Abstract 13706: Differences in the Distribution of Systolic Blood Pressure by Rural and Urban Residence

Introduction: The incidence of stroke is higher in rural areas. Hypertension is the leading risk factor for stroke, but the difference in systolic blood pressure (SBP) for those living in rural and urban areas is unknown. Hypothesis: We hypothesized that rural residence is associated with higher SBP levels, and this difference is modified by race, sex, and United States (US) division. Methods: We analyzed 26,113 participants enrolled in the REasons for Geographic And Racial Differences in Stroke (REGARDS) Study, recruited between 2003 and 2007. Participants were grouped based on the Rural-Urban Commuting Area (RUCA) scheme into urban, large-rural, and small-isolated rural groups. Resting SBP was measured during the initial home visit. Differences in percentiles of SBP distribution were compared using multivariate models with adjustment for age, race, sex, and US Census Bureau division. Results: Of the participants, 20,976 (80.3%) were classified as urban, 3,020 (11.6%) as large-rural, and 2,137 (8.2%) as small-isolated rural, reflecting the distribution of the population. The large-rural group had a 0.09 mmHg higher mean SBP compared to the urban group (95% CI, 0.33 to 1.52 mmHg, p = 0.0023), but the difference in SBP at the 95th percentile between these groups was 3.23 mmHg (95% CI, 1.43 to 4.73 mmHg, p = 0.0006). A similar difference was present between the small-isolated rural and urban groups at the highest percentiles. No urban-rural interaction was observed by race, sex, or US division. However, large SBP differences were present between US divisions, especially at the highest percentiles. To illustrate, SBP at the 95th percentile was 9.51 mmHg higher in the East North Central division than in the Pacific (95% CI, 6.41 to 12.61 mmHg, p < 0.0001). Conclusions: Residence in a rural area is associated with higher SBP, with larger differences at the highest percentiles of distribution. SBP differences are present between US divisions, independent of urban-rural status.

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Urban–rural disparity in cancer incidence in China, 2008–2012: a cross-sectional analysis of data from 36 cancer registers

BMJ Open ◽

10.1136/bmjopen-2020-042762 ◽

2021 ◽

Vol 11 (4) ◽

pp. e042762

Author(s):

Shuai Yuan ◽

Shao-Hua Xie

Keyword(s):

Cancer Incidence ◽

Rural Areas ◽

Urban Areas ◽

Incidence Rates ◽

Cancer Type ◽

Anatomic Site ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Rural And Urban ◽

Urban Rural

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.

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Decomposing Urban-rural Differences in Multimorbidity Among Older Adults in India: A Study Based on Lasi Data

10.21203/rs.3.rs-701569/v1 ◽

2021 ◽

Author(s):

Shekhar Chauhan ◽

Shobhit Srivast ◽

Pradeep Kumar ◽

Ratna Patel

Keyword(s):

Older Adults ◽

Rural Areas ◽

Urban Areas ◽

Decomposition Analysis ◽

The Public ◽

Analysis Techniques ◽

Ageing Study ◽

Urban Rural ◽

The Difference ◽

Urban And Rural Areas

Abstract Background: Multimorbidity is defined as the co-occurrence of two or more than two diseases in the same person. With rising longevity, multimorbidity has become a prominent concern among the older population. Evidence from both developed and developing countries shows that older people are at much higher risk of multimorbidity, however, urban-rural differential remained scarce. Therefore, this study examines urban-rural differential in multimorbidity among older adults by decomposing the risk factors of multimorbidity and identifying the covariates that contributed to the change in multimorbidity.Methods: The study utilized information from 31,464 older adults (rural-20,725 and urban-10,739) aged 60 years and above from the recent release of the Longitudinal Ageing Study in India (LASI) wave 1 data. Descriptive, bivariate, and multivariate decomposition analysis techniques were used.Results: Overall, significant urban-rural differences were found in the prevalence of multimorbidity among older adults (difference: 16.3; p<0.001). Moreover, obese/overweight and high-risk waist circumference were found to narrow the difference in the prevalence of multimorbidity among older adults between urban and rural areas by 8% and 9.1%, respectively.Conclusion: There is a need to substantially increase the public sector investment in healthcare to address the multimorbidity among older adults, more so in urban areas, without compromising the needs of older adults in rural areas.

