scholarly journals Prevalensi dan Determinan Hipertensi di Pulau Jawa, Tahun 2004

2006 ◽  
Vol 1 (2) ◽  
pp. 57
Author(s):  
Zamhir Setiawan

Hipertensi merupakan faktor risiko utama kardiovaskuler yang merupakan penyebab utama kematian di seluruh dunia. Peningkatan umur harapan hidup dan perubahan gaya hidup meningkatkan faktor risiko hipertensi di berbagai negara. Tujuan penelitian ini (1) Mengetahui prevalensi hipertensi dan penyebarannya di Pulau Jawa tahun 2004. (2) Mengetahui faktor-faktor sosiodemografi yang berhubungan dengan kejadian hipertensi. (3) Mengetahui kontribusi dan dampak potensial masing-masing faktor tersebut. Penelitian dengan rancangan studi Ekologi Multilevel ini menggabungkan variabel tingkat pengukuran individu dengan tingkat pengukuran ekologi dalam analisis bersama, dengan unit analisis individu. Analisis kontekstual dilakukan melalui kerangka konsep hipertensi, menggunakan metode analisis regresi logistik ganda, dengan status hipertensi sebagai variabel dependen. Data variabel dependen dan variabel perancu yang merupakan data pengukuran tingkat individu diambil dari data SKRT 2004. Data sosiodemografi tingkat pengukuran ekologi sebagai variabel independen utama, diperoleh dari Profil Kesehatan Indonesia, Statistik Indonesia, Statistik Kesehatan, Statistik Kesejahteraan Rakyat, danData Departemen Dalam Negeri, unit pengamatan provinsi. Hasil penelitian ini menunjukkan prevalensi hipertensi di Pulau Jawa 41,9%, dengan kisaran di masing-masing provinsi 36,6%-47,7%. Prevalensi di perkotaan 39,9% (37,0%-45,8%) dan di perdesaan 44,1% (36,2%-51,7%). Kata kunci: Hipertensi, faktor sosiodemografiAbstractHypertension is a main risk factor of cardiovascular disease which is ranked as number one cause of death in the world. The increase of life expectancy and changes in life style have increased the prevalence of hypertension risk factor in both developed and developing countries. The objectives of this study are (1) To know the prevalence and distribution of hypertension in di Java island, in year 2004. (2) To know sosiodemographic factors related to hypertension. (3) To know the contribution of each sosiodemographic factor toward hypertension. The study used multilevel ecologic study design that integrated both individual and ecological level variables measurement. The analysis method used in this study was contextual analysis and multiple logistic regression with hypertension status as dependent variable. The individual level measurement of variables such as hypertension status and age, job, education and sex is taken from Household Health Survey (SKRT) 2004. The sosiodemographic data which was ecological measurement level served as the main independent variables were taken from Indonesian Health Profile, Indonesian Health Statistics, Public Welfare Statistics and data from Department of Internal Affair, particularly from Province Surveillance Unit. The study results showed that the prevalence of hypertension in Java Island was 41.9%, with range of prevalence in provincial level of 36.6%-47.7%. The prevalence in urban areas was 39.9% (37.0%-45.8%) and in rural areas was 44.1% (36.2%-51.7%)Keywords: Hypertension, sosiodemographic factors

2021 ◽  
Vol 13 (24) ◽  
pp. 13712
Author(s):  
Annie Tubadji ◽  
Valentina Montalto

The world is changing under the pressure of environmental and health crises, and in this context, location choice and political choice become of even more poignant importance. Following a Culture-Based Development (CBD) stand, our paper highlights the link between political voting and the cultural and ecological valuation of a place. We start from the premise that the individual utility functions of the urban inhabitant and the urban voter coincide, since they both express the citizen’s satisfaction with the life in a place. We suggest that the unified citizen’s utility function is driven by a trade-off between the availability of virtual and physical spaces for interaction. We expect that this trade-off can lead to dissatisfaction with the place and consequent political discontent if the incumbents’ access to green areas and artistic environment in a place is simultaneously hampered for a long time. Our operational hypothesis is that the political sensitivity of citizens is related to the local availability of green areas (geographies of flowers) and cultural capital endowments (geographies of flower power). Using individual-level data from the WVS from the period close before the pandemic—2017–2020, we test empirically this hypothesis. We use as an outcome of interest the individual propensity to active political behaviour. We explain this propensity through the geographies of flowers (i.e., green areas) and geographies of flower power (i.e., cultural and creative industries). We compare the effects for urban and for rural areas. We find strong dependence of politically proactive behaviour on the geographies of flowers and geographies of flower power, with explicit prominence in urban areas. We find a more pronounced effect of these two geographies on the utility function of incumbent than migrant residents. We also crosscheck empirically the relationship of this CBD mechanism on an aggregate level, using data from the Cultural and Creative Cities Monitor. The findings confirm the Schelling magnifying effect of micro preferences on a macro level.


