scholarly journals Risk Factor Analysis of Hypertension Occurrence Based on Urban-Rural Location in Indonesia (IFLS Data Study 5)

2020 ◽  
Vol 9 (2) ◽  
pp. 494-502
Author(s):  
Bara Bangun Ningharto ◽  
Ayik Mirayanti Mandagi ◽  
Rochmad Ardiansyah Pratama ◽  
Iswana Zahraa Hidayati
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Smoking Status ◽  
Secondary Data ◽  
Total Sample ◽  
Influential Factor ◽  
World Health ◽  
Urban Rural ◽  
Urban And Rural Areas ◽  
Health Organization

The World Health Organization (WHO) defines hypertension as a "silent killer" disease because the most of hypertension has not signs or symptoms. Nationally, Indonesia in 2016, the prevalence of hypertension is also higher in urban areas by 31.7% than in rural areas by 30.2%, the prevalence of hypertension is increasing with the increasing of ages. This study aims to analyze the factors that influence the incidence of hypertension and to determine the most influential factor at risk in the incidence of hypertension based on differences in the location of urban-rural respondents. The research design used in this study was observational analytics based on secondary data from the Indonesia Life Survey 5. The population study is the Indonesian community while the total sample as a whole amounted to 14,824. Conclusion: factors that influence the incidence of hypertension in urban and rural areas are BMI, age, education, marital status and smoking status.

scholarly journals Decomposing Urban-rural Differences in Multimorbidity Among Older Adults in India: A Study Based on Lasi Data

2021 ◽  
Author(s):  
Shekhar Chauhan ◽  
Shobhit Srivast ◽  
Pradeep Kumar ◽  
Ratna Patel
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Urban Areas ◽  
Decomposition Analysis ◽  
The Public ◽  
Analysis Techniques ◽  
Ageing Study ◽  
Urban Rural ◽  
The Difference ◽  
Urban And Rural Areas

Abstract Background: Multimorbidity is defined as the co-occurrence of two or more than two diseases in the same person. With rising longevity, multimorbidity has become a prominent concern among the older population. Evidence from both developed and developing countries shows that older people are at much higher risk of multimorbidity, however, urban-rural differential remained scarce. Therefore, this study examines urban-rural differential in multimorbidity among older adults by decomposing the risk factors of multimorbidity and identifying the covariates that contributed to the change in multimorbidity.Methods: The study utilized information from 31,464 older adults (rural-20,725 and urban-10,739) aged 60 years and above from the recent release of the Longitudinal Ageing Study in India (LASI) wave 1 data. Descriptive, bivariate, and multivariate decomposition analysis techniques were used.Results: Overall, significant urban-rural differences were found in the prevalence of multimorbidity among older adults (difference: 16.3; p<0.001). Moreover, obese/overweight and high-risk waist circumference were found to narrow the difference in the prevalence of multimorbidity among older adults between urban and rural areas by 8% and 9.1%, respectively.Conclusion: There is a need to substantially increase the public sector investment in healthcare to address the multimorbidity among older adults, more so in urban areas, without compromising the needs of older adults in rural areas.

scholarly journals Self-supply as an alternative approach to water access in rural scattered regions: evidence from a rural microcatchment in Colombia

2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Wilmar Torres-López ◽  
Inés Restrepo-Tarquino ◽  
Charlotte Patterson ◽  
John Gowing ◽  
Isabel Dominguez Rivera
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Urban Areas ◽  
Water Sources ◽  
External Support ◽  
World Health ◽  
Unfinished Business ◽  
Development Agenda ◽  
Thermotolerant Coliforms ◽  
Health Organization

