Does the Rural Environment Influence Symptomatology and Optimize the Effectiveness of Disease Acceptance? A Study Among Women With Fibromyalgia

The present study aims to explore whether the symptoms associated with fibromyalgia are contextually influenced by the area of residence (rural/urban). Furthermore, it is analyzed whether the effect of the acceptance of the disease on the emotional, cognitive and physical symptoms is moderated by the patients’ place of residence. Using a cross-sectional design, a total of 234 women with fibromyalgia (mean age = 56.91 years; SD = 8.94) were surveyed, of which 55.13% resided in rural areas and 44.87% in urban areas. Self-reported questionnaires were used to assess pain severity, anxiety and depression, functional limitation, physical and mental fatigue and acceptance of the disease. The results show significant differences in acceptance (p = 0.040), pain (p < 0.001), and physical and mental fatigue (p = 0.003 and p = 0.004, respectively) between patients from rural and urban areas. The rural area patients presented higher levels of acceptance and pain and lesser levels of physical and mental fatigue compared to the urban area. The moderation analysis add that, only in patients from the rural area, the variables of physical symptoms (pain, functional limitation, and physical fatigue) were significantly and negatively associated with acceptance. This study addresses for the first time the role of the place of residence in suffering from fibromyalgia, suggesting that the rural or urban environment plays a relevant role in the severity and/or management of symptoms in fibromyalgia women. Limitations and practical implications are also discussed.

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Urban–rural disparity in cancer incidence in China, 2008–2012: a cross-sectional analysis of data from 36 cancer registers

BMJ Open ◽

10.1136/bmjopen-2020-042762 ◽

2021 ◽

Vol 11 (4) ◽

pp. e042762

Author(s):

Shuai Yuan ◽

Shao-Hua Xie

Keyword(s):

Cancer Incidence ◽

Rural Areas ◽

Urban Areas ◽

Incidence Rates ◽

Cancer Type ◽

Anatomic Site ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Rural And Urban ◽

Urban Rural

ObjectiveThe substantial differences in socioeconomic and lifestyle exposures between urban and rural areas in China may lead to urban–rural disparity in cancer risk. This study aimed to assess the urban–rural disparity in cancer incidence in China.MethodsUsing data from 36 regional cancer registries in China in 2008–2012, we compared the age-standardised incidence rates of cancer by sex and anatomic site between rural and urban areas. We calculated the rate difference and rate ratio comparing rates in rural versus urban areas by sex and cancer type.ResultsThe incidence rate of all cancers in women was slightly lower in rural areas than in urban areas, but the total cancer rate in men was higher in rural areas than in urban areas. The incidence rates in women were higher in rural areas than in urban areas for cancers of the oesophagus, stomach, and liver and biliary passages, but lower for cancers of thyroid and breast. Men residing in rural areas had higher incidence rates for cancers of the oesophagus, stomach, and liver and biliary passages, but lower rates for prostate cancer, lip, oral cavity and pharynx cancer, and colorectal cancer.ConclusionsOur findings suggest substantial urban–rural disparity in cancer incidence in China, which varies across cancer types and the sexes. Cancer prevention strategies should be tailored for common cancers in rural and urban areas.

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The Quality of Life of Coronavirus Disease Survivors Living in Rural and Urban Area of Riau Province, Indonesia

Infectious Disease Reports ◽

10.3390/idr14010005 ◽

2022 ◽

Vol 14 (1) ◽

pp. 33-42

Author(s):

Suyanto Suyanto ◽

Shashi Kandel ◽

Rahmat Azhari Kemal ◽

Arfianti Arfianti

Keyword(s):

Quality Of Life ◽

Rural Areas ◽

Urban Areas ◽

Cross Sectional Study ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Rural And Urban ◽

The Status ◽

Rural And Urban Area

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.

