scholarly journals Medical and social indicators of the reproductive potential of the female population of the region (on the example of the Republic of Tatarstan)

2020 ◽  
Vol 101 (5) ◽  
pp. 719-726
Author(s):  
R U Khabriev ◽  
E N Mingazova ◽  
T N Shigabutdinova ◽  
R N Sadykova

Aim. To analyze the dynamic changes in medical and social indicators of the reproductive potential of the female population, markers of trends in the formation of the medical and demographic process in the region. Methods. The study was conducted on the basis of an analysis of literary sources that determine the general trend in the demographic situation in the country, as well as information from statistical collections of the Federal State Statistics Service and the Ministry of Health of Russia and Tatarstan. The analytical and statistical methods (descriptive statistics, student criterion, trend analysis) were used in the study. Results. It was revealed that the fertility rate of women living in rural areas decreased by dynamics (between 1991 and 2017, from 79.9 to 42.3 per 1000 women aged 1549; p 0.05). Before 2014, the indicator for rural residents was higher than that for urban women. Since 2015, the trend has been reversed: among urban women it has become higher than among those living in rural areas, which correlates with the birth rate in urban and rural areas. Percentage of live births from 1991 to 2017 in women of early reproductive age (up to 20 years) decreased among urban women from 11.3 to 3.7% (p 0.05), among rural women from 10.0 to 5.8% (p 0.05); among urban women in the age group 2024 years from 35.4 to 27.1% (p 0.05), among rural women of the same age from 40.9 to 34.2% (p 0.05). In the observed period, percentage of live births among women of the older reproductive age increased both among residents of cities and in rural areas. Percentage of births by birth order was changed: in urban areas accounted for 55.9% of the first child, in rural areas 44.3%; for the second child 35.1% and 34.2%, respectively; for third and more children 9 and 21.5%. Conclusion. The analysis of medical and social indicators of the reproductive potential of the female population and markers of trends in the formation of the medical and demographic process in the region suggests a decrease in fertility rate (fertility) with an increase in the mean age of women at childbirth.

2022 ◽  
pp. 101852912110657
Author(s):  
M. Showkat Gani ◽  
A. K. M. Ahsan Ullah ◽  
Thirunaukarasu Subramaniam ◽  
Lennarth Nyström ◽  
A. Mushtaque R. Chowdhury

This study assesses the effect of a customised Maternal Neonatal and Child Survival (MNCS) intervention in the rural areas of Bangladesh. This study attempts to estimate the lifetime fertility rate and the proportion of live births ≥3, and the age-specific lifetime fertility patterns among the women of reproductive age. This quasi-experimental study used impact evaluation data from the MNCS intervention in 2013 and compared these with the baseline data collected in 2008. We used a multi-stage, cluster random sampling technique to include 6,000 and 4,800 women in 2008 and 2013, respectively. The respondents were either mothers who had alive/deceased infants or the mothers whose pregnancy was terminated or who had living children of 12–59 months without pregnancy outcomes in the preceding year of the surveys. Based on the mean difference of live births from baseline to endline year for each intervention union, and then we compared these two areas (intervention and control unions). Overall lifetime fertility rate declined significantly in high-performing intervention unions (from 2.6 to 2.2/woman, p < .001) or in control unions (from 2.4 to 2.2/woman; p < .001). The degree of reduction of fertility increased significantly with age, and such a change was most prominent in the case of women ≥35 years old. Multivariate analyses suggest that the likelihood of having live births ≥3 reduced significantly in high-performed intervention compared to control unions. In conclusion, the probability of reducing lifetime fertility over time increases with a higher level of access, degree and duration of the customised intervention.


Populasi ◽  
2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Pieter J. Soumokil

It has been argued by many demographers that socio economic development with its associated fundamental changes in the role of women and the value of children is the dominant factor in the transition from high to low fertility. Research in less developed countries has found lower fertility levels in urban population compared to rural population. It was therefore assumed that the modernizing role of urbanlife helped bring about a decline infertility levels.This study in Irian Jaya, however, convincingly shows that fertility of urban women in Irian Jaya is higher than that of rural women. This differential infertility in favour of urban women in Irian Jaya appears to be real and not a result of underreporting of total live births in rural areas.The reasons for lower fertility in the rural areas in IrianJaya remain unknown, and more research is therefore needed. However, this study strongly suggests that the traditional system of swidden agricultyure in Irian Jaya, which places a highvalue on the labour input of women, may play a major role in constraining fertility in rural area of this province. On the other hand, high fertility in urban areas takes place because urbanwomen have their first birth earlier thanwomen inthe rural areas.