<p>Globally, access to improved water sources is lower in rural areas compared to urban areas. Furthermore, in rural areas many people use water from individual systems they have developed with their investments, often without external support. This phenomenon has been called Self-supply. Self-supply ranges from simple to complex systems and different water sources. Water quality varies, from achieving World Health Organization (WHO) standards (0 CFU/100 ml) to systems that provide water posing high risks to human health. While most studies in Self-supply have been developed in Africa, little is known in Latin America and the Caribbean (LAC). This research explores Self-supply in a rural microcatchment in Colombia (LAC). Data was collected through household and drinking water surveys and analysed. Results showed that 40% of households used Self-supply systems taking water from springs and brooks. Thermotolerant Coliforms were below 50 CFU/100 ml, both in dry and rainy season, and between 5 to 7% of samples achieved the WHO standard. These results suggest that Self-supply has potential to offer safe drinking water, provided improvements on source protection and institutional support. Therefore, Self-supply could contribute to address “unfinished business”, including ensuring access for the hardest-to-reach people, as stated in the post-2015 development agenda.</p>

scholarly journals Does living in an urban environment confer advantages for childhood nutritional status? Analysis of disparities in nutritional status by wealth and residence in Angola, Central African Republic and Senegal

2006 ◽  
Vol 9 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Gina Kennedy ◽  
Guy Nantel ◽  
Inge D Brouwer ◽  
Frans J Kok
Keyword(s):  
Nutritional Status ◽  
Urban Environment ◽  
Rural Areas ◽  
Urban Areas ◽  
Central African Republic ◽  
Wealth Index ◽  
Living Conditions ◽  
Urban Rural ◽  
Urban And Rural Areas ◽  
Poor Children

AbstractObjectiveThe purpose of this paper is to examine the relationship between childhood undernutrition and poverty in urban and rural areas.DesignAnthropometric and socio-economic data from Multiple Indicator Cluster Surveys in Angola-Secured Territory (Angola ST), Central African Republic and Senegal were used in this analysis. The population considered in this study is children 0–59 months, whose records include complete anthropometric data on height, weight, age, gender, socio-economic level and urban or rural area of residence. In addition to simple urban/rural comparisons, the population was stratified using a wealth index based on living conditions and asset ownership to compare the prevalence, mean Z-score and odds ratios for stunting and wasting.ResultsIn all cases, when using a simple urban/rural comparison, the prevalence of stunting was significantly higher in rural areas. However, when the urban and rural populations were stratified using a measure of wealth, the differences in prevalence of stunting and underweight in urban and rural areas of Angola ST, Central African Republic and Senegal disappeared. Poor children in these urban areas were just as likely to be stunted or underweight as poor children living in rural areas. The odds ratio of stunting in the poorest compared with the richest quintile was 3.4, 3.2 and 1.5 in Angola ST, Senegal and Central African Republic, respectively.ConclusionsThis paper demonstrates that simple urban/rural comparisons mask wide disparities in subgroups according to wealth. There is a strong relationship between poverty and chronic undernutrition in both urban and rural areas; this relationship does not change simply by living in an urban environment. However, urban and rural living conditions and lifestyles differ, and it is important to consider these differences when designing programmes and policies to address undernutrition.

scholarly journals Addressing Urban–Rural Water Conflicts in Nagpur through Benefit Sharing

Water ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 2979
Author(s):  
Vibhas Sukhwani ◽  
Kamakshi Thapa ◽  
Rajib Shaw ◽  
Sameer Deshkar ◽  
Bijon Kumer Mitra ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Water Governance ◽  
Secondary Data ◽  
Central India ◽  
Benefit Sharing ◽  
Water Conflicts ◽  
Water Demands ◽  
Urban Rural ◽  
Multi Stakeholder

