scholarly journals Fall Characteristics Among Elderly Populations in Urban and Rural Areas in Korea

2020 ◽  
Author(s):  
Myeongkyu Kim ◽  
Misoo Chang ◽  
Eunwoo Nam ◽  
Seul Gi Kim ◽  
Sung-il Cho ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Rural Areas ◽  
Urban Areas ◽  
Common Ground ◽  
Prevention Education ◽  
Significant Difference ◽  
Elderly Populations ◽  
External Conditions ◽  
Urban And Rural Areas ◽  
Recent Falls

Abstract BackgroundFalling is one of the leading causes of injury among elderly populations. As the population over 65 years old increases, medical costs due to falling will also increase. Urban and rural areas have different fall characteristics, and research into these differences is lacking.MethodsA survey was conducted on 2,012 people over 60 years old between September 1, 2015 to October 12, 2015. Guro-gu (Seoul), Yeongdeungpo-gu (Seoul), and Jung-gu (Daegu) were classified as urban areas and included 1,205 of the study participants. Dalseong-gun (Daegu) and Yangpyeong-gun (Gyeonggi-do) were categorized as rural areas and included 807 participants. Several region characteristics, including population density, were considered to distinguish between urban and rural areas. The survey included questions about fall history, cause, season and time of recent falls, and external conditions associated with recent falls, like floor or ground material and shoe types.ResultsRural respondents were older than urban respondents (p<0.001) but did not differ significantly in gender proportion (p=0.082). Fall history over the past year was not different between the two regions (p=0.693), but lifetime fall history was greater among rural respondents (p<0.001). Only 5.1% of all respondents had undergone fall-prevention education. A slippery floor was the most common cause of falls in both regions, but there was a significant difference in pattern of fall causes (p<0.001). Falls were more frequent in the summer, spring, and the afternoon in urban areas, and in the summer, autumn, and the morning in rural areas. Cement and asphalt were the most common ground materials at the time of falls in both regions, but rural respondents had higher fall rates when walking on soil and when wearing slippers.ConclusionsA fall-prevention program that reflects the characteristics and differences of falls in urban and rural areas should be developed and used to effectively prevent falling among elderly people.

scholarly journals Comparison of The Risk Factors For Falls Among Older Adults Between Urban and Rural Areas of Shantou City, China

2020 ◽  
Author(s):  
Xiaodong Chen ◽  
Zeting Lin ◽  
Ran Gao ◽  
Yijian Yang ◽  
Liping Li
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Fall Prevention ◽  
Rural Areas ◽  
Urban Areas ◽  
Multivariable Analysis ◽  
Living Environment ◽  
Balance Function ◽  
Urban And Rural Areas ◽  
Risk Factors For Falls

Abstract Background: To investigate the prevalence of falls and risk factors among older adults in urban and rural areas and to facilitate the design of fall prevention interventions.Methods: We used cluster random sampling to investigate the sociodemographic information, living habits, medical history, and falls among 649 older adult participants. Univariable and multivariable logistic regression was used to examine fall risk factors in urban and rural areas.Results: The fall rate and rate of injury from falls among older adults in urban areas were 27.3% and 18.6%, respectively, which were higher than those in rural areas (17.0% and 12.2%; P<0.05). Multivariable analysis showed that the risk factors for falls among urban older adults included a high school or below education level (OR=3.737, 95% CI: 1.503~9.291); diabetes medicine use (OR=4.518, 95% CI: 1.228~16.626); incontinence (OR=8.792, 95% CI: 1.894~40.824); lack of fall prevention education (OR = 11.907, 95% CI: 1.321～107.354); and reduced balance function (OR = 3.901, 95% CI: 1.894~7.815). The risk factors among rural older adults included a previous nonfarming occupation (OR=2.496, 95% CI: 1.416~4.398); incontinence (OR =11.396, 95% CI: 1.901~68.327); poor living environment (OR=3.457, 95% CI: 1.488~8.033); and reduced balance function (OR =4.260, 95% CI: 2.361~7.688).Discussion: The rate of falls among older adults in urban areas is higher than that in rural areas of Shantou City. Fall prevention in urban areas should target older adults with low education and modify the diabetes medication use. Interventions should focus on improving the home environment of older adults in rural areas.

scholarly journals PERBEDAAN TINGKAT DEPRESI ANTARA LANSIA DI PEDESAAN DAN PERKOTAAN

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Tunjung Sri Yulianti ◽  
Anggit Ike Prascika
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Economic Changes ◽  
Rural And Urban ◽  
Significant Difference ◽  
Urban And Rural Areas ◽  
The Village