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Rurality and dietary patterns: associations in a UK cohort study of 10-year-old children

Public Health Nutrition ◽

10.1017/s1368980014001864 ◽

2014 ◽

Vol 18 (8) ◽

pp. 1436-1443 ◽

Cited By ~ 5

Author(s):

Tim T Morris ◽

Kate Northstone

Keyword(s):

Cohort Study ◽

Principal Components Analysis ◽

Principal Components ◽

Dietary Patterns ◽

Rural Areas ◽

Dietary Pattern ◽

Urban Areas ◽

Urban Group ◽

Urban Rural ◽

Components Analysis

AbstractObjectiveDespite differences in obesity and ill health between urban and rural areas in the UK being well documented, very little is known about differences in dietary patterns across these areas. The present study aimed to examine whether urban/rural status is associated with dietary patterns in a population-based UK cohort study of children.DesignDietary patterns were obtained using principal components analysis and cluster analysis of 3 d diet records collected from children at 10 years of age. Rurality was obtained from the 2001 UK Census urban/rural indicator at the time of dietary assessment. General linear models were used to examine the relationship between rurality and dietary pattern scores from principal components analysis; multinomial logistic regression was used to assess the association between rurality and dietary clusters.SettingThe Avon Longitudinal Study of Parents and Children (ALSPAC), South West England.SubjectsChildren (n 5677) aged 10 years (2817 boys and 2860 girls).ResultsAfter adjustment, increases in rurality were associated with increased scores on the ‘health awareness’ dietary pattern (β=0·35; 95 % CI 0·14, 0·56; P<0·001 for the most rural compared with the most urban group) and lower scores on the ‘packed lunch/snack’ dietary pattern (β=−0·39; 95 % CI −0·59, −0·19; P<0·001 for the most rural compared with the most urban group). The odds ratio for participants being in the ‘healthy’ compared with the ‘processed’ dietary cluster for the most rural areas was 1·61 (95 % CI 1·05, 2·49; P=0·02) compared with those in the most urban areas.ConclusionsThere is evidence to suggest that differences exist in dietary patterns between rural and urban areas. Similar results were found using two different methods of dietary pattern analysis, showing that children residing in rural households were more likely to consume healthier diets than those in urban households.

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Applicability of three complementary relationship models for estimating actual evapotranspiration in urban area

Journal of Hydrology and Hydromechanics ◽

10.1515/johh-2015-0011 ◽

2015 ◽

Vol 63 (2) ◽

pp. 117-123 ◽

Cited By ~ 2

Author(s):

Takeshi Nakamichi ◽

Toshitsugu Moroizumi

Keyword(s):

Urban Area ◽

Rural Areas ◽

Urban Areas ◽

Green Spaces ◽

Actual Evapotranspiration ◽

Complementary Relationship ◽

Rural And Urban Areas ◽

Rural And Urban ◽

The Difference

Abstract The characteristics of evapotranspiration estimated by the complementary relationship actual evapotranspiration (CRAE), the advection-aridity (AA), and the modified advection-aridity (MAA) models were investigated in six pairs of rural and urban areas of Japan in order to evaluate the applicability of the three models the urban area. The main results are as follows: 1) The MAA model could apply to estimating the actual evapotranspiration in the urban area. 2) The actual evapotranspirations estimated by the three models were much less in the urban area than in the rural. 3) The difference among the estimated values of evapotranspiration in the urban areas was significant, depending on each model, while the difference among the values in the rural areas was relatively small. 4) All three models underestimated the actual evapotranspiration in the urban areas from humid surfaces where water and green spaces exist. 5) Each model could take the effect of urbanization into account.

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Trends of Rural/Urban Homicide in Colombia, 1992-2015: Internal Armed Conflict and Hints for Postconflict

BioMed Research International ◽

10.1155/2018/6120909 ◽

2018 ◽

Vol 2018 ◽

pp. 1-11 ◽

Cited By ~ 1

Author(s):

Katherine Vallejo ◽

Jose Tapias ◽

Ivan Arroyave

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Armed Conflict ◽

Homicide Rates ◽

Internal Armed Conflict ◽

Rural And Urban ◽

Inflection Points ◽

Younger Men ◽

Urban Rural ◽

Rate Ratios

Objective. To analyze the relationship between rural and urban homicide rates in Colombia between 1992 and 2015 and the fluctuations in these rates. Methods. Individual records of homicides and population aggregates in men and women aged 15-64 years were used. The adjusted rates of annual homicides were calculated for urban/rural areas and standardized by age. Rate Ratios (RRs) adjusted by region were calculated. A joinpoint analysis was performed to identify inflection points and the Annual Percentage Change (APC). Results. Four joinpoints were identified in rural and urban rates: after peaking in 1992, homicide rates fell until 1997, and then increased until 2002. From this point on there was a continuous reduction until 2015, although this reduction slowed down from 2005 onward. During almost the whole period, the rates of rural homicides were higher than those of urban homicides, although they equalized at the end of the period. Conclusions. Unlike in other countries, during the study period Colombian homicide rates, which coincided with the dynamics of the armed conflict, were higher in rural than in urban areas. In recent years, a predominance of urban homicides committed by younger men has been identified, which could pose a challenge to postconflict in Colombia.