Urban and rural areas often meet their water demands from a shared stock of finite water resources. Against the changing climate, the rising water demands in fast-growing urban areas are leading to increasing water-use conflicts with the co-dependent rural areas. Although poor water governance is frequently cited as the key reason for such urban–rural conflicts, it is also recognized as a potential pathway to resolve them. In the case of Nagpur Region in Central India, water stress has today become a subject of serious concern. The water demands in Nagpur City are primarily met through the multipurpose Pench Dam on priority, but the recently declining water availability has raised undue concerns for irrigation in the Pench command areas. To substantiate the limited understanding of ongoing water conflicts in the wider Nagpur Metropolitan Area, this study analyzes a specific set of secondary data related to the history of the Pench Project and its water utilization trends. By uncovering the periodic decline in irrigated area and the increasing groundwater use for irrigation, the cross-sectoral and transboundary implications of increasing water transfer to Nagpur City are revealed. To address these concerns, this study then suggests feasible governance strategies based on benefit sharing and multi-stakeholder engagement.

scholarly journals Urban–rural differences in the prevalence of diabetes mellitus among 25–74 year-old adults of the Yangon Region, Myanmar: two cross-sectional studies

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020406 ◽  
Author(s):  
Wai Phyo Aung ◽  
Aung Soe Htet ◽  
Espen Bjertness ◽  
Hein Stigum ◽  
Virasakdi Chongsuvivatwong ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Rural Areas ◽  
Urban Areas ◽  
Undiagnosed Diabetes ◽  
Cross Sectional ◽  
Who Steps Methodology ◽  
Urban Rural ◽  
Educational Groups ◽  
Cross Sectional Studies ◽  
Urban And Rural Areas

ObjectivesTo investigate the association between urban–rural location and the occurrence of diabetes mellitus (DM) in the Yangon Region, and to estimate the proportion of urban and rural participants already diagnosed with DM, and of those, the proportion under treatment and under control.DesignTwo cross-sectional studies, using the WHO STEPs methodology.SettingThe Yangon Region of Myanmar, urban and rural areas.ParticipantsMen and women, aged 25–74 years, included during the study period from September–November 2013 (urban) and 2014 (rural areas) (n=1372). Institutionalised people, physically and mentally ill person, monks and nuns were excluded.ResultsThe age-standardised prevalence of DM was 12.1% in urban and 7.1% in rural areas (p=0.039). In urban areas, the prevalence of DM was lowest in the highest educational groups (p<0.001). There were no differences in DM prevalence between gender or income levels. In rural areas, those who were physically inactive had a low intake of fruit and vegetable and were overweight/obese had a higher DM prevalence than others. In a logistic regression, the OR for DM in rural compared with urban areas was 0.38 (0.22, 0.65), adjusted for sociodemographic variables and behavioural risk factors. In urban areas, 43.1% of participants had the experience of receiving blood glucose measurements by a doctor or health worker, and 61.5% of all cases of DM were already diagnosed, 78.7% were under treatment and 45.8% were under control. The corresponding proportions in rural areas were 26.4%, 52.4%, 78.1% and 32.0%, respectively.ConclusionThe prevalence of DM in the Yangon Region was high, and significantly higher in urban than in rural areas. More health services are needed to serve this population with a large proportion of undiagnosed diabetes. Preventive measures to halt and reduce the prevalence of DM are urgently needed.

scholarly journals New Health Care Reform and Impoverishment among Chronic Households in China: A Random-Intercept Approach

2019 ◽  
Vol 16 (6) ◽  
pp. 1074
Author(s):  
Yongjian Xu ◽  
Anupam Garrib ◽  
Zhongliang Zhou ◽  
Duolao Wang ◽  
Jianmin Gao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Chronic Diseases ◽  
Rural Areas ◽  
Urban Areas ◽  
Shaanxi Province ◽  
World Health ◽  
Before And After ◽  
Using Data ◽  
Health Organization

