scholarly journals A comparative study of cardiovascular disease risk factors among urban and rural population South Indian city

2017 ◽  
Vol 4 (12) ◽  
pp. 4623
Author(s):  
Syam Sundar Junapudi ◽  
B. Babu Rao
Keyword(s):  
Alcohol Use ◽  
Urban Area ◽  
Rural Area ◽  
Rural Population ◽  
Urban Population ◽  
Smoking Habit ◽  
Health Centre ◽  
Communicable Diseases ◽  
Population Prevalence ◽  
Study Population

Background: Non-communicable diseases are major health burden in the industrialized countries, and are increasing rapidly in developing countries like India due to demographic transition and changing lifestyles among people. Major Non communicable diseases are cardiovascular diseases, renal, nervous and mental diseases, musculoskeletal conditions, chronic non-specific respiratory diseases, permanent results of accidents senility, blindness, cancers, diabetes, obesity and various other metabolic and degenerative diseases and chronic results of communicable diseases. The aims and objectives of the study were to estimate the prevalence of cardio vascular disease risk factors among the study population above 15 years age group and to compare the study results between urban and rural area population. Methods: A total of 1400 persons in the age group of above 15 years were interviewed at their residence and anthropometric measurements were taken. The study design was on community based cross-sectional study. The study setting was on urban health centre, Harazpenta and rural health centre, Patancheruvu. The study population was on adults above 15 years of age in Harazpenta and Patancheruvu. The sample size was 700 urban, 700 rural population. The study period was on April 2008 to May 2009 (1 year). The data collection was by using pre-designed, pretested questionnaire. The data analysis was by using MS office 2003, Epiinfo 2007. The statistical test was on rates, ratios, proportions and Chi-square tests. Results: Smoking habit was more (19.2%) among urban population when compare to the rural (13.4%) population, alcohol use was 24%, when compared to 30.7% was alcohol use in rural area. In urban area 13.7% of population led with sedentary life, where as in rural area 3.3% only. Among urban population prevalence of obesity was 12.7% compared to 5.4% in rural population, prevalence of hypertension in urban area 18.7% and rural area 20%, In urban area prevalence of diabetes was 14.4% and in rural area. Conclusions: Smoking habit was more (19.2%) among urban population when compare to the rural (13.4%) population, in urban area alcohol use was 24%, whereas in rural area 30.7%. In the study population 14.5% of urban males led a sedentary life style, when compared with 5.1% of males in the rural area. Among urban population prevalence of obesity was 12.7% compared to 5.4% in rural area.  

scholarly journals Mental Stress and Multiple Risk Factors of Cardiovascular Diseases with Regional Variations in Women of Urban and Rural Areas of Sindh, Pakistan

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Risk Factors ◽  
Urban Area ◽  
Rural Area ◽  
Psychological Stress ◽  
Rural Women ◽  
Rural Population ◽  
Urban Areas ◽  
Mental Stress ◽  
Physical Inactivity ◽  
Urban Population