AbstractElderly will fail maintaining a balance of physiological conditions, thereby increasingvulnerability to depression. Factors that influence is the socio-economic changes, socialvalues, awareness among individuals and others. More urban environment isindividualistic and socioeconomic pressures are higher, while rural areas have theeducational background lower. The results showed not a few elderly people who returnedto the village because they felt pressured by the situation in the city, the elderly should bealone in the house and no neighbors who could be invited to communicate, so it isdifficult to be happy. But there are also elderly who live in the village reveal feelingdepressed and showed signs of depression. Purpose of the study to determine the levelof depression in the elderly in urban, rural and differences in the level of depressionamong the elderly who live in rural and urban areas.Subjects were elderly who live in the village of Palur Sukoharjo and Kampung SewuSurakarta. Methods of analytical study comparative research design. Measuringinstrument used is the Geriatric Depression Scale. Test data normality using theKolmogorov-Smirnov Test. Statistical test with independent t test.The results of the study obtained significancy value of t-test (two-tailed) 0.001.Conclusion of research is significant difference in rates of depression among the elderlyin urban and rural areas, the elderly in urban areas have higher levels of depression thanelderly people in rural areasKeywords: Elderly Depression Level, Rural, Urban

scholarly journals Students’ scientific reasoning on temperature and heat topic: A comparative study of students in urban and rural area

2020 ◽  
pp. 19-29
Author(s):  
Ahmad Suryadi ◽  
Lia Yuliati ◽  
Hari Wisodo
Keyword(s):  
Rural Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Scientific Reasoning ◽  
Probabilistic Reasoning ◽  
Proportional Reasoning ◽  
Student Reasoning ◽  
Significant Difference ◽  
Urban And Rural Areas ◽  
Essay Test

This study aims to describe the scientific reasoning level of students in urban and rural areas on heat and temperature topic. This current study involved 104 students from two schools in urban areas and three schools in rural areas. The instrument used was a six-item essay test. The result showed that the students' scientific reasoning score was still low. However, based on the Mann–Whitney test, the study found that there was a significant difference in scientific reasoning scores between students in urban and rural areas. Both students in urban and rural areas were indicated to have higher proportional reasoning when compared to the other kinds of scientific reasoning. In particular, students’ proportional reasoning in urban areas was higher than in rural areas. The result also showed that probabilistic reasoning and correlational reasoning of students in the rural area tended to be unstable compared to students in the urban area. The implication is that physics teachers in the rural area should make maximum use of the facilities in practicing student reasoning skills.

scholarly journals THE DIFFERENCE OF PROTEIN CONSUMPTION AT URBAN AND RURAL AREAS IN ACEH PROVINCE

2020 ◽  
Vol 2 (1) ◽  
pp. 20-25
Author(s):  
Riezky Purnama Sari ◽  
Ayu Pratiwi
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Protein Consumption ◽  
The People ◽  
Body Tissues ◽  
Significant Difference ◽  
Food And Nutrition ◽  
Aceh Province ◽  
The Difference ◽  
Urban And Rural Areas

Protein is needed by the human body, especially to develop and repair body tissues. The adequacy rate of protein consumption shows the amount of minimal protein needed by each resident in a day to be able to live healthy and active. The Indonesian adequacy rate of protein consumption based on the results of the National Widyakarya Food and Nutrition X set a standard of consumption per capita protein per day which is 57 grams of protein. The purpose of this study was to determine the differences in protein consumption in urban and rural areas in Aceh province. Data used on average consumption of protein in urban and rural areas by food in 2018 in the Aceh province were obtained from the Central Statistics Agency (BPS) of Aceh. The data was analyzed using the Mann-Whitney Test with the help of SPSS 23 software. Based on the results of descriptive statistics in urban areas in Aceh province, protein consumption according to food was 62.42 grams, while in rural areas it was 57.42 grams. This shows that the protein consumption of the people of Aceh province has fulfilled the protein adequacy rate.Then from the output of SPSS 23 protein consumption in urban and rural areas obtained Mann-Whitney U value = 79,000 with an Asymp Value Sig (2 tailed) = 0.590 so that the Asymp Sig value obtained> 0.05 then H0 is accepted meaning that there is no significant difference between consumption protein in urban and rural areas in Aceh

scholarly journals Prevalence of behavioral risk factors of non-communicable diseases among urban and rural population in the Federation of Bosnia and Herzegovina

2014 ◽  
Vol 4 (2) ◽  
pp. 83-89
Author(s):  
Aida Pilav ◽  
Aida Rudić ◽  
Suada Branković ◽  
Vildana Doder
Keyword(s):  
Risk Factors ◽  
Bosnia And Herzegovina ◽  
Rural Areas ◽  
Urban Areas ◽  
Adult Population ◽  
Behavioral Risk Factors ◽  
Behavioral Risk ◽  
Men And Women ◽  
Significant Difference ◽  
Urban And Rural Areas

