scholarly journals The rural–urban gap: differences in injury characteristics

2019 ◽  
Vol 39 (12) ◽  
pp. 317-322
Author(s):  
Felix Bang ◽  
Steven McFaull ◽  
James Cheesman ◽  
Minh T. Do
Keyword(s):  
Rural Areas ◽  
Motor Vehicle ◽  
Soft Tissue Injuries ◽  
Eye Injuries ◽  
Injury Rates ◽  
Urban Settings ◽  
Rural And Urban ◽  
Rural Settings ◽  
Severity Of Injury ◽  
The Difference

Background Injuries are among the top 10 leading causes of death in Canada. However, the types and rates of injuries vary between rural versus urban settings. Injury rates increase with rurality, particularly those related to motor vehicle collisions. Factors such as type of work, hazardous environments and longer driving distances contribute to the difference in rural and urban injury rates. Further examination of injuries comparing rural and urban settings with increased granularity in the nature of injuries and severity is needed. Methods The study population consisted of records from the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) from between 2011 and July 2017. Rural and urban status was determined based on postal codes as defined by Canada Post. Proportionate injury ratios (PIRs) were calculated to compare rural and urban injury rates by nature and severity of injury and sex, among other factors. Results Rural injuries were more likely to involve multiple injuries (PIR = 1.66 for 3 injuries) and crush injuries (PIR = 1.72). More modestly elevated PIRs for rural settings were found for animal bites (1.14), burns (1.22), eye injuries (1.32), fractures (1.20) and muscle or soft tissue injuries (1.11). Injuries in rural areas were more severe, with a higher likelihood of cases being admitted to hospital (1.97), and they were more likely to be due to a motor vehicle collision (2.12). Conclusion The nature of injuries in rural settings differ from those in urban settings. This suggests a need to evaluate current injury prevention efforts in rural settings with the aim to close the gap between rural and urban injury rates.

On-Scene Intravenous Line Insertion Adversely Impacts Prehospital Time in Rural Vehicular Trauma

2008 ◽  
Vol 74 (11) ◽  
pp. 1083-1087 ◽  
Author(s):  
Richard P. Gonzalez ◽  
Glenn R. Cummings ◽  
Herbert A. Phelan ◽  
Madhuri S. Mulekar ◽  
Charles B. Rodning
Keyword(s):  
Linked Data ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Urban Setting ◽  
Rural Setting ◽  
Urban Settings ◽  
Intravenous Line ◽  
Rural And Urban ◽  
Rural Settings ◽  
Prehospital Time

Fatality rates from rural vehicular trauma are almost double those found in urban settings. Increased emergency medical services (EMS) prehospital time has been implicated as one of the causative factors for higher rural fatality rates. Advanced Trauma Life Support guidelines suggest scene time should not be extended to insert an intravenous catheter (IV). The purpose of this study was to assess the association between intravenous line placement and motor vehicle crash (MVC) scene time in rural and urban settings. An imputational methodology using the National Highway Traffic Safety Administration Crash Outcome Data Evaluation System permitted linkage of data from police motor vehicle crash and EMS records. Intergraph GeoMedia software permitted this linked data to be plotted on digital maps for segregation into rural and urban groups. MVCs were defined as rural or urban by location of the accident using the U.S. Bureau of Census Criteria. Linked data were analyzed to assess for EMS time on-scene, on-scene IV insertion, on-scene IV insertion attempts, and patient mortality. Over a 2-year period from January 2001 through December 2002, data were collected from Alabama EMS patient care reports (PCRs) and police crash reports. A total of 45,763 police crash reports were linked to EMS PCRs. Of these linked crash records, 34,341 (75%) and 11,422 (25%) were injured in rural and urban settings, respectively. Six hundred eleven (1.78%) mortalities occurred in rural settings and 103 (0.90%) in urban settings (P < 0.005). There were 6,273 (18.3%) on-scene IV insertions in the rural setting and 1,290 (11.3%) in the urban setting (P < 0.005). Mean EMS time on-scene when single IV insertion attempts occurred was 16.9 minutes in the rural setting and 14.5 minutes in the urban setting (P < 0.0001). When two attempts of on-scene IV insertion were made, mean EMS time on-scene in the rural setting (n = 891 [2.6%]) was 18.4 minutes and 15.7 minutes in the urban setting (n = 142 [1.2%; P < 0.005). Excluding dead on-scene patients, mean EMS time on-scene when mortalities occurred in rural and urban settings was 18.9 minutes and 10.8 minutes, respectively (P < 0.005). On-scene IV insertion occurred with significantly greater frequency in rural than urban settings. This incurs greater EMS time on-scene and prehospital time that may be associated with increased vehicular fatality rates in rural settings.