Introduction: The high prevalence of risk factors in women in developing countries of South Asia appears to have been translated into early and severe CHD in contrast to their counterpart in the first world nations, which has been related to obesity and insulin resistance and genetically determined increased lipoprotein Lp(a) levels. Mental stress due to urbanization, sedentary life style and physical inactivity may be the most important factor initiating obesity and the clustering of all other risk factors hypertension, dyslipidaemia and (WHR). These risk factors vary in different regions of South Asia. Aims and Objectives: Our aim of the study was to describe and analyse differences between the frequency of risk factors such as psychological stress due to, socio-economical aspects, life style especially physical activity, and health behaviours which may contribute in the course of CAD in women of both rural and urban areas of Pakistan because no such significant data is available in women with CAD. Study Design: This descriptive cross-sectional comparative study was conducted in Cardiology Department of Dow University of Health and Sciences Karachi, Pakistan, from March 2014 to March 2016 by filling a questionnaire and laboratory data. The study group comprised female subjects around 577 (Urban 347 {60.1%} and Rural 230 {39.9%}) women ranged from 25-65 years of age who underwent coronary angiography and had definite coronary atherosclerotic diseases. Our study was conducted by examining the psychological stress in women of both areas and its strength of association with frequency of other risk factors in female patients of urban and rural areas with definite CHD taking account the difference in age and education level into account. Result: Analysis of this study conducted at department of Cardiology in Dow University Karachi from March 2014 to March 2017 revealed that the women of rural area were comparatively more physically active then women of urban area. Prevalence of mental stress, hypertension, diabetes, obesity, higher BMI, hyperlipidaemia (especially TC) waist and hip circumference of both areas were found to be different after adjustment made for age. A considerable association was found between psychological stress and other factors in ischemic heart disease patients showing the p-value (p=0.043). Psychological stress was found 82% in both groups and (13%) women had no stress rated as normal more in rural (26%) vs (04%) in urban population. Physical inactivity in women with CHD was found in 92% urban in contrast to 45% in rural population, (p=0.009). Hypertension prevalence was more in urban 253 in comparison to 151 women in rural area. Diabetes Mellitus was also found more in urban than rural population, especially in age below 50, 79 (23%) urban vs 60 (26%) in rural population. Women beyond 50 years of age, 85 (24%) urban vs 64 (27%) rural area had prevalence of obesity comparatively higher in urban residents 71 (20%) than 44(%) in rural dwellers and 32 (9%) urban vs 16 (7%) in rural women in age range below 50 years. Higher waist circumstance was observed more in urban residents (4.8 cm) whereas BMI was more (1.8 unit) in women of rural area than urban women. Prevalence of smoking and nicotine chewing was relatively higher in urban population in below 50 years of age with 30 (09%) urban vs 13 (05%) in rural women and in age beyond 50, 11 (03%) urban vs 10 (04%) in rural women was witnessed. Average total cholesterol, serum triglycerides and LDL were found to be higher in urban compared to rural area residents and HDL was comparatively lower in urban area group. Mean cholesterol level was seen at average of 353 mg% in urban vs 223 mg% in rural population. Serum cortisol level showed significant variation in urban group 19.1 vs 14.2 in rural group (sample, as well as serum fibrinogen was raised more raised in urban population). Conclusion: Our study shows increased prevalence of mental stress and physical inactivity in female residents of urban area leading to Higher blood pressure, DM, dyslipidaemia and central obesity specially in Waist circumference than rural area. The mental stress induced by excessive demands of work at home and at working place with too little control is not unique to women of urban areas.

scholarly journals A comparative study of prevalence of overweight and obesity among urban, and rural population of South India

2019 ◽  
Vol 6 (3) ◽  
pp. 1091
Author(s):  
B. Babu Rao ◽  
Syam Sundar Junapudi
Keyword(s):  
Urban Area ◽  
Rural Area ◽  
Medical Condition ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Study Data ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Study Results ◽  
Study Population

Background: Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health.1 People are generally considered obese when their body mass index (BMI), a measurement obtained by dividing a person's weight by the square of the person's height, is over 30 kg/m2, with the range 25–30 kg/m2 defined as overweight.Aims and objectives were to estimate the prevalence of overweight and obesity among the study population and to compare the study results between urban and rural area population.Methods: A community based cross-sectional study from April 2008 to May 2009 (1 year) conducted at urban health centre, Harazpenta and rural health centre, Patancheruvu. Total of 1409 persons in the age group of above 15 years were involved in this study. Data collection by using pre-designed, pretested questionnaire. Data analysis by using MS office 2016. Epi info2016, rates, ratios, proportions and Chi-square tests were used.Results: Among urban population prevalence of obesity was 12.7% compared to 5.4% in rural area. The prevalence of pre obesity was more among males (26.2%) in urban area than rural area (16.72%). In the study population 42.9% of the individual who had BMI>25 were from upper middle class in urban area, when compared to 43.3% with BMI>25 belongs to upper class in rural area.Conclusions: All over weight and obese subjects should be educated to know about the occurrence of various health problems due to overweight.

