The Current Situation and Future Trend of Leukemia Mortality by Sex and Area in China

Leukemia is one of the most common cancers. We conducted this study to comprehensively analyze the temporal trends of leukemia mortality during 2003–2017 and project the trends until 2030. We extracted national-level data on annual leukemia mortality from China Health Statistics Yearbooks (2003–2017). We applied the Joinpoint regression model to assess leukemia mortality trends in urban and rural China by sex during 2003–2017. We also produced sex-specific leukemia mortality using the adjusted Global Burden Disease (GBD) 2016 projection model. In urban areas, age-standardized leukemia mortality decreased significantly among females during 2003–2017 (APC = −0.9%; 95% CI: −1.7, −0.1%). In rural areas, significant decreases of age-standardized leukemia mortality were both found among males (APC = −1.7%; 95% CI: −2.9, −0.5%) and females (APC = −1.6%; 95% CI: −2.6, −0.7%) from 2008 to 2017. Rural-urban and sex disparities of leukemia mortality will continue to exist until the year 2030. According to projection, the leukemia mortality rates of males and rural populations are higher than that of females and urban populations. In 2030, leukemia mortality is projected to decrease to 3.03/100,000 and 3.33/100,000 among the males in urban and rural areas, respectively. In females, leukemia mortality will decrease to 1.87/100,000 and 2.26/100,000 among urban and rural areas, respectively. Our study suggests that more precautionary measures to reduce leukemia mortality are need, and more attention should be paid to rural residents and males in primary prevention of leukemia in China.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020545 ◽

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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Influence of community satisfaction with individual happiness: comparative study in semi-urban and rural areas of Tikapur, Nepal

Global Health Promotion ◽

10.1177/1757975916672169 ◽

2017 ◽

Vol 25 (3) ◽

pp. 22-32 ◽

Cited By ~ 2

Author(s):

Myung-Bae Park ◽

Chun-Bae Kim ◽

Chhabi Ranabhat ◽

Chang-Soo Kim ◽

Sei-Jin Chang ◽

...

Keyword(s):

Rural Areas ◽

Physical Environment ◽

Urban Areas ◽

Positive Relationship ◽

National Level ◽

Medical Services ◽

Community Satisfaction ◽

Critical Factors ◽

Urban And Rural Areas

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.

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Is global dimming and brightening in Japan limited to urban areas?

10.5194/acp-2016-559 ◽

2016 ◽

Author(s):

Katsumasa Tanaka ◽

Atsumu Ohmura ◽

Doris Folini ◽

Martin Wild ◽

Nozomu Ohkawara

Keyword(s):

Solar Radiation ◽

Rural Areas ◽

Urban Areas ◽

Large Scale ◽

Temporal Trends ◽

Surface Radiation ◽

Surface Solar Radiation ◽

Decadal Time Scale ◽

Global Dimming ◽

Urban And Rural Areas

Abstract. Observations worldwide indicate secular trends of all-sky surface solar radiation on decadal time scale, termed global dimming and brightening. Accordingly, the observed surface radiation in Japan generally shows a strong decline till the end of the 1980s and then a recovery toward around 2000. Because a substantial number of measurement stations are located within or proximate to populated areas, one may speculate that the observed trends are strongly influenced by local air pollution and are thus not of large-scale significance. This hypothesis poses a serious question as to what regional extent the global dimming and brightening are significant: Are the global dimming and brightening truly global phenomena, or regional or even only local? Our study focused on 14 meteorological observatories that measured all-sky surface solar radiation, zenith transmittance, and maximum transmittance. On the basis of municipality population time series, historical land use maps, recent satellite images, and actual site visits, we concluded that eight stations had been significantly influenced by urbanization, with the remaining six stations being left pristine. Between the urban and rural areas, no marked differences were identified in the temporal trends of the aforementioned meteorological parameters. Our finding suggests that global dimming and brightening in Japan occurred on a large scale, independently of urbanization.

