scholarly journals Cutaneous leishmaniasis–Awareness, knowledge and practices among general population in rural and urban areas in Malakand region, Pakistan

2022 ◽  
Vol 82 ◽  
Author(s):  
W. Khan ◽  
I. Khan ◽  
H. Ullah ◽  
S. N. M. Zain ◽  
W. A. Panhwar ◽  
...  

Abstract Malakand region is an endemic area for cutaneous leishmaniasis (CL). However, there are limited number of studies of this disease in Pakistan. Therefore, a study was conducted to understand the level of awareness attitude and practice among the residents of Makaland towards CL and the disease vectors. This study adopted a cross-sectional approach with a total of 400 respondents (n=93 rural and n= 307 urban). Overall, the population in Malakand region (61.2%) were well-informed in the role of sand fly in transmitting diseases, but most lack knowledge on the vector’s behavior and almost a quarter (24.5%) were unable to provide knowledge on proper control measures. Alarmingly, the practice and attitudes of the general population was not satisfactory as close to half (49.8%) of the population did adopt any control method. This study calls for increase in awareness through health education campaign to reduce the risk of cutaneous leishmaniasis outbreaks in the future.

Author(s):  
C. C. Nduka ◽  
H. N. Chineke ◽  
P. O. Adogu ◽  
A. F. Chizoba

Malaria, a disease of poverty, is of significant public health concern. It is endemic in Nigeria with the risk of transmission appearing to be high because of favorable climatic and environmental factors. Increased susceptibility to malaria has also been linked to dirty surroundings that favor the breeding and propagation of the vector, poor access to quality health care and ignorance especially of malaria prevention strategies. However, this study investigated the role of socioeconomic factors responsible for the observed difference in malaria prevalence between selected rural and urban areas of Anambra, Nigeria. A descriptive comparative cross-sectional study, data on demographic and socioeconomic variables were collected from 202 urban and rural respondents, then analyzed using SPSS platform to generate chi-square test of significance. The results were presented in figures, table and charts for clarity. All the subjects were aware of the term malaria but only 63.4% had adequate specific knowledge of malaria. Generally, 25.7% of rural participants had no formal education while the urban group had only 4% of that particular category. About 52.5% of rural participants earned below 50,000 naira monthly, with 14.9% earning above 100,000 naira while the reverse was the case in the urban area. Also, the number of malaria episodes was inversely proportional to the household monthly income (X2=24.30, p<0.001). More episodes of malaria were also reported among the unskilled workers and skilled workers (71.3%) compared to Professionals (28.7%), yet all the participants reported the presence of a healthcare facility <3km from their houses with 95% and 80.2% of them in the rural and urban areas respectively having to pay out-of-pocket for healthcare services. It is clear that socioeconomic factors play a role in the persistence of malaria as an endemic disease in Nigeria. Therefore, existing control measures should incorporate strategies to end poverty and ignorance especially among the rural populace.


2021 ◽  
Vol 2 (3) ◽  
pp. 5
Author(s):  
Tehreem Rasheed ◽  
Asma Sajid ◽  
Hina Nazakat ◽  
Mushayydah Fatima ◽  
Muhammad Adnan Aslam

Objective: To study the general trends about the use of different contraceptive methods among rural and urban women; and ascertain their perception about the effectiveness of contraceptives and associate desire forfertility, parity, and birth control measures among the women of rural and urban areas.Study Design: A cross-sectional descriptive study.Place and Duration of the Study: The study was conducted in the Gynecology department of Mukhtar. A Sheikh Hospital, Multan from 3th of October 2019 to 3th of March 2020.Materials and Methods: A total of 200 women aged between 31-41 years and varying literacy rates wereincluded in the study. The participants belonged to both rural and urban areas and interviewed for theirdesirability for fertility. Negative responses were asked further probed regarding their perspective aboutcontraception and preferred method. Data was analyzed on SPSS software 23.0.Results: Out of 200 female patients, 75% urban and 65.4% rural women expressed no desire for fertility, Thecontraceptive utilization was reported 91.6% among urban and 76.9% among rural women. Among the ruraland urban users of contraceptives, the barrier method was the most frequently used method with thepercentage of 50% and 42.3%, respectively. Among women with parity less than or equal to 3, 61.5% had nodesire for fertility and 56.4% were using the barrier method while all the women (31.4%) with parity greaterthan 3 expressed no desire for fertility and were using copper IUDs for contraception. Although, 30.4% of urbanwomen regarded contraception methods as most effective yet only 18.8% found them completely effective.Conclusion: The prevalence rate of contraception in Pakistan has drastically risen among both rural and urbanwomen but traditional barrier methods remain the frequent method of use. However, majority still believe thatcontraceptive methods are not effective. Therefore, awareness campaigns should be launched to increase theiracceptability and eliminate myths.


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.


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.