1993 ◽  
Vol 25 (3) ◽  
pp. 303-310 ◽  
Author(s):  
Nguyen Luc ◽  
Nguyen Minh Thang ◽  
Ingrid Swenson ◽  
Pham Bich San

SummaryData from the 4172 women aged 15–49 interviewed in the 1988 Vietnamese Demographic and Health Survey were used to examine age at marriage, marriage to first birth intervals and age at first birth. Differences between urban and rural areas, northern and southern provinces and by education of the women were analysed.The majority of the women had their first birth before age 20, but women with secondary education had a significantly higher age at first birth than those with little or no education, and women from the north had a significantly higher age at first birth than women from the south. Rural women and those with little or no education married at significantly younger ages than urban women and those with secondary education; these education effects were confirmed in a rural subsample of women. Women from rural areas and from the north had significantly shorter marriage to first birth intervals than urban women and those from the south, but there were no significant effects related to education.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Md. Moyazzem Hossain ◽  
Faruq Abdulla ◽  
Azizur Rahman ◽  
Hafiz T. A. Khan

Abstract Background Intimate partner violence (IPV) is a global public health concern, with women in low- and middle-income countries (LMICs) bearing a disproportionately high burden. This study investigates the prevalence and factors correlated with attitudes regarding wife-beating among Bangladeshi women in urban–rural contexts. Methods A sample of 13,033 urban women and 51,344 rural women data from the Bangladesh Multiple Indicator Cluster Survey (MICS) 2019 were analyzed using the Chi-square test and ordinal logistic regression model. Results The findings reveal that arguing with her husband is the widespread reason for wife-beating in Bangladesh (urban: 17.3%, rural: 21.9%), followed by neglecting the children (urban: 12.7%, rural: 15.8%). About 8% of urban women and 10% of rural women favoured the opinion that refusing to involve sexual intercourse is a legitimate justification for wife-beating. In comparison, around 5% feel that a husband has a right to beat his wife due to burning food. The respondents’ age, education, marital status, number of children, socioeconomic level, any health or physical difficulty, having problems becoming pregnant, and the husband’s age are all significant factors in justifying wife-beating. Conclusions Bangladesh has a massive challenge in eliminating IPV. Women from lower socioeconomic classes, low levels of education, other challenges, and residents of rural areas are particularly more vulnerable than their urban counterparts. Therefore, it is vital to develop a proper action plan that considers women’s education and occupation to raise awareness of the various implications of wife-beating in women, particularly in Bangladesh’s rural areas.


2018 ◽  
Vol 3 (6) ◽  
pp. e000898 ◽  
Author(s):  
Gary Joseph ◽  
Inácio Crochemore Mohnsam da Silva ◽  
Aluísio J D Barros ◽  
Cesar G Victora

IntroductionRapid urbanisation is one of the greatest challenges for Sustainable Development Goals. We compared socioeconomic inequalities in urban and rural women’s access to skilled birth attendance (SBA) and to assess whether the poorest urban women have an advantage over the poorest rural women.MethodsThe latest available surveys (DemographicHealth Survey, Multiple Indicators Cluster Surveys) of 88 countries since 2010 were analysed. SBA coverage was calculated for 10 subgroups of women according to wealth quintile and urban-rural residence. Poisson regression was used to test interactions between wealth quintile index and urban-rural residence on coverage. The slope index of inequality (SII) and concentration index were calculated for urban and rural women.Results37 countries had surveys with at least 25 women in each of the 10 cells. Average rural average coverage was 72.8 % (ranging from 17.2% % in South Sudan to 99.9 % in Jordan) and average urban coverage was 80.0% (from 23.6% in South Sudan to 99.7% in Guyana. In 33 countries, rural coverage was lower than urban coverage; the difference was significant (p<0.05) in 15 countries. The widest urban/rural coverage gap was in the Central African Republic (32.8% points; p<0.001). Most countries showed narrower socioeconomic inequalities in urban than in rural areas. The largest difference was observed in Panama, where the rural SII was 77.1% points larger than the urban SII (p<0.001). In 31 countries, the poorest rural women had lower coverage than the poorest urban women; in 20 countries, these differences were statistically significant (p<0.05).ConclusionIn most countries studied, urban areas present a double advantage of higher SBA coverage and narrower wealth-related inequalities when compared with rural areas. Studies of the intersectionality of wealth and residence can support policy decisions about which subgroups require special efforts to reach universal coverage.