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A comparison of breast feeding practices among urban and rural areas of Rangareddy district of Telangana

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20172190 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2136 ◽

Cited By ~ 1

Author(s):

M. Vijay Kumar ◽

Indranil Acharya ◽

Jayanti P. Acharya ◽

Puligila Raj Shravani ◽

Sabbineni Ramya

Keyword(s):

Rural Area ◽

Breast Feeding ◽

Rural Areas ◽

Urban Areas ◽

Feeding Practices ◽

Cross Sectional Study ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Young Infants ◽

Urban And Rural Areas

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. Methods: A community based cross sectional study was conducted among 800 mothers from urban and rural areas of Rangareddy District. A pre designed pre tested questionnaire was used to interview the mothers. Questionnaire contained questions related to demographic factors and breast feeding practices. Institutional Ethical clearance was taken. Results: The overall prevalence of exclusive breast feeding was 65%, being comparatively more in rural area (68%) which was statistically significant. Colostrum was discarded by 15% mothers in urban and 9% in rural area. Breast feeding was initiated within 1 hour in 184 (46%) in urban area and in 148 (37%) in rural area. Conclusions: Though mothers from rural area had certain favorable breast feeding practices such as demand feeding, colostrum being given but still various inappropriate practices were prevalent in both rural and urban areas.

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KUALITAS DIET, STATUS GIZI DAN STATUS ANEMIA WANITA PRAKONSEPSI ANTARA DESA DAN KOTA

GIZI INDONESIA ◽

10.36457/gizindo.v43i1.401 ◽

2020 ◽

Vol 43 (1) ◽

pp. 11

Author(s):

Cindy Fariski ◽

Fillah Fithra Dieny ◽

Hartanti Sandi Wijayanti

Keyword(s):

Nutritional Status ◽

Diet Quality ◽

Rural Areas ◽

Urban Areas ◽

Saturated Fat ◽

Cross Sectional ◽

Energy Deficiency ◽

Rural And Urban Areas ◽

Chronic Energy Deficiency ◽

Rural And Urban

The health status during the preconception period was important to prepare pregnancy. Living patterns that can affect diet quality and nutritional status. This study aimed to analyze the differences in diet quality, nutritional status, and anemia between preconception women in rural and urban areas. This study was conducted using a cross-sectional design that consisted of 68 brides aged 16-35 years selected by consecutive sampling. Diet quality was obtained by diet quality index international (DQI-I) form. Nutritional status based on body mass index (BMI) and mid-upper arm circumference (MUAC). Hemoglobin levels were measured by the cyanmethemoglobin method. Data were analyzed by Independent T-test and Mann Whitney. Subjects in rural and urban areas had low diet quality. The score of variation in the type of protein intake, total fat, and saturated fat was higher in rural areas than urban areas (p=0,001; p=0,013; p=0,002). The mean BMI and MUAC were higher in urban subjects than rural subjects but the hemoglobin levels of rural subjects were higher than urban subjects. The subjects of anemia in urban was 23,5 percent were higher than rural was 14,7 percent but the risk of chronic energy deficiency in rural was 55,9% were higher than urban was 11,8 percent. There were no differences in diet quality and hemoglobin levels between preconception women in rural and urban areas (p=0,990; p=0,116). There were a differences in BMI and MUAC (p=0,026; p=<0,001). There were differences in nutritional status based on BMI and MUAC in both areas. There were no differences in diet quality and hemoglobin levels in rural and urban areas

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Socioeconomic Determinants of Malaria in Selected Urban and Rural Areas in Anambra State, Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2020/v41i2230412 ◽

2020 ◽

pp. 53-64

Author(s):

C. C. Nduka ◽

H. N. Chineke ◽

P. O. Adogu ◽

A. F. Chizoba

Keyword(s):

Socioeconomic Factors ◽

Rural Areas ◽

Urban Areas ◽

Control Measures ◽

Health Concern ◽

Skilled Workers ◽

Quality Health Care ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Rural And Urban

