scholarly journals The Differences of Population Birth Defects in Epidemiology Analysis between the Rural and Urban Areas of Hunan Province in China, 2014–2018

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Lili Xiong ◽  
Qiongying Chen ◽  
Aihua Wang ◽  
Fanjuan Kong ◽  
Donghua Xie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Defects ◽  
Prevalence Rate ◽  
Urban Areas ◽  
Population Based ◽  
Percentage Change ◽  
Hunan Province ◽  
Prevalence Rates ◽  
Rural And Urban Areas ◽  
Rural And Urban

Objectives. To compare the differences of epidemiology analysis in population birth defects (BDs) between the rural and urban areas of Hunan Province in China. Methods. The data of population-based BDs in Liuyang county (rural) and Shifeng district (urban) in Hunan Province for 2014–2018 were analyzed. BD prevalence rates, percentage change, and annual percentage change (APC) by sex and age were calculated to evaluate time trends. Risk factors associated with BDs were assessed using simple and multiple logistic regression analyses. Results. The BD prevalence rate per 10,000 perinatal infants (PIs) was 220.54 (95% CI: 211.26-230.13) in Liuyang and 181.14 (95% CI: 161.18-202.87) in Shifeng. Significant decreasing trends in BD prevalence rates were noted in the female PIs ( APC = − 9.31 , P = 0.044 ) and the total BD prevalence rate in Shifeng ( APC = − 14.14 , P = 0.039 ). Risk factors for BDs were as follows: rural area, male PIs, PIs with gestational age < 37 weeks, PIs with birth weight < 2500   g , and migrant pregnancies. Conclusions. We should focus on rural areas, reduce the prevalence of premature and low birth weight infants, and provide maternal healthcare services for migrant pregnancies for BD prevention from the perspective of population-based BD surveillance.

HIV epidemic in central african republic: High prevalence rates in both rural and urban areas

2004 ◽  
Vol 72 (3) ◽  
pp. 358-362 ◽  
Author(s):  
Marcelle Diane Matsika-Claquin ◽  
Marcel Massanga ◽  
Didier Ménard ◽  
Jean Mazi-Nzapako ◽  
Jean-Pierre Ténegbia ◽  
...  
Keyword(s):  
Urban Areas ◽  
Central African Republic ◽  
Prevalence Rates ◽  
Rural And Urban Areas ◽  
Hiv Epidemic ◽  
Rural And Urban ◽  
High Prevalence

scholarly journals Risk factors for Anopheles mosquitoes in rural and urban areas of Blantyre District, southern Malawi

2017 ◽  
Vol 28 (4) ◽  
pp. 154 ◽  
Author(s):  
Themba Mzilahowa ◽  
Madalitso Luka-Banda ◽  
Veronica Uzalili ◽  
Don P. Mathanga ◽  
Carl H. Campbell Jr ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urban Areas ◽  
Rural And Urban Areas ◽  
Rural And Urban

scholarly journals Changing Incidence of Uterine Cancer in Rural Egypt: Possible Impact of Nutritional and Epidemiologic Transitions

2019 ◽  
pp. 1-7
Author(s):  
Saad Alshahrani ◽  
Ahmed Hablas ◽  
Robert M. Chamberlain ◽  
Jane Meza ◽  
Steven Remmenga ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Uterine Cancer ◽  
Population Based ◽  
Urban Residence ◽  
Middle Income ◽  
Rural And Urban Areas ◽  
Middle Income Countries ◽  
Rural And Urban ◽  
Low Incidence