2020 ◽  
Vol 150 (6) ◽  
pp. 1554-1565 ◽  
Author(s):  
Elizabeth C Rhodes ◽  
Parminder S Suchdev ◽  
K M Venkat Narayan ◽  
Solveig Cunningham ◽  
Mary Beth Weber ◽  
...  

ABSTRACT Background In low-resource settings, urbanization may contribute to the individual-level double burden of malnutrition (DBM), whereby under- and overnutrition co-occur within the same individuals. Objective We described DBM prevalence among Malawian women by urban-rural residence, examined whether urban residence was associated with DBM, and assessed whether DBM prevalence was greater than the prevalence expected by chance given population levels of under- and overnutrition, which would suggest DBM is a distinct phenomenon associated with specific factors. Methods We analyzed nationally representative data of 723 nonpregnant women aged 15–49 y from the 2015–2016 Malawi Micronutrient Survey. DBM was defined as co-occurring overweight or obesity (OWOB) and ≥1 micronutrient deficiency or anemia. We used Poisson regression models to examine the association between urban residence and DBM and its components. The Rao-Scott modified chi-square test compared the observed and expected DBM prevalence. Results Nationally, 10.8% (95% CI: 7.0, 14.5) of women had co-occurring OWOB and any micronutrient deficiency and 3.4% (95% CI: 1.3, 5.5) had co-occurring OWOB and anemia. The prevalence of co-occurring OWOB and any micronutrient deficiency was 2 times higher among urban women than rural women [urban 32.6 (24.1, 41.2) compared with rural 8.6 (5.2, 11.9), adjusted prevalence ratio: 2.0 (1.1, 3.5)]. Co-occurring OWOB and anemia prevalence did not significantly differ by residence [urban 6.9 (0.6, 13.2) compared with rural 3.0 (0.8, 5.3)]. There were no statistically significant differences in observed and expected prevalence estimates of DBM. Conclusions This analysis shows that co-occurring OWOB and any micronutrient deficiency was higher among women in urban Malawi compared with rural areas. However, our finding that co-occurring OWOB and any micronutrient deficiency or anemia may be due to chance suggests that there may not be common causes driving DBM in Malawian women. Thus, there may not be a need to design and target interventions specifically for women with DBM.


2014 ◽  
Vol 71 (3) ◽  
pp. 277-284 ◽  
Author(s):  
Ljiljana Antic ◽  
Bosiljka Djikanovic ◽  
Dejana Vukovic ◽  
Vladimir Kaludjerovic

Background/Aim. The incidence of cervical cancer in Central Serbia has the higher rate as compared with that in other European countries. Considering mortality rate for cervical cancer, the standardized rate in Serbia is 10.1 per 10,000 females, which is the second highest one after that in Romania with 13.0. The aim of this study was to examine application of preventive measures for cervical cancer in women both from rural and urban areas in Serbia and if they are associated with sociodemographic characteristics and sexual behaviour. Methods. We analyzed secondary data of the 2006 National Health Survey of the population of Serbia focused on characteristics of adult females aged 25 to 65 years (5.314 in total) taking into consideration that programme of the organized screening will include female population aged over 25 years. Results. Respondents from rural areas have gynecological examination less than once a year in comparison with those from urban areas (OR = 0.60, 95% Cl 0.54-0.68). Less women from rural areas did Pap test during the last 12 months in comparison with respondents from urban areas (OR = 0.55, 95% Cl 0.48- 0.64). Respondents from urban areas less often do the Pap test on doctor's advice in comparison with those from rural one (OR = 0.55, 95% Cl 0.42-0.62). Conclusion. This study shows that women in rural areas rarely implement preventive gynecological measures againt cervical cancer in comparison with those in urban areas. Implementation of preventive measures among rural women is conditioned by lower levels of education and lower socioeconomic status.