Author(s):  
Momole Kasambala

Investment is the corner stone for economic growth and development. Poor countries experience a scant growth of their economy simply because of minute investment at the individual to national level. In these less developed economiesinvestment has been hampered by insufficient capital to support a viable business enterprise. External financing is required to reverse this trend. Experience shows that the provision of credit is the preeminent way to increase capital for investment. There have been several credit providers in developing countries namely, the formal, semiformal, and informal sources. While the formal and semiformal sources dominate in urban areas, the informal ones seem to dominate in rural areas. Many of the formal sources require credit to be secured by tangible assets. Unlike other credit lines like banks, credit from saving and credit cooperative (SACCOS) are issued without delay because credit worthiness can be established easily. These SACCOS normally operate within the premises of members and are well positioned to serve poor people both in urban and rural areas.This study was conducted to assess the determinants of investment at the individual level. Multistage and simple random sampling techniques were used to select the study area and respondents. The sample includes 239 SACCOS members and 241 non members. Data analysis employed both descriptive statistics and Ordinary least square regression methods. The study examines achievement differences in terms of the investment level achieved by SACCOS and non SACCOS members in order to determine the attributed factors to their success. The study provides sufficient evidence to support the proposition that acquisition of credit is important for investment at an individual level at P<0.001.


Author(s):  
Surya Narayan Biswal ◽  
◽  
S. K. Mishra ◽  
M. K. Sarangi ◽  
◽  
...  

UNDP’s 2030 agenda of Sustainable Development Goals (SDGs) emphasized gender equality in augmenting human capital and alleviating poverty. For eradication of extreme poverty and building resilience for persons who are vulnerable to poverty, SDGs calls for a pro-poor and gender-sensitive policy framework. In this context, a gender-based study on multi-dimensional aspects of poverty is highly significant. Extant literature reveals that females are more deprived in different dimensions of poverty such as education, health, living standard, empowerment, environment, autonomy and social relationship. The present study is conducted with the basic objective of examining feminization of poverty in rural areas of Jagatsinghapur district of Odisha. Seven socio-economic dimensions comprising sixteen indicators have been taken into consideration to construct the Multidimensional Poverty Index (MPI) using the Alkire-Foster (AF) Method at the individual level. The novelty of the study lies in analyzing MPI at the individual level for rural Odisha. Higher female deprivation is observed across social groups and all occupation categories except services. Dummy variable regression analysis also supports the major findings of the study. Complementary Cumulative Distribution Function satisfies strict first-order stochastic dominance condition and substantiates the feminisation of poverty at each level of poverty cut-off across all social groups and occupational categories except for services. The findings of the study have significant implications for developing suitable policies for gender equalization and poverty alleviation.


Author(s):  
Wenjun Zhu ◽  
Si Zhu ◽  
Bruno F. Sunguya ◽  
Jiayan Huang

Our study aims to examine the disparity of under-5 child stunting prevalence between urban and rural areas of Tanzania in the past three decades, and to explore factors affecting the rural–urban disparity. Secondary analyses of Tanzania Demographic and Health Surveys (TDHS) data drawn from 1991–1992, 1996, 1999, 2004–2005, 2009–2010, and 2015–2016 surveys were conducted. Under-5 child stunting prevalence was calculated separately for rural and urban children and its decline trends were examined by chi-square tests. Descriptive analyses were used to present the individual-level, household-level, and societal-level characteristics of children, while multivariable logistic regression analyses were performed to examine determinants of stunting in rural and urban areas, respectively. Additive interaction effects were estimated between residence and other covariates. The results showed that total stunting prevalence was declining in Tanzania, but urban–rural disparity has widened since the decline was slower in the rural area. No interaction effect existed between residence and other determinants, and the urban–rural disparity was mainly caused by the discrepancy of the individual-level and household-level factors between rural and urban households. As various types of determinants exist, multisector nutritional intervention strategies are required to address the child stunting problem. Meanwhile, the intervention should focus on targeting vulnerable children, rather than implementing different policies in rural and urban areas.