scholarly journals Authors Response: Clinical Differences Between Children With Asthma And Rhinitis In Rural And Urban Areas

2019 ◽  
pp. 46-48
Author(s):  
Jorde Sánchez ◽  
Andrés Sánchez ◽  
Ricardo Cardona
Keyword(s):  
Sample Size ◽  
Urban Area ◽  
Rural Area ◽  
Rural Population ◽  
Urban Areas ◽  
Urban Population ◽  
Sample Size Calculation ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Children With Asthma

Dear Editors: We greatly appreciate the interest shown in the article "Clinical differences between children with asthma and rhinitis in rural and urban areas", which we hope will be one of several future articles that we intend to carry out in the study cohort. To the questions generated by the reader, one is focused on the calculation of the sample size, while the other two questions are focus in the method of analysis, and the reader suggests, it could be more robust. Regarding the sample size, we describe that infant asthma in urban areas of Medellin was 11% and rhinitis 23%, according to previous studies. There is no data available for the rural area. We note that with a confidence level of 95%, a power of 80% and a sample size error of 0.5%, the sample size was calculated; estimating 201 children for the urban area and 128 for the rural area. Finally, we recruited and were able to continue for a year, a total of 248 children from the urban area and 134 from the rural area. The complaint of the reader, is focus that the more appropriated technique would be "… the appropriate sample size calculation must have been the difference of means between two independent populations, although the authors did not report any ACT effect size based on previous studies." First, we fully agree with the reader that for this type of design, the study lost power by the form of sample size calculation. We did not find studies with the urban and rural ACT tests in the studied population, which made it impossible to obtain these parameters to perform the sample size calculation by the technique "power two means" (difference of means of two independent groups). ). As we noted in the article, we do not have previous data in the rural population that allow us to infer the precise prevalence of asthma in this area; as we also noted in the article the prevalence in Colombia of asthma in the general urban population is 11%, there are also data that indicate that in the child population (less than 12 years) it is around 23%; if we work with these two prevalence where we assume that the highest in children is for the urban population and that possibly the lowest corresponds to what happens in the rural population 1 and assuming the parameters; alpha 0.05, power 0.80, delta 0.12 rural prevalence 0.11 vs. urban prevalence 0.23, a sample size of 306 is required; 153 for each group; in the urban area we had the availability of 201 children and in the rural area we made 128, which is close to the desired. Therefore we consider that we fulfill the expectation according to the mathematical formula used (chi-squared test comparing two independent proportions).

scholarly journals Requirements and Planning of Badliya Village for converting it into Smart Village Category in Banswara, Rajasthan

2020 ◽  
Vol 9 (3S) ◽  
pp. 40-44
Keyword(s):  
Urban Area ◽  
Developing Country ◽  
Rural Area ◽  
Rural Population ◽  
Pure Water ◽  
Large Mass ◽  
Sewage System ◽  
Hygienic Conditions

India is developing country and around 67% population is lived in villages. Large mass of people are migrating from rural area to urban area due to scarcity of basic facilities in villages like schools, roads, hospitals, electricity, pure water, proper sewage system and hygienic conditions for better life. So it is need of the hour to identify the requirements of villages to converting it into smart village category for stopping the migration of rural population to urban area, as it will control the load of excessive population on urban cities. In this project Badliya village in Udaipur was selected for survey to make out the necessities and planning of different facilities according to requirements of village. This type of projects will be helpful for developing Smart Villages in India.

scholarly journals A comparative study to assess the knowledge about Vasectomy Among male spouses who are accompanying Postnatal Mothers in Urban and Rural PHC

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 81-85
Author(s):  
Thamu Priyadharshini N T ◽  
Shivaranjani S
Keyword(s):  
Urban Area ◽  
Rural Area ◽  
Planning Process ◽  
Health Centre ◽  
Primary Health Centre ◽  
Study Objective ◽  
Primary Health ◽  
Married Men ◽  
Postnatal Mothers ◽  
The Mean