2021 ◽  
Vol 14 (SUPPLEMENT 1) ◽  
pp. 1-7
Author(s):  
Grażyna Stadnicka

Background: The changes that occur in a woman’s body during the perimenopausal period may influence feelings of attractiveness and perception of status in an intimate relationship, which may play a role in overall sexual satisfaction. Aim of the study: The present study aimed to analyze the influence of selected perimenopausal symptoms on the perception of satisfaction with sexual life in urban and rural women. Material and methods: This study included 224 women from urban areas and 106 women from rural areas who were using general practice services. Inclusion criteria were women who had not menstruated for 2–5 years. The measures used were the Menopause Rating Scale (MRS) and the Sexual Quality of Life-Female questionnaire (SQoL-F). Spearman’s rank correlation coefficient was used to assess the relationship between the severity of perimenopausal symptoms and satisfaction with sexual life. Results: A greater proportion of urban women reported symptoms in the perimenopausal period than rural women. Statistically significant correlations were observed for irritability (P = 0.03) and sexual problems (P = 0.01). However, rural women reported a greater degree of symptom severity. There was a statistically significant difference in severity of somatic and psychological symptoms between urban and rural women. In urban women, the average score for general satisfaction with their sexual life was 62 ± 19.96, whereas the average score for rural women was slightly less, 59 ± 23.56. A statistically significant inverse relationship was observed between the severity of perimenopausal symptoms and quality of sexual life, with values of Spearman’s rank correlation coefficients ranging from −0.490 to −0.064. Conclusions: Urban or rural residence had a slight influence on the frequency and severity of perimenopausal symptoms, and severity of symptoms had a significant influence on women’s satisfaction with their sexual life.


Author(s):  
M. Ripak ◽  
I. Ripak

The article covers the question of health and motor activity of women living in rural areas. Women rated their health status as mediocre (70.0%), good (11.8%), satisfactory (8.1%), ideal (3.9%), unsatisfactory (6.2%). 37.7% of women did not fall ill during the year, 22.5% of respondents fell ill for about two weeks, 20.0% of women about a month, 9.7% of those respondents for more than a month, for more than two month 10.1% women which living in the countryside. Among the means used by rural women to promote and restore health, the first ranked places are: medicines (used by 69.8% of mature women and 98.5% of women of retirement age), folk medicine (24.5% and 37.8% of women of mature and retirement age respectively). It was found that rural women rate their own motor activity as medium (36.1%), high (25.2%), low (24.7%). 14.0% of women were undecided. The motor activity of rural women is mainly of a household nature related to the various farm works. Women living in rural areas also indicated the dependence of their motor activity on the time of year. The lowest level of motor activity is observed in winter, due to the lack of work on land, gardens, etc. The analysis of the statistics of recent years shows the deterioration of the health of the population of Ukraine, caused by insufficient physical activity, poor diet, bad habits, environmental pollution. The state of health of the population is one of the most important social indicators of social progress, the potential of economic growth of the state, which reflects the welfare of the nation, its socio-economic, demographic, environmental, sanitary and hygienic status Rural women pay insufficient attention to specially organized motor activity. Exercise systematically 11.5% of rural women, most (65.8%) consider them necessary, but do not exercise, citing the lack of time and conditions for employment, and 22.7% of rural women do not see the need for carry out physical exercises. It is worth noting that the activity of rural women in physical activity decreases with age.


Mediscope ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 1-10
Author(s):  
Akkur Chandra Das

The study evaluated the constraints of maternal health in reproductive age in the rural Bangladesh. The study used qualitative approach to gather information where individual in-depth interviews adopted for data collection among women aged 15-49 years old. The overall study revealed that rural women faced many maternal health related complications and problems in their reproductive age such as hemorrhage, sepsis, hypertensive diseases of pregnancy, obstructed labour and complications of abortion, etc. Maternal health situation still in rural areas was not developed in comparison to the situation of urban areas of Bangladesh and there was not available women’s health care accesses for their emergency; low education level, low per capita income, many family members, early marriage and pregnancy, number of pregnancies, poor nutrition and lack of family support status resulted in low status of maternal and child health in the rural areas of Bangladesh. Adequate measures should be taken for providing proper health care services in rural areas of Bangladesh for better maternal health status.Mediscope Vol. 3, No. 2: July 2016, Pages 1-10


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