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Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094636 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4636

Author(s):

Shengwei Wang ◽

Songbo Hu ◽

Pei Wang ◽

Yuhang Wu ◽

Zhitao Liu ◽

...

Keyword(s):

Mortality Rate ◽

Life Expectancy ◽

Rural Women ◽

Rural Areas ◽

Urban Areas ◽

Rural Elderly ◽

Jiangxi Province ◽

Urban Rural ◽

Disability Free Life Expectancy ◽

The Difference

Objective: To estimate and compare age trends and the disability-free life expectancy (DFLE) of the population over 60 years old in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: The model life table was employed to estimate the age-specific mortality rate by sex and urban–rural areas, based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province. DFLE and its ratio to life expectancy (LE) were obtained by the Sullivan method. Results: In 2018, the DFLE among people over 60 is 17.157 years for men and is 19.055 years for women, accounting for 89.7% and 86.5% of their LE respectively. The DFLE/LE of men is higher than that of women at all ages. LE and DFLE are higher for the population in urban areas than in rural areas. For women, DFLE/LE is higher in urban areas than in rural areas (except at ages 75 and 80). Urban men have a higher DFLE/LE than rural men (except at age 85). The difference in DFLE between men and women over 60 years is 1.898 years, of which 2.260 years are attributable to the mortality rate, and 0.362 years are due to the disability-free prevalence. In addition, the difference in DFLE between urban–rural elderly over 60 years old is mostly attributed to the mortality rate by gender (male: 0.902/1.637; female: 0.893/1.454), but the impact of the disability-free rate cannot be ignored either (male: 0.735/1.637; female: 0.561/1.454). Conclusions: The increase in DFLE is accompanied by the increase in LE, but with increased age, DFLE/LE gradually decreases. With advancing age, the effect of disability on elderly people becomes more severe. The government administration must implement some preventive actions to improve health awareness and the life quality of the elderly. Rural elderly; rural women in particular, need to be paid more attention and acquire more health care.

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The Impact of Schools and Families in the Religions Perceptions of Children in Albania and Kosovo

European Journal of Social Sciences Education and Research ◽

10.26417/401txw56a ◽

2021 ◽

Vol 8 (1) ◽

pp. 110

Author(s):

Loloçi Rita ◽

Menada Petro

Keyword(s):

Religious Education ◽

Rural Areas ◽

Urban Areas ◽

Fundamental Rights ◽

Age Group ◽

Rural And Urban Areas ◽

Rural And Urban ◽

The Difference ◽

The Impact

This study aimed to identify children`s perceptions regarding the role of religion in their education, their religious belonging, the parent's role in their religious education, and the attitude they have towards other religions. To gather quantitative data regarding the opinion the 10-14 age children have on religion and religious education, a survey was performed in several schools in Albania and Kosovo urban and rural areas (720 students from 8 schools of Durres, 4 in rural areas, and 473 students from 8 schools of Pristina and the surrounding area). A questionnaire was used to fulfill the purpose of the research regarding the knowledge, attitudes, and the perceptions of 10-14 age group on religious education in schools. At the same time, studies of national and international authors were consulted for a better analysis of the problems raised in the questionnaires such as the role and the importance of intercultural education in the coexistence and the harmony between people of different cultures, the education on The Fundamental Rights, the role of the curricula in schools, the difference between families in the rural and urban areas and the effect of the parents’ education on children. The results of the study showed that children of this age group receive the first knowledge about religion from the family. An irreplaceable role in religious education has the media. The school involvement in giving knowledge on religious beliefs in both studied regions will positively influence pupil’s formation, eliminating this way the violation of other people religion that often is present in our schools and not only. A correlation between the tolerance of parents and the tolerance of their children resulted as the consequence of the care that families show to respect different religions and often even sects.

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Differences in maternal mortality between urban and rural areas: Analysis of Maternal Mortality based in Jinan, China in 1995- 2018

10.21203/rs.2.17817/v1 ◽

2019 ◽

Author(s):

Lihua Zhang ◽

Tingting Zhen ◽

Qinyou Meng ◽

Shimin Yang ◽

Jiaxue Pan ◽

...