Vasectomy is a lasting technique for contraception for men. It incorporates blocking the two vas-deferens forestalling section of sperm to male urethra. It is likewise called male sterilization and male surgical contraception. This study was to assess the knowledge on male spouse regarding vasectomy because mostly female spouse are much familiar in the family planning process. The present study objective is to survey the information of males about vasectomy and to study the knowledge comparatively between urban and rural male spouse regarding vasectomy. The descriptive cross-sectional research design was used for this study. The study was directed at the urban and rural PHC among male spouse who attending postnatal mothers at Thiruvathipuram Urban primary health centre, Cheyyar block, Thiruvannamalai district and also at Thozhupedu primary health centre, Cheyyar taluk, Thiruvannamalai district. The sample size is comprised of 100 samples. Out of which 50 samples in rural and 50 samples in urban. Comparison of knowledge between married men in an urban and rural area; the mean score of knowledge among married men in the urban area was 74.94±7.09 and the mean score in the rural area was 51.22±12.91.The calculated student independent 't' test value of t = 1.389 was found to be statistically significant at p<0.001 level. This indicates that there was critical contrast in the degree of information about vasectomy among married women in the urban and rural area. This clearly infers that married men in the urban area had more knowledge about vasectomy than the married men in the rural area. This showed that there is a slight difference in knowledge on vasectomy among males at both rural and urban populations. In comparison, the urban population had a high level of knowledge on vasectomy than compared with the rural population. 

scholarly journals Knowledge, attitude and perceptions of mothers with children under five years of age about vaccination in Mangalore, India

2014 ◽  
Vol 5 (4) ◽  
pp. 52-57 ◽  
Author(s):  
Soundarya Mahalingam ◽  
Abhijna Soori ◽  
Pradhum Ram ◽  
Basavaprabhu Achappa ◽  
Mukta Chowta ◽  
...  
Keyword(s):  
Urban Area ◽  
Rural Area ◽  
Urban Health ◽  
Rural Areas ◽  
Health Centre ◽  
Childhood Vaccination ◽  
Children Under Five ◽  
Under Five ◽  
Significant Difference ◽  
Urban Health Centre

Objective: Vaccination is a cost-effective intervention to prevent major illnesses that contribute to child mortality in the country. Increase in parental knowledge about vaccination will lead to increase in vaccination rates of children The main aim of our study was to assess the Knowledge (K), attitudes (A) and perceptions (KAP) of mothers with children under five years of age about vaccination. We also compared the KAP data between urban and rural setup. Methodology: This cross sectional descriptive study was conducted on mothers attending the Urban Health Centre (in Mangalore city) and on mothers attending a Peripheral Health Centre (Bengre, outskirts of Mangalore) having children under five years of age. A semi structured pre validated questionnaire designed to assess the Knowledge, Attitudes and Perceptions about vaccination was administered to mothers attending the Urban Health Centre and on mothers attending a Peripheral Health Centre having children under five years of age. Results: Among the study participants, 74 were from urban setup and 126 from rural set up. Around 8 (10.8%) from urban area and 78(61.9%) from rural area were illiterate. Mothers were the main decision makers regarding vaccination of the child in both urban and rural setup. The main source of information regarding vaccination differed among urban and rural setup, being the hospital and the anganwadi worker respectively. There was a statistically significant difference between urban and rural mothers when it was asked whether they knew why vaccination was important. A majority of the mothers both in the urban and rural areas believed that vaccines were safe. Among the urban mothers 90.5% and 62.7% of mother from rural were able to identify polio as a vaccine preventable disease. On a net analysis, 64(86.5%) mothers in the urban area and only 64 (50.8%) mothers in the rural area mothers found to have favourable knowledge, attitudes, perceptions and practices towards vaccination. Conclusion: A significant number of mothers in rural areas were unaware about the vaccination and its implications. Even in the urban areas we found significant lacunae in the KAP of mothers towards childhood vaccination. DOI: http://dx.doi.org/10.3126/ajms.v5i4.10306 Asian Journal of Medical Sciences 2014 Vol.5(4); 52-57

scholarly journals Prevalence of substance use disorders in an urban and a rural area in Suriname