scholarly journals Examine the association between key determinants identified by the chronic disease indicator framework and multimorbidity by rural and urban settings

2021 ◽  
Vol 11 ◽  
pp. 263355652110281
Author(s):  
John S. Moin ◽  
Richard H. Glazier ◽  
Kerry Kuluski ◽  
Alex Kiss ◽  
Ross E.G. Upshur
Keyword(s):  
Chronic Disease ◽  
Low Income ◽  
Rural Areas ◽  
Chronic Conditions ◽  
Significant Risk ◽  
Administrative Databases ◽  
Multivariable Logistic Regression Model ◽  
Urban Settings ◽  
Rural And Urban ◽  
Indicator Framework

Background: Multimorbidity, often defined as having two or more chronic conditions is a global phenomenon. This study examined the association between key determinants identified by the chronic disease indicator framework and multimorbidity by rural and urban settings. The prevalence of individual diseases was also investigated by age and sex. Methods: The Canada Community Health Survey and linked health administrative databases were used to examine the association between multimorbidity, sociodemographic, behavioral, and other risk factors in the province of Ontario. A multivariable logistic regression model was used to conduct the main analysis. Results: Analyses were stratified by age (20–64 and 65–95) and area of residence (rural and urban). A total sample of n = 174,938 residents between the ages of 20–95 were examined in the Ontario province, of which 18.2% (n = 31,896) were multimorbid with 2 chronic conditions, and 23.4% (n = 40,883) with 3+ chronic conditions. Females had a higher prevalence of 2 conditions (17.9% versus 14.6%) and 3+ conditions (19.7% vs. 15.6%) relative to males. Out of all examined variables, poor self-perception of health, age, Body Mass Index, and income were most significantly associated with multimorbidity. Smoking was a significant risk factor in urban settings but not rural, while drinking was significant in rural and not urban settings. Income inequality was associated with multimorbidity with greater magnitude in rural areas. Prevalence of multimorbidity and having three or more chronic conditions were highest among low-income populations. Conclusion: Interventions targeting population weight, age/sex specific disease burdens, and additional focus on stable income are encouraged.

scholarly journals Smear Positive Tuberculosis Cases in Rajshahi District A Comparison Between Rural and Urban Areas

1970 ◽  
Vol 17 (2) ◽  
pp. 104-105
Author(s):  
W Wasim Hussain ◽  
M Azizul Haque ◽  
Laila Shamima Sharmin ◽  
ARM Saifuddin Ekram ◽  
M Fazlur Rahman
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Detection Rate ◽  
Case Finding ◽  
Sputum Smear ◽  
Case Detection Rate ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Rural Settings ◽  
The City

This study was designed to know the case finding of sputum smear positive tuberculosis in Rajshahi district and also to see whether case finding was different in urban and rural settings. Our study reveals that case finding rate of smear positive tuberculosis cases in the city corporation area and rural areas of Rajshahi district are 52% and 28% respectively. Case detection rate of total Rajshahi district was 33%. Stronger efforts are needed to reach the national target of detecting 70% new smear positive TB cases by the end of 2005.   doi: 10.3329/taj.v17i2.3456   TAJ 2004; 17(2): 104-105