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They’re Dying in the Suburbs: COVID-19 Cases and Deaths by Geography in Louisiana (USA)

10.1101/2020.10.28.20221341 ◽

2020 ◽

Author(s):

Alina Schnake-Mahl ◽

Usama Bilal

Keyword(s):

New Orleans ◽

Rural Areas ◽

Urban Areas ◽

Temporal Trends ◽

Data Availability ◽

Suburban Areas ◽

Incidence And Mortality ◽

The Us ◽

Urban And Rural Areas ◽

Second Peak

AbstractThe national COVID-19 conversation in the US has mostly focused on urban areas, without sufficient examination of another geography with large vulnerable populations: the suburbs. While suburbs are often thought of as areas of uniform affluence and racial homogeneity, over the past 20 years, poverty and diversity have increased substantially in the suburbs. In this study, we compare geographic and temporal trends in COVID-19 cases and deaths in Louisiana, one of the few states with high rates of COVID-19 during both the spring and summer. We find that incidence and mortality rates were initially highest in New Orleans. By the second peak, trends reversed: suburban areas experienced higher rates than New Orleans and similar rates to other urban and rural areas. We also find that increased social vulnerability was associated with increased positivity and incidence during the first peak. During the second peak, these associations reversed in New Orleans while persisting in other urban, suburban, and rural areas. The work draws attention to the high rates of COVID-19 cases and deaths in suburban areas and the importance of metropolitan-wide actions to address COVID-19.RegistrationN/AFunding sourceNIH (DP5OD26429) and RWJF (77644)Code and data availabilityCode for replication along with data is available here: https://github.com/alinasmahl1/COVID_Louisiana_Suburban/.

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Prevalence of childhood hearing impairment of different severities in urban and rural areas: a nationwide population-based study in Taiwan

BMJ Open ◽

10.1136/bmjopen-2017-020955 ◽

2018 ◽

Vol 8 (3) ◽

pp. e020955 ◽

Cited By ~ 2

Author(s):

Cheng-Yu Lin ◽

Yen-Cheng Tseng ◽

How-Ran Guo ◽

Der-Chung Lai

Keyword(s):

Hearing Impairment ◽

Rural Areas ◽

Urban Areas ◽

Pure Tone ◽

National Level ◽

Population Based ◽

Hearing Level ◽

Prevalence Rates ◽

Factors Affecting ◽

Urban And Rural Areas

ObjectiveChildhood hearing impairment (CHI) is a major developmental disability, but data at the national level are limited, especially those on different severities. We conducted a study to fill this data gap.DesignA nationwide study on the basis of a reporting system.SettingTo provide services to disabled citizens, the Taiwanese government maintains a registry of certified cases. Using data from this registry, we estimated prevalence rates of CHI of different severities from 2004 to 2010 and made comparisons between urban and rural areas.ParticipantsTaiwanese citizens ≤17 years old.Primary outcome measuresTo qualify for CHI disability benefits, a child must have an unaided pure-tone better ear hearing level at 0.5, 1 and 2 kHz with an average ≥55 decibels (dB), confirmed by an otolaryngologist. The severity was classified by pure-tone better ear hearing level as mild (55–69 dB), moderate (70–89 dB) and severe (≥90 dB).ResultsThe registered cases under 17 years old decreased annually from 4075 in 2004 to 3533 in 2010, but changes in the prevalence rate were small, ranging from 7.62/10 000 in 2004 to 7.91/10 000 in 2006. The prevalence rates of mild CHI increased in all areas over time, but not those of moderate or severe CHI. Rural areas had higher overall prevalence rates than urban areas in all years, with rate ratios (RRs) between 1.01 and 1.09. By severity, rural areas had higher prevalence rates of mild (RRs between 1.08 and 1.25) and moderate (RRs between 1.06 and 1.21) CHI but had lower prevalence rates of severe CHI (RRs between 0.92 and 0.99).ConclusionWhile rural areas had higher overall prevalence rates of CHI than urban areas, the RRs decreased with CHI severity. Further studies that identify factors affecting the rural–urban difference might help the prevention of CHI.