Introduction The objective of the paper is to analyze and to assess prevalence of the major behavioral risk factors among adult population (25-64 years of age) in the rural and urban areas in the Federation of Bosnia and Herzegovina (FBIH).Methods Data were taken from cross-sectional population survey on the health status population in the FBIH. To ensure a sample representative for the adult population in the FBIH it was applied the two-stage stratified systematic sample. The survey covered a total of 2735 adult population aged 25-64 years, of which 1087 in the urban areas and 1648 in rural areas.Results. The prevalence of smoking among men in rural areas is significantly higher than among men in urban areas (69% vs. 55%), while the prevalence of smoking among women is higher in urban than in rural areas (45% vs. 31%). There is no statistically significant difference in prevalence of obesity and physical activity according to the age groups among men and women in the urban and rural areas. The frequency of changes in behavior related to acquiring healthy living habits in the rural areas is statistically significant among men and women, while in the urban areas there is no statistical significance among the sexes.Conclusions. The results indicate that there are no significant differences in prevalence of factor risks in urban and rural areas. Prevalence of unhealthy lifestyles is high, and the results should be used to improve standard planning of health promotion-prevention programs.

scholarly journals Prevalence and Associated Factors of Falls among Older Adults between Urban and Rural Areas of Shantou City, China

2021 ◽  
Vol 18 (13) ◽  
pp. 7050
Author(s):  
Xiaodong Chen ◽  
Zeting Lin ◽  
Ran Gao ◽  
Yijian Yang ◽  
Liping Li
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Rural Areas ◽  
Urban Areas ◽  
Associated Factors ◽  
Average Rate ◽  
Targeted Interventions ◽  
Risk Of Falls ◽  
Balance Ability ◽  
Urban And Rural Areas

Background: To investigate the prevalence of falls and associated factors among older adults in urban and rural areas and to facilitate the design of fall prevention interventions. Methods: We used cluster random sampling to investigate the sociodemographic information, living habits, medical status, falls, home environment, and balance ability among 649 older adult participants. Univariate and multivariate logistic regression were used to examine the associated factors of falls. Results: The incidence of falls among older adults in Shantou City was 20.65%. Among them, the incidence was 27.27% in urban areas and 16.99% in rural areas. The rate of injury from falls among older adults was 14.48%, with18.61% in urban area and 12.20% in rural area. Multivariate analysis showed that the associated factors of falls among older adults in Shantou City included a high school or below education level (OR = 2.387, 95% CI: 1.305–4.366); non-farming as the previous occupation (OR = 2.574, 95% CI: 1.613–4.109); incontinence(OR = 2.881, 95% CI: 1.517–5.470); lack of fall prevention education (OR = 1.856, 95% CI: 1.041–3.311); and reduced balance ability (OR = 3.917, 95% CI: 2.532–6.058). Discussion: Older adults have a higher rate of falling in Shantou City, compared to the average rate in China. There are similarities and differences in the associated factors of falls among older adults between urban and rural areas of Shantou City. Targeted interventions for older adults in different regions may be more effective in reducing the risk of falls.

scholarly journals Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems

2021 ◽  
Vol 18 (8) ◽  
pp. 4185
Author(s):  
Katarzyna Zatońska ◽  
Piotr Psikus ◽  
Alicja Basiak-Rasała ◽  
Zuzanna Stępnicka ◽  
Maria Wołyniec ◽  
...  
Keyword(s):  
Cohort Study ◽  
Alcohol Consumption ◽  
Rural Areas ◽  
Urban Areas ◽  
Level Of Education ◽  
Adult Participants ◽  
Frequent Consumption ◽  
Urban And Rural Areas ◽  
Socio Demographic Factors ◽  
High Level

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007–2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64–10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03–2.17; OR 1.66, CI 1.27–2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05–2.85; OR 1.76, CI 1.22–2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.