Malaria, a disease of poverty, is of significant public health concern. It is endemic in Nigeria with the risk of transmission appearing to be high because of favorable climatic and environmental factors. Increased susceptibility to malaria has also been linked to dirty surroundings that favor the breeding and propagation of the vector, poor access to quality health care and ignorance especially of malaria prevention strategies. However, this study investigated the role of socioeconomic factors responsible for the observed difference in malaria prevalence between selected rural and urban areas of Anambra, Nigeria. A descriptive comparative cross-sectional study, data on demographic and socioeconomic variables were collected from 202 urban and rural respondents, then analyzed using SPSS platform to generate chi-square test of significance. The results were presented in figures, table and charts for clarity. All the subjects were aware of the term malaria but only 63.4% had adequate specific knowledge of malaria. Generally, 25.7% of rural participants had no formal education while the urban group had only 4% of that particular category. About 52.5% of rural participants earned below 50,000 naira monthly, with 14.9% earning above 100,000 naira while the reverse was the case in the urban area. Also, the number of malaria episodes was inversely proportional to the household monthly income (X2=24.30, p<0.001). More episodes of malaria were also reported among the unskilled workers and skilled workers (71.3%) compared to Professionals (28.7%), yet all the participants reported the presence of a healthcare facility <3km from their houses with 95% and 80.2% of them in the rural and urban areas respectively having to pay out-of-pocket for healthcare services. It is clear that socioeconomic factors play a role in the persistence of malaria as an endemic disease in Nigeria. Therefore, existing control measures should incorporate strategies to end poverty and ignorance especially among the rural populace.

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Multimorbidity Among Migrant and Non-Migrant Ghanaians: The RODAM Study

International Journal of Public Health ◽

10.3389/ijph.2021.1604056 ◽

2021 ◽

Vol 66 ◽

Author(s):

Anna Marzà-Florensa ◽

Daniel Boateng ◽

Charles Agyemang ◽

Erik Beune ◽

Karlijn A. C. Meeks ◽

...

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Cross Sectional Study ◽

Health Concern ◽

Cross Sectional ◽

Middle Income ◽

Migrant Populations ◽

Rural And Urban Areas ◽

Rural And Urban ◽

Prevalence Ratios

Objectives: Multimorbidity is a growing public health concern due to the increasing burden of non-communicable diseases, yet information about multimorbidity in low- and middle-income countries and migrant populations is scarce. We aimed to investigate the distribution and patterns of multimorbidity in rural and urban areas in Ghana and Ghanaian migrants in Europe.Methods: The RODAM cross-sectional study included 4,833 participants. Multimorbidity was defined as presence of multiple non-communicable chronic conditions. Patterns were determined from frequent combination of conditions. Prevalence ratios were estimated by logistic regression.Results: Prevalence of multimorbidity was higher in women and in urban Ghana and Europe. We observed a cardiometabolic pattern in all sites as well as circulatory-musculoskeletal and metabolic-musculoskeletal combinations in Ghana. Multimorbidity prevalence ratios were higher in Europe (men 1.47, 95% CI 1.34–1.59, women 1.18, 1.10–1.26) and urban Ghana (men 1.46, 1.31–1.59, women 1.27, 1.19–1.34).Conclusion: Distribution and patterns of multimorbidity differed by sex and site. With a higher burden of multimorbidity in urban areas, prevention strategies should focus on forestalling its increase in rapidly growing rural areas.

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Assessment of immunization Status of Children between 12-23 months in Bareilly District

Nepal Journal of Epidemiology ◽

10.3126/nje.v1i2.5091 ◽

2011 ◽

Vol 1 (2) ◽

pp. 47-50 ◽

Cited By ~ 2

Author(s):

Hari S Joshi ◽

Rakesh Gupta ◽

Arun Singh ◽

Vipul Mahajan

Keyword(s):

Vitamin A ◽

Rural Areas ◽

Urban Areas ◽

Immunization Coverage ◽

Cluster Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Immunization Status ◽