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Raj Jadnanansing ◽  
Matthijs Blankers ◽  
Rudi Dwarkasing ◽  
Kajal Etwaroo ◽  
Vincent Lumsden ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Urban Area ◽  
Rural Area ◽  
Alcohol Use Disorder ◽  
Alcohol Use Disorders ◽  
Census Bureau ◽  
Lower Probability ◽  
Treatment Gap ◽  
Risky Alcohol ◽  
Low Middle Income Countries

Abstract Background Alcohol use disorders (AUD) have the worst impact in low-middle-income countries (LMICs), where the disease burden per liter of alcohol consumed is higher than in wealthy populations. Furthermore, the median treatment gap for AUDs in LMICs is 78.1%. The highest prevalence of AUDs worldwide in 2004 was found in the western Pacific region, Southeast Asia, and the Americas. The main aim of this study was to estimate and compare the prevalence of risky alcohol use and the extent of the treatment gap in a rural (Nickerie) and in an urban (Paramaribo) area in Suriname, a LMICs country with a wide variety of ethnic groups. Methods The respondents were randomly recruited using a specific sampling method of the National Census Bureau. The final samples were 1837 households for Paramaribo and 1026 for Nickerie, reflecting the populations in both regions. The Alcohol Use Disorder Identification Test (AUDIT) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were used to assess the likelihood of the presence of alcohol use disorder. A score of > 7 for the AUDIT implies risky alcohol use. Results The results indicated that 2% of the women and 15% of the men in the rural area scored 8 or higher on the AUDIT. In the urban area, these numbers were 3% and 17%, respectively. In both samples, the men had the highest addiction risk at about 16% compared with 2% for females. Married persons are significantly less likely to become alcoholic than singles and other groups in Paramaribo. In both areas, higher education was associated with a lower probability of alcohol abuse and dependence, while handymen showed a higher odd. A treatment gap of 50% was found for alcohol use disorders in the rural area. The corresponding gap in the urban area was 64%. Conclusions Surinamese men show a high prevalence of the likelihood of AUD. In addition, the treatment gap for these possible patients is large. It is therefore of paramount importance to develop therapeutic strategies with the aim of tackling this physically and mentally disabling disorder. Tailored E-health programs may be of benefit.

scholarly journals A study on prevalence of various risk factors associated with cardiovascular diseases in urban and rural areas of Dharwad region

2018 ◽  
Vol 5 (12) ◽  
pp. 5101
Author(s):  
Murari Pradeep Kumar ◽  
Pushpa S. Patil ◽  
Umesh R. Dixit
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Urban Area ◽  
Rural Area ◽  
Rural Areas ◽  
Smoking Habit ◽  
Age Group ◽  
Factors Associated ◽  
Urban And Rural Areas ◽  
Tobacco Usage

Background: Prevalence of risk factors for cardiovascular diseases is routinely carried out in developed countries. The aim was to study the prevalence of risk factors associated with cardiovascular diseases in urban and rural areas of Dharwada population.Methods: A total of 652 subjects (male-328; female-324) with an age group 15-64 years from rural and urban areas of Dharwad population were selected for the present study. Pregnant women, severe chronic illness, bedridden patients and subjects who refused to participate in the study were excluded from the study. Age-sex, religion educational status, and occupation, type of family, socioeconomic status followed by a questionnaire on the use of tobacco, alcohol were collected and tabulated.Results: Subjects with tobacco smoking habit were 30 (9.2%) in the urban area which was more in comparison to 11 (3.4%) in the rural area. In the urban area, tobacco usage was more among males (62.9%) and unemployed (55.9%) and it was found to be statistically significant (p<0.05). In the rural area, tobacco usage was more among 40-64 years age group (39.4%), males (61.6%), literates (39.4%), employed (48.8%) and lower socioeconomic group (39.2%) and it was found to be statistically significant (p<0.05). The alcohol consumption habit among the study subjects was more in the age group of 40-64 years in both urban (18.3%) and rural (9.6%) area and they were found to be statistically significant.Conclusions: Consumption of tobacco, alcohol is the major risk factor in the management of cardiovascular diseases in the urban and rural population.