Abstract 13706: Differences in the Distribution of Systolic Blood Pressure by Rural and Urban Residence

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Brittain Heindl ◽  
George Howard ◽  
Elizabeth A Jackson
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Racial Differences ◽  
Rural Areas ◽  
Urban Areas ◽  
Census Bureau ◽  
Urban Group ◽  
Rural And Urban ◽  
Urban Rural ◽  
The Difference

Introduction: The incidence of stroke is higher in rural areas. Hypertension is the leading risk factor for stroke, but the difference in systolic blood pressure (SBP) for those living in rural and urban areas is unknown. Hypothesis: We hypothesized that rural residence is associated with higher SBP levels, and this difference is modified by race, sex, and United States (US) division. Methods: We analyzed 26,113 participants enrolled in the REasons for Geographic And Racial Differences in Stroke (REGARDS) Study, recruited between 2003 and 2007. Participants were grouped based on the Rural-Urban Commuting Area (RUCA) scheme into urban, large-rural, and small-isolated rural groups. Resting SBP was measured during the initial home visit. Differences in percentiles of SBP distribution were compared using multivariate models with adjustment for age, race, sex, and US Census Bureau division. Results: Of the participants, 20,976 (80.3%) were classified as urban, 3,020 (11.6%) as large-rural, and 2,137 (8.2%) as small-isolated rural, reflecting the distribution of the population. The large-rural group had a 0.09 mmHg higher mean SBP compared to the urban group (95% CI, 0.33 to 1.52 mmHg, p = 0.0023), but the difference in SBP at the 95th percentile between these groups was 3.23 mmHg (95% CI, 1.43 to 4.73 mmHg, p = 0.0006). A similar difference was present between the small-isolated rural and urban groups at the highest percentiles. No urban-rural interaction was observed by race, sex, or US division. However, large SBP differences were present between US divisions, especially at the highest percentiles. To illustrate, SBP at the 95th percentile was 9.51 mmHg higher in the East North Central division than in the Pacific (95% CI, 6.41 to 12.61 mmHg, p < 0.0001). Conclusions: Residence in a rural area is associated with higher SBP, with larger differences at the highest percentiles of distribution. SBP differences are present between US divisions, independent of urban-rural status.

Gender and sexual minorities

2019 ◽  
pp. 258-268
Author(s):  
Richard Bradlow ◽  
Neha Singh ◽  
Suraj Beloskar ◽  
Gurvinder Kalra
Keyword(s):  
Mental Health ◽  
Urban Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Living Environment ◽  
Substantial Impact ◽  
Urban Settings ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Push And Pull

A person’s living environment can have substantial impact on his/her mental health due to a range of factors related to the environment. It has often been argued that urban settings are a hotpot of sociocultural evolutions that attract individuals from the gender and sexual minority (GSM) groups. This has led to migration from rural to urban areas and also from one urban area to another urban area. Various push and pull factors in both the rural and urban areas help GSM individuals decide in which direction to move. While rural areas present with challenges such as social isolation within a homophobic/transphobic environment, urban areas also have their own unique set of challenges for the GSM population. In this chapter, we focus on various factors in both rural and urban settings that impact on the mental health of GSM population.

scholarly journals Needs and rights awareness of stroke survivors and caregivers in urban and rural China: a cross-sectional, multiple-centre questionnaire survey

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e021820
Author(s):  
Xiaoshuang Xia ◽  
Xiaolin Tian ◽  
Tianli Zhang ◽  
Peilu Wang ◽  
Yanfen Du ◽  
...  
Keyword(s):  
Social Support ◽  
Rural Areas ◽  
Urban Areas ◽  
Rural China ◽  
Potential Effect ◽  
Psychological Support ◽  
Stroke Survivors ◽  
Cross Sectional ◽  
Urban Settings ◽  
Rural And Urban

