
Patient Transfers ◽  
Interhospital Transfer ◽  
Rural And Urban ◽  
Significant Public Health

Background: Access to neuroemergent care in the United States represents a significant public health concern, with limited neurosurgery and/ or neurocritical care coverage in both rural and urban settings. Inadequate access to neuroemergent providers, even in urban settings, may result in prolonged patient transfer time, associated neurological decline and translate into increased morbidity and mortality. Methods: A single center retrospective analysis of prospectively collected data of interhospital patient transfers to a neuroscience ICU between 2008-2018 was performed. Results: 9637 patients were included for analysis. A substantial increase in transfer requests were observed, 610 to 1221 from 2008 to 2018 respectively, with concurrent increase in the number and geographic distribution of referral centers. Ultimately, 7726 (80.2%) patients were discharged home or to outpatient or acute rehabilitation while 1820 (18.9%) were discharged to a long-term acute care facility (LTAC), hospice, or expired during the index admission. The leading diagnoses for transfer were: 1. intracerebral hemorrhage, 2. subarachnoid hemorrhage, 3. ischemic stroke, 4. subdural hematoma and 5. brain tumor. Transfer from an ED or ICU constituted 93.3% of requests. Mean total transfer time between 2012-2018 was < 155 minutes annually (range 128-155 minutes). In 2018, 91.5% of patients had health insurance with 68.7% covered by some form of Medicaid or Medicare. Conclusions: The ongoing evolution and overall success of the NTP draws chiefly from the designation of an easily accessible central operator to orchestrate transfer, establishing a network of community referral centers and optimization of regional patient transportation - all with the solitary goal of improving patient outcomes.

scholarly journals Administrative incidence of psychosis assessed in an early intervention service in England: first epidemiological evidence from a diverse, rural and urban setting

2010 ◽  
Vol 41 (5) ◽  
pp. 949-958 ◽  
Author(s):  
F. Cheng ◽  
J. B. Kirkbride ◽  
B. R. Lennox ◽  
J. Perez ◽  
K. Masson ◽  
...  
Keyword(s):  
Early Intervention ◽  
Urban Areas ◽  
Clinical Epidemiology ◽  
Population Based ◽  
Service Planning ◽  
Urban Setting ◽  
First Episode ◽  
Urban Settings ◽  
Rural And Urban ◽  
Early Intervention In Psychosis

BackgroundEarly Intervention in Psychosis Services (EIS) for young people in England experiencing first-episode psychosis (FEP) were commissioned in 2002, based on an expected incidence of 15 cases per 100 000 person-years, as reported by schizophrenia epidemiology in highly urban settings. Unconfirmed reports from EIS thereafter have suggested higher than anticipated rates. The aim of this study was to compare the observed with the expected incidence and delineate the clinical epidemiology of FEP using epidemiologically complete data from the CAMEO EIS, over a 6-year period in Cambridgeshire, for a mixed rural–urban population.MethodA population-based study of FEP (ICD-10, F10–39) in people aged 17–35 years referred between 2002 and 2007; the denominator was estimated from mid-year census statistics. Sociodemographic variation was explored by Poisson regression. Crude and directly standardized rates (for age, sex and ethnicity) were compared with pre-EIS rates from two major epidemiological FEP studies conducted in urban English settings.ResultsA total of 285 cases met FEP diagnoses in CAMEO, yielding a crude incidence of 50 per 100 000 person-years [95% confidence interval (CI) 44.5–56.2]. Age- and sex-adjusted rates were raised for people from black ethnic groups compared with the white British [incidence rate ratio (IRR) 2.1, 95% CI 1.1–3.8]. Rates in our EIS were comparable with pre-EIS rates observed in more urban areas after age, sex and ethnicity standardization.ConclusionsOur findings suggest that the incidence observed in EIS is far higher than originally anticipated and is comparable to rates observed in more urban settings prior to the advent of EIS. Sociodemographic variation due to ethnicity and other factors extend beyond urban populations. Our results have implications for psychosis aetiology and service planning.

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