High out-of-pocket (OOP) payments for chronic disease care often contribute directly to household poverty. Although previous studies have explored the determinants of impoverishment in China, few published studies have compared levels of impoverishment before and after the New Health Care Reform (NHCR) in households with members with chronic diseases (hereafter referred to as chronic households). Our study explored this using data from the fourth and fifth National Health Service Surveys conducted in Shaanxi Province. In total, 1938 households in 2008 and 7700 households in 2013 were included in the analysis. Rates of impoverishment were measured using a method proposed by the World Health Organization. Multilevel logistic modeling was used to explore the influence of the NHCR on household impoverishment. Our study found that the influence of NHCR on impoverishment varied by residential location. After the reform, in rural areas, there was a significant decline in impoverishment, although the impoverishment rate remained high. There was little change in urban areas. In addition, impoverishment in the poorest households did not decline after the NHCR. Our findings are important for policy makers in particular for evaluating reform effectiveness, informing directions for health policy improvement, and highlighting achievements in the efforts to alleviate the economic burden of households that have members with chronic diseases.

scholarly journals Dichotomy between urban and rural areas: statistical data may not reveal the synergy between these two existing spaces

2017 ◽  
Vol 8 (2) ◽  
pp. 176-189
Author(s):  
Washington Pereira Campos ◽  
Marina Aparecida Da Silveira ◽  
Márcio Caliari ◽  
Alcido Elenor Wander
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Statistical Data ◽  
Secondary Data ◽  
Cane Sugar ◽  
Local Market ◽  
Agricultural Activities ◽  
Rural Labor ◽  
Urban And Rural Areas ◽  
Rural Exodus

The gains in non-agricultural activities represents a new dynamic in rural Brazil and now has representation in Brazil from the 1990s. In this perspective, the Brazilian countryside is undergoing a reconfiguration, pointing to an intensification of the urbanization of rural areas, especially in peri-urban areas. The installation of industries in rural areas, the deployment of agribusinesses and food exporters and utilization of rural labor for those industries, are tying the stretches between urban and rural areas. Thus, rural households are increasing income through agricultural and non-agricultural activities. The rural environment is no longer exclusively agricultural. It went on to have a diversified productive base and integrated economy in the region. Since there is a growing rural human being mobility, as well as an improvement in communication and access to information and greater integration between markets reducing the dichotomy between urban and rural. On the other hand the expansion of the cultivation of sugar cane on a region can increase the (Gross National Product) GNP per capita of the region and enable an increase economical activity. Thus, the rural household pluri-activity can be an alternative to increase the income of these families as they, increasingly integrate with the local market. It is known that with rising incomes and improving the welfare of the rural population can reduce the rural exodus that became increasing in the country since the 1970s. However, in areas with predominantly or expansion of monoculture, as an example of cane sugar, may be an increased land concentration and a worsening of income distribution in a region, and to record an increasing in rural migration, Environmental degradation and reduced local production diversification. An analysis of several indicators, socio-economic and environmental, through the Dashboard of Sustainability is possible to tell which category has the highest rate of farmer sustainability, whether smallholders or monoculture. However, the secondary data available in Brazil today does not support a thorough analysis of the participation of each actor and to which the interconnection between the actors and their synergy in local economic activity. Since, given the narrowing between urban and rural, the statistical data available are not able to demonstrate the extent to which gives the rural-urban dichotomy. Thus, it is relevant to point out and discuss ways to provide consistent statistical data and be, in fact, able to demonstrate the local reality of a region within the welfare actors.

scholarly journals Breastfeeding and diversification attitudes among Romanian mothers

2021 ◽  
Vol 67 (3) ◽  
pp. 167-169
Author(s):  
Anastasia Simion ◽  
Maria Simion ◽  
Geanina Moldovan
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Complementary Feeding ◽  
World Health ◽  
Statistical Software ◽  
Accessible Information ◽  
Children Health ◽  
The World ◽  
Health Organization ◽  
Breastfeeding Attitudes