ObjectivesStroke survivors require assistance and support in their daily lives. This survey aims to investigate the needs and rights awareness in Chinese stroke survivors and caregivers in rural and urban settings.SettingThis survey was adapted from the one created by the World Stroke Organization. The questionnaire included demands for psychological support, treatment and care, social support and information. From January 2015 to January 2016, the survey was pilot tested with urban and rural-dwelling stroke survivors and caregivers from 12 hospitals. Stroke survivors were invited to participate if they were over 18 years old and had experienced a stroke. Exclusion criteria were patients who had disorders of consciousness, significant cognitive impairment, aphasia, communication difficulties or psychiatric disorders. Only caregivers who were family members of the patients were chosen. Paid caregivers were excluded.ParticipantsOne thousand, one hundred and sixty-seven stroke survivors and 1119 caregivers were enrolled.Primary outcome measuresThe needs of stroke survivors and caregivers in rural and urban areas were compared. The correlations between needs of rural and urban stroke survivors and caregivers and potential effect factors were analysed, respectively.ResultsAmong the cohort, 93.5% reported the need for psychological support, 88.6% for treatment and care, 84.8% for information and 62.7% for social support. The total needs and each aspect of needs of stroke survivors in urban settings were greater than of those in rural settings (p<0.01). In rural areas, total needs and each aspect of needs were positively correlated with education level (p<0.01).ConclusionsNeeds and rights awareness of stroke survivors should also be recognised in both urban and rural China. According to the different needs of patients and their caregivers, regional and individualised services were needed by stroke survivors and their caregivers.

scholarly journals Applicability of three complementary relationship models for estimating actual evapotranspiration in urban area

2015 ◽  
Vol 63 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Takeshi Nakamichi ◽  
Toshitsugu Moroizumi
Keyword(s):  
Urban Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Green Spaces ◽  
Actual Evapotranspiration ◽  
Complementary Relationship ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
The Difference

Abstract The characteristics of evapotranspiration estimated by the complementary relationship actual evapotranspiration (CRAE), the advection-aridity (AA), and the modified advection-aridity (MAA) models were investigated in six pairs of rural and urban areas of Japan in order to evaluate the applicability of the three models the urban area. The main results are as follows: 1) The MAA model could apply to estimating the actual evapotranspiration in the urban area. 2) The actual evapotranspirations estimated by the three models were much less in the urban area than in the rural. 3) The difference among the estimated values of evapotranspiration in the urban areas was significant, depending on each model, while the difference among the values in the rural areas was relatively small. 4) All three models underestimated the actual evapotranspiration in the urban areas from humid surfaces where water and green spaces exist. 5) Each model could take the effect of urbanization into account.

scholarly journals Contract gangs: race, gender and vulnerability

2015 ◽  
Vol 7 (3) ◽  
pp. 23-36
Author(s):  
Heather Goodall
Keyword(s):  
Rural Areas ◽  
The Past ◽  
Labour Exploitation ◽  
Rural And Urban ◽  
Rural Settings ◽  
History Of ◽  
Chinese Workers ◽  
Indian Students ◽  
Women In Agriculture ◽  
Adequate Power

While violence directed at Indian students in Australian cities has been highlighted in the Indian and Australian press, far less attention has been paid to the violence directed at Indians in rural areas. This has most often involved Indians employed in contract labour in seasonal industries like fruit or vegetable picking. This article reviews various media accounts, both urban and rural, of violence directed at Indians from 2009 to 2012. It draws attention to the far longer history of labour exploitation which has taken place in rural and urban Australia in contract labour conditions and the particular invisibility of rural settings for such violence. Racial minorities, like Aboriginal and Chinese workers, and women in agriculture and domestic work, have seldom had adequate power to respond industrially or politically. This means that in the past, these groups been particularly vulnerable to such structural exploitation. The paper concludes by calling for greater attention not only to the particular vulnerability of Indians in rural settings but to the wider presence of racialised and gendered exploitation enabled by contract labour structures.