Rural And Urban

Objectives: To assess the immunization status of children in the age group 12-23 months and to know the reasons for non-immunization of children. Method: - A cross-sectional survey was conducted using WHO’s thirty cluster sampling technique in rural and urban areas of Bareilly district from August 2008 to January 2009. Rural areas were divided into blocks and blocks were divided into villages. Urban areas were divided into wards. Villages and wards were taken as clusters. During the house-to-house survey, a total of 240 children of age 12-23 months were included in the present study. Result: only around 50% of children were fully immunized while 27.5% were partially and 22.5 % were not immunized at all. Immunization coverage was highest for BCG (62.5%) and lowest for measles (39.2%). Dropout rates were 37.3%, 19.7% and 18.2% for BCG to measles, DPT1 to DPT3 and OPV1 to OPV3 respectively. Vitamin A prophylaxis showed a decline from 38.3 % to 16.7%. Amongst the various reasons for not immunizing the child, the most common in both rural (78.7%) and urban areas (28.6%) was lack of awareness for the need of vaccination. However in rural areas lack of availability of services (87.2%) was the major cause for not immunizing the child. Conclusion: The present study shows a low coverage of immunization and Vitamin A prophylaxis in both rural and urban areas. Important reasons for non-immunization were lack of awareness about vaccination and availability of immunization services in rural areas and urban areas.Key Words: Immunization coverage; Children between 12-23 months; Vitamin A Prophylaxis.DOI: http://dx.doi.org/10.3126/nje.v1i2.5091 Nepal Journal of Epidemiology 2011;1 (2):47-50

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Urban vs Rural Factors Associated with Anemia in Haitian School Children

Current Developments in Nutrition ◽

10.1093/cdn/nzaa061_098 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1470-1470

Author(s):

Ana Palacios ◽

Jeanne Freeland-Graves ◽

Lora Iannotti

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Nutrition Intervention ◽

Intestinal Helminth ◽

United States Department ◽

Place Of Residence ◽

Cross Sectional ◽

Rural And Urban ◽

Intestinal Worm ◽

The Relationship

Abstract Objectives Children from urban areas in Haiti have a higher prevalence of anemia vs. rural (71% vs. 51%, respectively). The objective of this study was to identify the mediating factors between urban-rural residence and anemia. Methods This cross-sectional study used baseline data from two clustered randomized controlled trials that assessed the efficacy of a nutrition intervention. A total of 981 children from Cap Haitien, and 300 children from rural areas of the same region were included. Generalized linear mixed models were conducted to identify associations with anemia. Models were adjusted for age, school cluster and income. Significant variables were then included in a mediation analysis to explore the relationship between place of residence and child anemia. Results The odds of anemia were 2.35 times greater in children from urban vs. rural areas. Older age was inversely associated with anemia in rural and urban children, [OR = 0.88 95% CI (0.81–0.96)] and [OR 0.93; 95% CI (0.88–1.00)], respectively. In rural areas, stunting increased the odds of anemia, [OR = 3.41; 95% CI (1.45–7.80)], while households with more adults lowered the odds, [OR = 0.74; 95% CI (0.62–0.98)]. In the urban context, the odds of anemia were greater when intestinal worm morbidities were reported, [OR 1.74; 95% CI (1.13–2.68)]. Among number of adults living in the household, stunting and intestinal helminth morbidities, the latter partially mediated the relationship between anemia and place of residence (P = 0.03). Conclusions Younger children are at a higher odds of suffering anemia in both rural and urban contexts. In rural areas, stunting increased the odds of anemia, while larger households with more adults lowered it. Children with intestinal worm morbidities had a greater odds of anemia in urban locations, and mediated the relationship between anemia and place of residence. Findings from this study suggest the need to develop site-specific interventions in Haiti, highlighting the importance of additional, non-nutritional factors of anemia in this population. Funding Sources The original trials received United States Department of Agriculture (USDA) Foreign Agricultural Service Micronutrient Fortified Food Aid Products program FFE-521–2012/034–00.