BETWEEN CITY AND VILLAGE: FOOD CONSUMPTION PRACTICES IN THE EVERYDAY LIFE OF THE UKRAINIAN INTELLIGENTSIA (THE LATE 19th – EARLY 20th CC.)

2019 ◽  
pp. 97-106
Author(s):  
Olga Kazakevych
Keyword(s):  
Everyday Life ◽  
Urban Area ◽  
Rural Area ◽  
Food Consumption ◽  
Rural Population ◽  
Food Habits ◽  
Social Stratum ◽  
Food Practices ◽  
The Everyday ◽  
Consumption Practices

The article is devoted to the food consumption practices of the Ukrainian-minded educated class during the late 19th – early 20th cc. It is based mainly on the memoirs and diaries. The author considers the fact that the intelligentsia was a relatively new social stratum which came into being by the middle of the 19th c. Most of its representatives, whether they were descendants of gentry or peasants, originated from the non-urban area. The Ukrainian-minded intellectuals maintained their connections with the countryside and its culture, spending their vacations in the rural area, hiring former peasants as cook-housekeepers etc. The author assumes that this was the main reason why the tastes and food habits of Ukrainian intelligentsia were to a large extent influenced by the traditional rural cuisine. It is clearly visible in the descriptions of the Christmas and Easter celebrations when mostly traditional dishes used to be cooked. Keeping a fast was also a common practice for both Orthodox rural population and the urban intelligentsia. As the author points out, meetings of the Ukrainian-minded intellectuals in Kyiv were usually accompanied by the feasts and banquets. At these banquets, the demonstration of hospitality and largess was highly important and the dishes of people’s cuisine (recognized as national and democratic) were especially popular. However, a new experience of consuming international food and drinks in the urban milieu progressively transformed tastes of the Ukrainian intelligentsia. Travelling abroad contributed significantly to the changing of domestic food practices. In general, the author comes to the conclusion that during the late 19th – early 20th cc. food consumption practices of the Ukrainian intelligentsia used to be a mixture of the Ukrainian gastronomic traditions and international (mostly European) cuisine. 

scholarly journals Self-medication practices in a rural population in Tamil Nadu

2020 ◽  
Vol 7 (12) ◽  
pp. 5021
Author(s):  
Veerakumar Arumugam Mariappan ◽  
Velmurugan Anbu Ananthan
Keyword(s):  
Rural Population ◽  
Tamil Nadu ◽  
Univariate Analysis ◽  
Health Centre ◽  
Medication Use ◽  
Health Care Facilities ◽  
P Value ◽  
Common Source ◽  
Self Medication ◽  
Study Population

Background: Self-medication is one of the harmful practices of growing concern where health care facilities are out of reach in the rural population. So, this study was carried out to know about the prevalence of self-medication and the type of drugs commonly used and the reason for self-medication. Methods: A cross-sectional study was conducted among 150 subjects in Out-patient department of a rural primary health centre, Sirugambur during April and May 2016. A pretested semi-structured questionnaire was used after obtaining informed consent. It was analysed using SPSS trial version 20. Univariate analysis was done. P value <0.05 was considered statistically significant. Results: Majority of the study population were in the age group of 18-30 years (38.6%), followed by 31-45 years (36.7%). The prevalence of self-medication use was 78.7% (n=118). Among those, 111 (74%) were getting medicines from medical shop directly. The common reasons for going to medical shop was easy accessibility (52.3%), immediate response (22.5%), and familiarity (18%). The most common source of drug information reported was pharmacist and friends (76.6%), followed by media (21%). The drugs commonly used were paracetamol (42%), antibiotics (32.1%) and antihistamines (16%).Conclusions: The prevalence of self-medication use was high in the study population. Self-medication is one of the components of self-care adopted by the WHO. The drug regulatory and health authorities have to increase awareness among the general public especially in rural areas on the pros and cons of responsible self-medications to eventually improve their attitudes towards the practices of self-medication.

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