PURPOSE Uterine cancer is a top-ranking women’s cancer worldwide, with wide incidence variations across countries and by rural and urban areas. Hormonal exposures and access to health care vary between rural and urban areas, globally. Egypt has an overall low incidence of uterine cancer but variable rural and urban lifestyles. Are there changes in the incidence of uterine cancer in rural and urban areas in middle-income countries such as Egypt? No previous studies have addressed this question from a well-characterized and validated population-based cancer registry resource in middle-income countries. The aim of this study was to explore the differences in clinical and demographic characteristics of uterine cancer over the period of 1999 to 2010 in rural and urban Gharbiah province, Egypt. METHODS Data were abstracted for all 660 patients with uterine cancer included in the Gharbiah Population-based Cancer Registry. Clinical variables included tumor location, histopathologic diagnosis, stage, grade, and treatment. Demographic variables included age, rural or urban residence, parity, and occupation. Crude and age-adjusted incidence rates (IRs) and rate ratios by rural or urban residence were calculated. RESULTS No significant differences were observed in most clinical and demographic characteristics between rural and urban patients. The age standardized IR (ASR) was 2.5 times higher in urban than in rural areas (6.9 and 2.8 per 100,000 in urban and rural areas, respectively). The rate ratio showed that the IR in urban areas was 2.46 times the rate in rural areas. CONCLUSION This study showed that the disease IR in rural areas has increased in the past decade but is still low compared with the incidence in urban areas in Egypt, which did not show a significant increase in incidence. Nutritional transitions, obesity, and epidemiologic and lifestyle changes toward Westernization may have led to IRs increasing more in rural than in urban areas in Egypt. This pattern of increasing incidence in Egypt, which used to have a low incidence of uterine cancer, may appear in other middle-income countries that experience emerging nutritional and epidemiologic transitions. The rate of uterine cancer in urban areas in Gharbiah is almost similar to the corresponding rates globally. However, the rate in rural areas in this population has increased over the past decade but is still lower than the corresponding global rates. Future studies should examine the etiologic factors related to increasing rates in rural areas and quantify the improvement in rural case finding.

Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina

2007 ◽  
Vol 13 (1) ◽  
pp. 179-187 ◽  
Author(s):  
Z. Joyce Fan ◽  
Daniel T. Lackland ◽  
Stuart R. Lipsitz ◽  
Joyce S. Nicholas ◽  
Brent M. Egan ◽  
...  
Keyword(s):  
Risk Factors ◽  
South Carolina ◽  
End Stage Renal Disease ◽  
Urban Areas ◽  
Disease Incidence ◽  
Rural And Urban Areas ◽  
Geographical Patterns ◽  
Rural And Urban ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Cardiovascular Risk Factors (CVrf) in Rural and Urban Areas Mali: Data from the Step 2013 Survey

2018 ◽  
Vol 08 (01) ◽  
pp. 35-47
Author(s):  
Hamidou Oumar Bâ ◽  
Ichaka Menta ◽  
Youssouf Camara ◽  
Ibrahima Sangaré ◽  
Guida Landouré ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Urban Areas ◽  
Rural And Urban Areas ◽  
Rural And Urban

Abstract P181: Differential Clinical Outcomes Among Stroke Patients From Rural and Urban Areas in a Pilot Stroke Network

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Natalia Llanos ◽  
Carlos Pardo ◽  
Gabriel Pinilla ◽  
Akemi Arango ◽  
Jaime Valderrama ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Outcomes ◽  
Clinical Features ◽  
Urban Areas ◽  
Stroke Patients ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Stroke Center ◽  
Rural Patients

Objective: To describe the clinical features of stroke patients from rural and urban areas and to identify possible associations with clinical outcomes. Introduction: There is little information in Latin America about risk factors, treatments, and outcomes in stroke patients from rural areas and urban people. The rural population faces multiple healthcare access barriers that might influence stroke outcomes. This paper describes and analyzes clinical features in stroke patients according to their location. Methods: Prospective cohort study of Colombian stroke patients using demographic and clinical data collected between 2018 and 2020 in a high complexity hospital from southwestern Colombia, as part of a pilot stroke network consisting of rural primary centers and a mothership center. Mode of transport to the stroke center, timing, clinical characteristics, interventions, and modified Rankin scale (mRS) at discharge and 3 months were assessed. Results: We included 579 stroke patients (66.14% ischemic), with a median age of 70 years (60-81). Urban subjects showed higher prevalence of dyslipidemia (p=0.009), previous hemorrhagic stroke (p=0.036), and TIA (p=0.002). Approximately 35% of cases were initially evaluated at a rural primary care center. These subjects exhibited a higher NIHSS scores (10 IQR 5-19 vs. 5 IQR 2-13; p=0.000) with a longer window (p<0.001) and were mainly transferred by ambulance (89.80%, p=0.000). Due to the severity, door-to-imaging time was shorter (p=0.001). Rural patients receive thrombolysis in 27.36% and underwent thrombectomy in 14.43%. Higher mRs at discharge (3 IQR 2-5 vs. 2 IQR 1-4; p=0.000) and three-months follow-up (3 IQR 1-6 vs. 1 IQR 0-4; p<0.001) were observed. Conclusions: Rural patients from southwestern Colombia were more likely to present with severe strokes even though they had lower rates of cardiovascular risk factors. They arrived later to the stroke center, but the final diagnosis was reached faster. Nonetheless, disability was higher at discharge and 3-months follow-up.

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