2017 ◽  
Vol 8 (2) ◽  
pp. 29-41
Author(s):  
Shivangi Nigam ◽  
Niranjana Soperna

Violence against women is linked to their disadvantaged position in the society. It is rooted in unequal power relationships between men and women in society and is a global problem which is not limited to a specific group of women in society. An adolescent girl’s life is often accustomed to the likelihood of violence, and acts of violence exert additional power over girls because the stigma of violence often attaches more to a girl than to the  perpetrator. The experience of violence is distressing at the individual emotional and physical level. The field of research and programmes for adolescent girls has traditionally focused on sexuality, reproductive health, and behaviour, neglecting the broader social issues that underpin adolescent girls’ human rights, overall development, health, and well-being. This paper is an endeavour to address the understated or disguised form of violence which the adolescent girls experience within the social contexts. The parameters exposed under this research had been ignored to a large extent when it comes to studying the dimension of violence under the social domain. Hence, the researchers attempted to explore this camouflaged form of violence and discovered some specific parameters such as: Diminished Self Worth and Esteem, Verbal Abuse, Menstruation Taboo and Social Rigidity, Negligence of Medical and Health Facilities and Complexion- A Prime Parameter for Judging Beauty. The study was conducted in the districts of Haryana (India) where personal interviews were taken from both urban and rural adolescent girls (aged 13 to 19 years) based on  a structured interview schedule. The results revealed that the adolescent girls, both in urban as well as rural areas were quite affected with the above mentioned issues. In urban areas, however, due to the higher literacy rate, which resulted in more rational thinking, the magnitude was comparatively smaller, but the difference was still negligible.  


PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 876-877
Author(s):  
Herman Harris

The Comprehensive Sickle Cell Centers were established in 1972 to test, educate, counsel, and research sickle cell anemia and related hemoglobinopathies. Standards and protocols for testing, education, and research were readily established because similar procedures and methods were already in operation at the institutions where the centers were located. The most difficult and still the most controversial program to provide is counseling. It became evident, early, that there is no universally accepted method for informing carriers of abnormal Hb S about their results. Centers located in large urban areas with a limited testing radius do not face the same problems as centers located in rural areas where the testing radius may cover an entire state or several states. Individual, or one-on-one, counseling of persons with trait results appears to be successful for urban centers where the individual may be called to the center and given information. But, in a rural setting, it is not feasible for the center to ask a person to travel 350 miles to be told he or she has nothing to worry about. And it is not cost-effective to send a caseworker 350 miles to say the same thing. It must, therefore, be concluded that each agency or center must adopt counseling methods that meet its specific needs. Each program must be flexible, imaginative, and creative and must successfully and accurately deliver information about being a carrier for the sickle gene or other hemoglobinopathy and its implication and significance for patients and their future offspring. To do this, we must first look at the problems facing us.


2020 ◽  
pp. 140349482093427
Author(s):  
Kristin Farrants ◽  
Kristina Alexanderson

Background: Knowledge about sickness absence (SA) and disability pension (DP) among privately employed white-collar workers is very limited. Aims: This study aimed to explore SA and DP among privately employed white-collar women and men using different measures of SA to investigate differences by branch of industry, and to analyse the association between sociodemographic factors and SA. Methods: This was a population-based study of all 1,283,516 (47% women) privately employed white-collar workers in Sweden in 2012, using register data linked at the individual level. Several different measures of SA and DP were used. Logistic regression was used to investigate associations of sociodemographic factors with SA. Results: More women than men had SA (10.9% women vs. 4.5% men) and DP (1.8% women vs. 0.6% men). While women had a higher risk of SA than men and had more SA days per employed person, they did not have more SA days per person with SA than men. The risk of SA was higher for women (odds ratio (OR)=2.54 (95% confidence interval (CI) 2.51–2.58)), older individuals (OR age 18–24 years=0.58 (95% CI 0.56–0.60); age 55–64 years OR=1.43 (95% CI 1.40–1.46) compared to age 45–54 years), living in medium-sized towns (OR=1.05 (95% CI 1.03–1.06)) or small towns/rural areas (OR=1.13 (95% CI 1.11–1.15)), with shorter education than college/university (OR compulsory only=1.64 (95% CI 1.59–1.69); OR high school=1.38 (95% CI 1.36–1.40)), born outside the EU25 (OR=1.23 (95% CI 1.20–1.27)) and singles with children at home (OR=1.33 (95% CI 1.30–1.36)). Conclusions: SA and DP among privately employed white-collar workers were lower than in the general population. SA prevalence, length and risk varied by branch of industry, sex and other sociodemographic factors, however, depending on the SA measure used.


2009 ◽  
Vol 19 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Tzu-Fang Yeh ◽  
Li-Chun Huang

Studying the value of consumption is believed to have diagnostic value in the analysis of consumer choice behavior and, therefore, is helpful in improving the efficiency of the market. The objective of this study was to identify the consumption value that consumers seek from floral products, while also clarifying the context of that consumption value. A total of 644 valid questionnaires from a consumer survey were used for the statistical analysis. The statistical results of the factor analysis revealed that sensory hedonics, emotion conditioning, curiosity fulfillment, monetary worth, and showing care to others were the main types of the consumption value in relation to floral products. Different consumer groups were found to emphasize different types of floral consumption value. Female consumers reveal a stronger demand for the value of emotion conditioning and curiosity fulfillment, while male consumers are more likely to seek the value of sensory hedonics. Consumers in rural areas reveal a stronger demand for the value of curiosity fulfillment and monetary worth, while the consumers in urban areas reveal a stronger demand for the value of emotion conditioning, with regard to the consumption value of flowers. The study results provide florists with the key value points as they seek to increase the attraction of floral products to consumers.