1986 ◽  
Vol 149 (1) ◽  
pp. 81-87 ◽  
Author(s):  
Suzanne Steffenburg ◽  
Christopher Gillberg

The total population of children under 10 years in one Swedish urban area and one rural area was screened for infantile autism (IA) and autistic-like conditions (AC). A total prevalence of 6.6 per 10 000 was found, which is somewhat higher than in previous similar studies of the same region. Infantile autism accounted for two-thirds of the cases. Boys far outnumbered girls, but this was entirely accounted for by the IA group. The preponderance of autistic boys was less pronounced among the severely mentally retarded children. Mental retardation was seen in almost 90% of cases and only one child had an IQ exceeding 100; clinical and laboratory signs of brain dysfunction were also found in a majority of cases. Distribution by social class was no different in either patient group from the general population.


2017 ◽  
Vol 20 (11) ◽  
pp. 1638-1647 ◽  
Author(s):  
Ragini Alok ◽  
Ragini Srivastava ◽  
Puneet Kumar ◽  
Siddharth K. Das ◽  
Girdhar G. Agarwal ◽  
...  

2016 ◽  
Vol 12 (3) ◽  
pp. 243
Author(s):  
Aziz El Aasri ◽  
Alaoui Zakaria ◽  
Khadija El Kharrim ◽  
Driss Belghyti ◽  
Yassine Aqachmar ◽  
...  

Between 2006 and 2014, 439 cases of cutaneous leishmaniasis were recorded in the region of Gharb Chrarda Beni Hssen in the north-west of Morocco. With an annual incidence of 49.1 cases per year and a sex-ratio (M / F) of 0.71. The disease has affected all age groups. The most stricken population is children and young people between the ages of 6 months and 30 years with more than 60.26 % of cases. Therefore, Cutaneous leishmaniasis almost hits the rural and urban areas but with an uneven impact. It is higher in rural areas where they are registered with a percentage of 56.7% of cases in contrast to a percentage of 43.3% in urban areas.


2020 ◽  
Vol 43 (1) ◽  
pp. 11
Author(s):  
Cindy Fariski ◽  
Fillah Fithra Dieny ◽  
Hartanti Sandi Wijayanti

The health status during the preconception period was important to prepare pregnancy. Living patterns that can affect diet quality and nutritional status. This study aimed to analyze the differences in diet quality, nutritional status, and anemia between preconception women in rural and urban areas. This study was conducted using a cross-sectional design that consisted of 68 brides aged 16-35 years selected by consecutive sampling. Diet quality was obtained by diet quality index international (DQI-I) form. Nutritional status based on body mass index (BMI) and mid-upper arm circumference (MUAC). Hemoglobin levels were measured by the cyanmethemoglobin method. Data were analyzed by Independent T-test and Mann Whitney. Subjects in rural and urban areas had low diet quality. The score of variation in the type of protein intake, total fat, and saturated fat was higher in rural areas than urban areas (p=0,001; p=0,013; p=0,002). The mean BMI and MUAC were higher in urban subjects than rural subjects but the hemoglobin levels of rural subjects were higher than urban subjects. The subjects of anemia in urban was 23,5 percent were higher than rural was 14,7 percent but the risk of chronic energy deficiency in rural was 55,9% were higher than urban was 11,8 percent. There were no differences in diet quality and hemoglobin levels between preconception women in rural and urban areas (p=0,990; p=0,116). There were a differences in BMI and MUAC (p=0,026; p=<0,001). There were differences in nutritional status based on BMI and MUAC in both areas. There were no differences in diet quality and hemoglobin levels in rural and urban areas


2019 ◽  
Vol 3 (2) ◽  
pp. 131
Author(s):  
Jati Untari ◽  
Lisa Kartini

Introduction: Self-medication occurs in many developing countries in the world, including Indonesia, which can cause a variety of global impacts, namely improper use that can lead to irrational use of drugs, late seeking medical advice, increasing side effects and drug interactions. Self-medication is related to the role of mothers in the household. The purpose of this study to find out the differences in factors that influence maternal behavior in self-medication oftoddler including knowledge, attitudes, income levels, and exposure to information sources between rural and urban areas. Methods: The study was conducted in 2 locations in Gemawang (rural) and Campursari (urban), WonosoboDistrict, Central Java Province. The population of quantitative analytic research with cross sectional design was 78 mothers with children in rural and 75 in urban areas. Data analysis used Kolmogorov-Smirnov because in the normality test the data used shapirowilk from the variables of knowledge, attitudes, income levels and information exposure with self-medication behavior, the result was p = 0.00 (<0.05) so the data was not normally distributed. The sampling technique uses purposive sampling. Results: There were differences in knowledge, attitudes, income levels, and exposure to information about mothers oftoddler of self-medication behavior between rural and urban with a value of p=0,000. Conclusions: The behavior of mothers in self-medication of toddler between rural and urban areas has a significant difference with knowledge, behavior, attitudes, income level, and information exposure.


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