Abstract Introduction: Recommended by the World Health Organization as the optimal way of infant feeding, maternal breast milk represents the best nourishment for the newborn baby during its first six months. The purpose of this study was to evaluate some of the Romanian mothers’ characteristics that can influence their attitude towards breastfeeding and food diversification. Methods: A questionnaire about 32 questions, including demographics items and breastfeeding attitudes, was sent online (socializing platforms) in 2020 to mothers from all Romania districts. Our sample included at the end 1768 subjects, who fully completed the questionnaire. Statistical analysis was carried out using the GraphPad statistical software. Results: The prevalence of breastfeeding for more than six months was only 32.18% in our group, and most of them were educated mothers who lives in urban areas (OR=2.76), were married (OR=1.98), had over 30 years old (OR=1.43) and have more than one child (OR=1.74). Conclusions: We underline the importance of tackling in our future community interventions some of the socio-demographic characteristics of pregnant women (like groups education, good and accessible information about breastfeeding, young age, first pregnancy, or mothers from rural areas as well) in developing good habits of breastfeeding or complementary feeding, in order to improve their children health status and proper development.

scholarly journals Demographic and Disease Characteristics of People With Multiple Sclerosis Living in Urban and Rural Areas

2006 ◽  
Vol 8 (3) ◽  
pp. 89-97 ◽  
Author(s):  
Robert J. Buchanan ◽  
Randolph Schiffer ◽  
Alexa Stuifbergen ◽  
Li Zhu ◽  
Suojin Wang ◽  
...  
Keyword(s):  
United States ◽  
Multiple Sclerosis ◽  
Rural Areas ◽  
Urban Areas ◽  
The United States ◽  
Primary Progressive ◽  
Disease Characteristics ◽  
Urban Rural ◽  
Disease Modifying ◽  
Urban And Rural Areas

This study compares demographic and disease-related characteristics of people with multiple sclerosis (MS) living in urban and rural areas. The data analyzed for this study were collected from a survey of 1518 people with MS living throughout the United States from October 2004 through January 2005. We found significant urban-rural differences in various MS characteristics, including type of MS. A significantly larger proportion of people with MS in remote rural areas than their urban counterparts responded that they had primary progressive MS. People with MS in rural areas were significantly more likely than those in urban areas to report that MS symptoms interfered with their independence. A significantly larger proportion of people with MS in remote rural areas than in urban areas were not receiving disease-modifying medications. Our results suggest that MS disease expression varies across urban-rural gradients. Although the findings are not definitive, we hope that other investigative groups will build on these results and work toward confirming and understanding them.

scholarly journals Comparing healthiness across urban, peri-urban, and rural communities in Mymensingh region of Bangladesh

GeoScape ◽  
2020 ◽  
Vol 14 (1) ◽  
pp. 11-23
Author(s):  
Ripan Debnath ◽  
Praghya Parmita Debnath
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Economic Status ◽  
Health Assessment ◽  
World Health ◽  
Health Determinants ◽  
Disease Manifestation ◽  
Income Opportunity ◽  
Health Organization

AbstractPeople in urban and peri-urban areas enjoy better physical access to health facilities compared to those living in rural area. However, healthier natural environment is commonly absent in urban and its adjoining peri-urban areas. Premising on the competitiveness of health determinants outlined by the World Health Organization (WHO), this study has embarked upon comparing healthiness of different communities in a region as well as to ascertain the factor(s) regulating their healthiness related outcome. Relying on presurveyed 1397 household data spreading over an urban, two peri-urban, and eight rural localities in Mymensingh region, Bangladesh, the study has evaluated the communities’ healthiness in views of both the conventional perspective and using a set of health determinants. Illness and disease manifestation as well as socio-economic status of the households were analyzed statistically to get communities’ overall healthiness scenario. Later, comparison among the communities and contribution of different indicators were sought using a combined score index. In this study’s context, it has been found that urban is healthier than rural followed by peri-urban community. Here, rural areas lack education the most that should be improved; peri-urban areas need better income opportunity; and urban area requires better water-supply and waste management facilities to improve their respective health status in a community sense. There is not a commonly accepted health metrics for community’s comprehensive health assessment toward which this study sets a pathway. Besides, using the combined health index developed here, specific interventions required to improve community’s healthiness and minimize the gap among them can easily be identified.

Sign in / Sign up

Export Citation Format

Share Document