Keyword(s):

Maternal Mortality ◽

Maternal Death ◽

Rural Areas ◽

Urban Areas ◽

Maternal Deaths ◽

Policy Makers ◽

Rural And Urban Areas ◽

Rural And Urban ◽

The Difference ◽

Urban And Rural Areas

Abstract Background: Although a large number of studies have shown that maternal mortality in rural areas is higher than that in urban areas, few reports discussed about the detailed situation and the behind causes. Here, we summarized the maternal mortality from 1995 to 2018 in Jinan and the reason behind it was deeply discussed. It is expected to reveal the difference and its behind reasons, thus providing a basis for policy makers to develop interventions. Methods: Data about maternal mortality in the selected city from 1995 to 2018 were collected through the local maternal and child health care network. Maternal death age, maternal death delivery location, maternal death location, number of pregnancies, number of deliveries and maternal death causes were analyzed. The composition ratio of above factors were compared in order to indicate the differences between rural areas and urban areas. Results: The study showed that 75.34% of maternal deaths in urban areas occurred in tertiary hospitals, which were 2.13 times higher than that in rural areas(P<0.05). 16.67% of maternal deaths in rural areas delivered in primary hospitals, which were 12.17 times higher than that in urban areas (P<0.05) . The main cause of death in rural areas were attributed to direct obstetrics reasons, which were indirect obstetric reasons for urban areas (P<0.05). There was no difference of maternal deaths in the death age, number of births, and number of pregnancies between rural areas and urban areas.(P>0.05) Conclusion: Policy makers should focus on the construction of medical institutions in rural areas, the improvement of rescue capabilities in rural areas and the convenience of transport in rural areas in order to narrow the gap between rural and urban areas. Key words: Maternal Mortality; Differences between urban and rural areas; China

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PENGGUNAAN ALAT KB PADA WANITA KAWIN DI PERDESAAN DAN PERKOTAAN (Studi Hasil SDKI 2017 Provinsi Gorontalo)

Jurnal Kependudukan Indonesia ◽

10.14203/jki.v15i1.461 ◽

2020 ◽

Vol 15 (1) ◽

pp. 71

Author(s):

Syamsul Syamsul ◽

Bala Bakri ◽

Hizry Stevany Limonu

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Contraceptive Use ◽

Information Provision ◽

Married Women ◽

Modern Contraceptive ◽

Rural And Urban Areas ◽

Rural And Urban ◽

Knowledge Age ◽

Urban Rural

The Indonesia and Demographic Health Survey (IDHS) in 2017 reported a gap between urban and rural contraceptive use in Gorontalo Province, Indonesia. This urban-rural inequality calls for an exploration of its drivers. Hence, this study aims at reviewing the literature to analyze the level of use of contraception for married women in rural and urban areas by examining several factors, such as education, knowledge, age, occupation, information provision, and source of service. The main data source used for this study is 2017 IDHS Report, Gorontalo Province section. The results shows that despite a higher knowledge of contraception in urban married women than their rural counterpart, modern contraceptive use is higher in rural areas than in urban areas. Moreover, provision of information plays a larger role in contraceptive use compared to other aspects. Furthermore, the low contraceptive use among urban women is due to the limited services, where there is a mismatch between the needs and the availability of contraception.

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The Impact of Indonesia’s School Operational Assistance Program on The Transition Rate from Primary to Junior Secondary School

The monitoring of public opinion economic&social changes ◽

10.14515/monitoring.2021.5.1787 ◽

2021 ◽

Author(s):

Байю Харизма ◽

Сутястие Соэмитро Реми ◽

Динда Аю Махарани

Keyword(s):

Secondary School ◽

Rural Areas ◽

Urban Areas ◽

Transition Rate ◽

Assistance Program ◽

Junior Secondary School ◽

Rural And Urban ◽

Junior Secondary ◽

The Difference ◽

The Impact

This study investigates the impact of Indonesia’s School Operational Assistance Program (BOS) on the transition rate from primary to junior secondary school using data from the Indonesian Family Life Survey (IFLS) and the Difference-in-Differences method. The results showed that the School Operational Assistance Program (BOS) significantly increases the transition rate from Primary to Junior Secondary School. Meanwhile, the School Operational Assistance Program (BOS) is more effective in increasing the transition rate in girls compared to boys. When comparing rural and urban settings, the program is more effective in rural than urban areas. Despite results showing that the School Operational Assistance Program (BOS) has successfully increased the transition rate from primary to junior secondary school, the program still has several problems, such as inadequate management of the funds and the lack of quality control related to its usage. The three models tested in the study conclude that the School Operational Assistance Program (BOS) significantly improved the overall transition rate from primary to junior secondary school in Indonesia, particularly for girls and rural areas. Acknowledgments. This research is supported by DRPMI Universitas Padjadjaran (UNPAD) for Lecture Competency Research (RKDU) scheme. We thank our colleagues from the Department of Economics, who provided insight and expertise that greatly assisted the research and we thank “anonymous” reviewers for their so-called insights.

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