The Rural-Urban Continuum of Polarization: Understanding the Geography of the 2018 Midterms

The Forum ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kenneth M. Johnson ◽  
Dante J. Scala
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Metropolitan Areas ◽  
Political Attitudes ◽  
The United States ◽  
Rural America ◽  
Rural Regions ◽  
Urban America ◽  
Urban And Rural Areas ◽  
The Continuum

Abstract This study of the 2018 congressional midterms demonstrates how voting patterns and political attitudes vary across a spectrum of urban and rural areas in the United States. Rural America is no more a monolith than is urban America. The rural-urban gradient is better represented by a continuum than a dichotomy. This is evident in the voting results in 2018, just as it was in 2016. We found that the political tipping point lies beyond major metropolitan areas, in the suburban counties of smaller metropolitan areas. Democrats enjoyed even greater success in densely populated urban areas in 2018 than in 2016. Residents of these urban areas display distinctive and consistent social and political attitudes across a range of scales. At the other end of the continuum in remote rural areas, Republican candidates continued to command voter support despite the challenging national political environment. Voters in these rural regions expressed social and political attitudes diametrically opposed to their counterparts in large urban cores.

scholarly journals Breastfeeding practice in China from 2013 to 2018: a study from a national dynamic follow-up surveillance

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leni Kang ◽  
Juan Liang ◽  
Chunhua He ◽  
Lei Miao ◽  
Xiaohong Li ◽  
...  
Keyword(s):  
Psychological Health ◽  
Rural Areas ◽  
Urban Areas ◽  
Child Nutrition ◽  
Central Area ◽  
Mother And Child ◽  
Physical And Psychological Health ◽  
Urban And Rural Areas ◽  
Log Linear ◽  
Breastfeeding Practice

Abstract Background Breastfeeding is important for the physical and psychological health of the mother and child. Basic data on breastfeeding practice in China are out-of-date and vary widely. This study aimed to evaluate the progress of breastfeeding practice in China, as well as to explore the bottlenecks in driving better practice. Methods This was an observational study. We used data from the Under-5 Child Nutrition and Health Surveillance System in China for the period 2013–2018. The prevalence of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) were calculated for each year for subgroups of China. The Cochran-Armitage test was used to explore the time trends. The annual percent of change (APC) were calculated by log-linear regression followed by exp transformation. Results The prevalence of EIBF increased significantly from 44.57% (95% CI: 44.07, 45.07) in 2013 to 55.84% (95% CI: 55.29, 56.38) in 2018 (Ptrend < 0.001), with an APC of 4.67% (95% CI: 3.51, 5.85). And the prevalence of EBF increased rapidly from 16.14% (95% CI: 15.10, 17.18) to 34.90% (95% CI: 33.54, 36.26) (Ptrend < 0.001), with an APC of 14.90% (95% CI: 9.97, 20.04). Increases were observed in both urban and rural areas, with urban areas showing greater APCs for EIBF (6.05%; 95% CI: 4.22, 7.92 v.s. 2.26%; 95% CI: 1.40, 3.12) and EBF (18.21%; 95% CI: 11.53, 25.29 v.s. 9.43%; 95% CI: 5.52, 13.49). The highest EBF prevalence was observed in the East, but the Central area showed the highest APC. The prevalence of EBF decreased with increasing age within the first 6 months, especially after 3 months. Conclusion The prevalence of both EIBF and EBF in China are improving in recent years. The rural and West China could be the key areas in the future actions. More efforts should be made to protect and promote breastfeeding to achieve near- and long-term goals for child health.

scholarly journals Green and Blue Space Availability and Self-Rated Health among Seniors in China: Evidence from a National Survey

2021 ◽  
Vol 18 (2) ◽  
pp. 545
Author(s):  
Chensong Lin ◽  
Longfeng Wu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Empirical Studies ◽  
National Level ◽  
The Elderly ◽  
Coverage Ratio ◽  
Self Rated Health ◽  
Health Promoting ◽  
Major River ◽  
Urban And Rural Areas

Many empirical studies have shown evidence of multiple health benefits provided by green and blue spaces. Despite the importance of these spaces, investigations are scarce in details for blue spaces rather than green. Moreover, most research has focused on developed regions. A limited number of studies on blue spaces can be found in China with a focus on the city level. Outcomes have been mixed due to varying research scales, methodologies, and definitions. This study relies on a national-level social survey to explore how the self-rated health (SRH) of senior individuals is associated with local green and blue space availability in urban and rural areas. Results indicate that the coverage ratio of overall green spaces and waterbodies around a resident’s home have marginal effects on SRH status in both urban and rural areas. In urban areas, living close to a park can is marginally beneficial for older people’s health. Regarding different types of blue spaces, the presence of a major river (within 0.3–0.5 km) or coastline (within 1 km and 1–5 km) in the vicinity of home negatively affects SRH among the elderly in urban areas. Close proximity to lakes and other types of waterbodies with a water surface larger than 6.25 ha did not significantly influence SRH. These findings not only evaluate general health impacts of green/blue space development on senior populations across the county but inform decision makers concerning the health-promoting qualities and features of different green/blue spaces to better accommodate an aging population in the era of urbanization.

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