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Diversity of sand flies in domiciliary environment of Santarém, state of Pará, Brazil: species composition and abundance patterns in rural and urban areas

Acta Amazonica ◽

10.1590/s0044-59672012000400008 ◽

2012 ◽

Vol 42 (4) ◽

pp. 507-514 ◽

Cited By ~ 7

Author(s):

Marlisson Augusto Costa Feitosa ◽

Genimar Rebouças Julião ◽

Manoel Djalma Pereira Costa ◽

Braulio Belém ◽

Felipe Arley Costa Pessoa

Keyword(s):

Rural Area ◽

Rural Areas ◽

Urban Areas ◽

Abundant Species ◽

Sand Fly ◽

Lower Amount ◽

Lutzomyia Longipalpis ◽

Sand Flies ◽

Rural And Urban Areas ◽

Rural And Urban

This paper aimed to evaluate the richness, abundance and frequency of sand fly occurrence in rural and urban areas American visceral Leishmaniasis -AVL is endemic in the study area of Santarém municipality, Pará state. Sand flies were collected during 1995-2000, using CDC light traps placed in neighborhoods and rural areas of the municipality. A total of 53.454 individuals and 26 species of sand flies were collected. The most abundant species in both urban and rural environments was Lutzomyia longipalpis, vector of AVL in the area. The highest species richness by capture was in rural area. In all years sampled, the largest number of species of sand fly collected was always in rural areas. The species of sand flies in urban and rural area were similar in 11 species. In the rural area other 11 species were found, a total of 22 species. Shannon-Wiener index ranged from 0.12 to 0.84 at rural areas and 0.08 to 0.34 at urban ones. In general, rural localities showed higher diversity (H') of phlebotomines than urban ones. Individual-based rarefaction curves for each area demonstrated that urban localities had the lowest expected number of phlebotomine species and the richest rural ones reach higher expected values with lower amount of individuals than urban sites. The most frequent species were Lutzomyia longipalpis, Evandromyia carmelinoi and Bichromomyia flaviscutellata.

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Prevalence Of Refractive Errors In School Going Children In Rural And Urban Areas -A Cross-Sectional Study

Tropical Journal of Ophthalmology and Otolaryngology ◽

10.17511/jooo.2021.i02.01 ◽

2021 ◽

Vol 6 (2) ◽

pp. 22-27

Author(s):

Dr. Chimata Triveni ◽

◽

Dr. Tirumuru Divya ◽

Dr. Ponna Rama Devi ◽

Dr. N. Lakshmi Chowdary ◽

...

Keyword(s):

Refractive Error ◽

Rural Areas ◽

Urban Areas ◽

Study Groups ◽

Cross Sectional Study ◽

P Value ◽

Refractive Errors ◽

Cross Sectional ◽

Rural And Urban Areas ◽

Rural And Urban

Introduction: Visual impairment affects students’ routine schoolwork and day-to-day activities.Hence, the aim is to study the prevalence of various refractive errors and their comparison amongschool children of 5-15 years in rural and urban areas. Methods: This cross-sectional studyexamined 998 students from both rural and urban schools. After obtaining ethical clearance andinformed consent, students were examined for refractive errors. The students with the refractiveerror were given a socio-demographic questionnaire and questionnaire regarding their usage oftelevision, computer, and family history of refractive errors. A Chi-square test was used to test thestatistical significance of proportions. P-value < 0.05 was considered statistically significant, anddata were analyzed by using coGuide software, V.1.03 Results: The prevalence of refractive errorwas found to be 6.41 %, with a prevalence of 7.61% in urban and 5.21% in rural areas. Thedifference in the type of refractive error between the study groups was found to be insignificant,with P= 0.897. Conclusion: Prevalence of refractive errors was more in urban school children thanrural. Refractive error was more prevalent in 13-15 years age group in both rural and urban schoolchildren. The most common refractive error was myopia, followed by astigmatism andhypermetropia.

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