2020 ◽  
Author(s):  
Tom Brouwer ◽  
Reinoud E. Knops ◽  
Martin C. Burke ◽  
Vivek Y. Reddy

Abstract Background Poor medication adherence is wide-spread and associated with poor clinical outcomes. Herein, we introduce the Medication Adherence Score, a predictive analytic tool designed to provide clinicians insight into adherence behavior over the subsequent twelve months. The aim of the study was to demonstrate the feasibility of such scoring of patients at the individual level. Methods This is a single arm, non-randomized, 2-center, retrospective cohort study conducted among patients diagnosed with atrial fibrillation. The model, developed by Fair Isaac Corporation on pharmacy refill data, predicts adherence behavior to cardiovascular drugs using demographic, geographic and socio-economic predictors. The primary outcome was the number of patients that could be scored at the individual level without reliance on past individual refill behavior. The score was normalized between zero (lowest adherence score) and one (highest adherence score) and patients were grouped: low adherence < 0.6, intermediate adherence between 0.6 and 0.8, high adherence > 0.8. The institutional review board approved the study. Results A total of 1110 patients were included in the study with a median age of 71 (IQR 63, 79). Most patients (807, 73%) could be scored at the patient level, and the remaining patients (303, 27%) were scored based on characteristics associated with the geography of their home address. There were 488 patients (44%) with a high adherence score (score > 0.8), 382 (34%) with an intermediate adherence score (score between 0.6 and 0.8) and 240 patients (22%) with a low score. Younger patients had on average lower scores than older patients, and males also had higher scores. Conclusions The Medication Adherence Score was successfully applied to an unselected group of atrial fibrillation patients: nearly a quarter of the cohort were identified as at risk for non-adherence. Future studies are necessary to assess the association of this predictive analytic model with clinical outcomes.


Author(s):  
Lisa Lorena Losada Rojas ◽  
Konstantina “Nadia” Gkritza ◽  
V. Dimitra Pyrialakou

The first and last mile of a trip has been used to describe passenger travel with regards to getting to and from transit stops/stations. Solving the first and last mile (FMLM) problem extends the access to transportation systems and enlarges the number of passengers from a remote community, such as rural areas. The FMLM problem has been addressed in different public transit contexts, mainly within urban areas. However, it is also an important part of the journey in an intercity trip; yet, limited research efforts have been undertaken to examine the FMLM problem that intercity passenger train riders face. This paper fills in this gap and further, aims to identify the best strategies that could serve as a FMLM solution for short distance intercity passenger rail service (i.e., corridors that are less than 750 miles long according to the Passenger Rail Improvement and Investment Act, 2008). The Hoosier State Train (HST) service, a short-distance intercity passenger rail that connects Chicago and Indianapolis four days a week, was chosen as a case of study. The HST has four intermediate stops located in Indiana. For some of those intermediate stops HST is the only intercity public transit service offered to reach either Chicago or Indianapolis. In order to explore opportunities to enhance the HST ridership, an on-board survey was conducted in November and December 2016. The findings of this survey suggested that there are riders who travel from counties further away from a county with a station to reach and complete their journey on the train. Moreover, it was found that most of the respondents drove or rented a car, or were dropped off to reach a train station in Indiana. Unlike the results from the Chicago station, the majority of riders boarding the train from one of the Indiana stations did not use ridesharing services or public transportation. These findings suggest that there is a possible gap into the FMLM travel options for intercity rail riders and alternative options to fill this gap should be considered. This paper discusses the case study results of an accessibility analysis aiming to identify the areas in need of first/last mile service where there are no public transportation services and/or it is costly to reach a station from a desired origin. To that end, a cost surface for the different modes available in the area of study was created to determine the average travel cost to the nearest station. The analysis was carried out in ArcGIS using origin-destination data from the on-board survey, transportation network information from the U.S. Bureau Transportation Statistics, and general transit feed specification (GTFS) data. Subsequently, some of the best strategies identified were modeled around the station (e.g., shuttle buses to/from the station) in order to examine how the accessibility would increase after a strategy implementation. The results of this study may have far-reaching implications for planning strategies that can enhance access to the train stations. Finally, the FMLM strategies could assist intercity passenger rail service providers attract a larger number of passengers.


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