scholarly journals Prescription Opioid Misuse Among Rural Community Pharmacy Patients: Pilot Study for Screening and Implications for Future Practice and Research

2016 ◽  
Vol 30 (5) ◽  
pp. 498-505 ◽  
Author(s):  
Gerald T. Cochran ◽  
Rafael J. Engel ◽  
Valerie J. Hruschak ◽  
Ralph E. Tarter
Keyword(s):  
Rural Communities ◽  
Community Pharmacy ◽  
Rural Areas ◽  
Pilot Project ◽  
Prescription Opioid ◽  
Opioid Misuse ◽  
Rural And Urban ◽  
Increased Risk ◽  
Rural Settings ◽  
Prescription Opioid Misuse

Background: Opioid misuse imposes a disproportionately heavy burden on individuals living in rural areas. Community pharmacy has the potential to expand and coordinate with health professionals to identify and intervene with those who misuse opioids. Objective: Rural and urban community pharmacy patients were recruited in this pilot project to describe and compare patterns of opioid misuse. Methods: We administered a health screening survey in 4 community pharmacies among patients filling opioid medications. Univariate statistics were used to assess differences in health characteristics and opioid medication misuse behaviors between rural and urban respondents. Multivariable statistics were used to identify risk factors associated with rural and urban opioid misuse. Results: A total of 333 participants completed the survey. Participants in rural settings had poorer overall health, higher pain levels, lower education, and a higher rate of unemployment compared to patients in urban pharmacies. Rural respondents with illicit drug use (adjustable odds ratio [aOR]: 14.34, 95% confidence interval [CI] = 2.16-95.38), posttraumatic stress disorder (aOR: 5.44, 95% CI = 1.52-19.50), and ≤high school education (aOR: 6.68, 95% CI = 1.06-42.21) had increased risk for opioid misuse. Conclusions: Community pharmacy represents a promising resource for potential identification of opioid misuse, particularly in rural communities. Continued research must extend these findings and work to establish collaborative services in rural settings.

scholarly journals The Impact of Schools and Families in the Religions Perceptions of Children in Albania and Kosovo

2021 ◽  
Vol 8 (1) ◽  
pp. 110
Author(s):  
Loloçi Rita ◽  
Menada Petro
Keyword(s):  
Religious Education ◽  
Rural Areas ◽  
Urban Areas ◽  
Fundamental Rights ◽  
Age Group ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
The Difference ◽  
The Impact

This study aimed to identify children`s perceptions regarding the role of religion in their education, their religious belonging, the parent's role in their religious education, and the attitude they have towards other religions. To gather quantitative data regarding the opinion the 10-14 age children have on religion and religious education, a survey was performed in several schools in Albania and Kosovo urban and rural areas (720 students from 8 schools of Durres, 4 in rural areas, and 473 students from 8 schools of Pristina and the surrounding area). A questionnaire was used to fulfill the purpose of the research regarding the knowledge, attitudes, and the perceptions of 10-14 age group on religious education in schools. At the same time, studies of national and international authors were consulted for a better analysis of the problems raised in the questionnaires such as the role and the importance of intercultural education in the coexistence and the harmony between people of different cultures, the education on The Fundamental Rights, the role of the curricula in schools, the difference between families in the rural and urban areas and the effect of the parents’ education on children. The results of the study showed that children of this age group receive the first knowledge about religion from the family. An irreplaceable role in religious education has the media. The school involvement in giving knowledge on religious beliefs in both studied regions will positively influence pupil’s formation, eliminating this way the violation of other people religion that often is present in our schools and not only. A correlation between the tolerance of parents and the tolerance of their children resulted as the consequence of the care that families show to respect different religions and often even sects.

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