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Association among multimorbidity, physical disability and depression trajectories: a study of urban–rural differences in China

Quality of Life Research ◽

10.1007/s11136-021-02807-3 ◽

2021 ◽

Author(s):

Chaoyang Yan ◽

Hui Liao ◽

Ying Ma ◽

Qin Xiang ◽

Jing Wang

Keyword(s):

Activities Of Daily Living ◽

Rural Areas ◽

Urban Areas ◽

Daily Living ◽

Latent Class ◽

Multinomial Logistic Regression ◽

Rural China ◽

Depression Symptoms ◽

Depression Symptom ◽

Urban And Rural Areas

Abstract Purpose The purpose of this study was to analyse the trajectories of depression in urban and rural areas, and to analyse the relationship among multimorbidity, disability and other variables and trajectories. Methods Data from the China Health and Retirement Longitudinal Study were used. A latent class growth model was used to characterise the trajectories of urban and rural depression symptoms. Chi-square test was used to test the differences in respondents’ characteristics among depression trajectories groups within urban and rural areas. The relationships among multimorbidity, disability and depression symptom trajectories were analysed via multinomial logistic regression. Results Urban and rural depression trajectories were divided into three categories. Respondents in urban areas were divided into rising, remaining-low and declining group, and those in rural areas were divided into rising, remaining-low and remaining-high group. The depression scores of respondents with multimorbidity were more likely to rise, and this result was similar for the disabled respondents. Respondents who need help on activities of daily living and instrumental activities of daily living in urban areas were more likely to decline in depression scores. In rural areas, however, the values were consistently high. In urban and rural areas, the relationships among marital status, education and age and depression trajectories were different. Conclusions The depression trajectories are different in urban and rural China. Improving the quality of medical services, promoting the distribution of rural social resources and implementing more recreational activities could be beneficial for the promotion of mental health in rural areas.

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Identification of Risk Factors for Diabetes Disability Among Bangladeshi Adults

Current Research in Diabetes & Obesity Journal ◽

10.19080/crdoj.2020.14.555877 ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Bhuyan KC

Keyword(s):

Risk Factors ◽

Sex Ratio ◽

Rural Areas ◽

Urban Areas ◽

Smoking Habit ◽

National Level ◽

Correlation Coefficients ◽

Obese Adults ◽

Rural People ◽

Urban And Rural Areas

The paper was to throw some light on the risk factors for diabetes disability among Bangladeshi adults of 18 years and above residing in both urban and rural areas. In investigating the adults, it was decited to cover 50.1% males and 49.9% females to maintain the national level of sex ratio in the sample. The respondents were interviewed when they were visiting some diagnostic centres in urban and semi-urban areas. The percentage of diabetic respondents included in the sample was 67% and 25.5% of them were suffering for 10 years and above, 6.4% were disable against 4.8% total disable respondents in the sample, and obese adults were 30.2%. Diabetic disable adults in the sample were 4.3%. The most responsible variable for diabetes disability was obesity followed by longer duration of diabetes, sedentary activity, smoking habit, being housewife, being married, etc. These variables were identified on the basis of risk ratio and correlation coefficients of variables and discriminant function scores. Beside these variables, rural people, Muslims, adults of ages 40-50 years, illiterate people had more risk of facing the problem of diabetes disability.

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Identification of Risk Factors for Diabetes Disability among Bangladeshi Adults

Diabetes and Islet Biology ◽

10.31579/2641-8975/027 ◽

2022 ◽

Vol 5 (1) ◽

pp. 01-07

Author(s):

K.C. Bhuyan

Keyword(s):

Risk Factors ◽

Sex Ratio ◽

Rural Areas ◽

Urban Areas ◽

Smoking Habit ◽

National Level ◽

Correlation Coefficients ◽

Obese Adults ◽

Rural People ◽

Urban And Rural Areas

The paper was to throw some light on the risk factors for diabetes disability among Bangladeshi adults of 18 years and above residing in both urban and rural areas. In investigating the adults, it was decided to cover 50.1% males and 49.9% females to maintain the national level of sex ratio in the sample. The respondents were interviewed when they were visiting some diagnostic centres in urban and semi-urban areas. The percentage of diabetic respondents included in the sample was 67% and 25.5% of them were suffering for 10 years and above, 6.4% were disable against 4.8% total disable respondents in the sample, and obese adults were 30.2%. Diabetic disable adults in the sample were 4.3%. The most responsible variable for diabetes disability was obesity followed by longer duration of diabetes, sedentary activity, smoking habit, being housewife, being married, etc. These variables were identified on the basis of risk ratio and correlation coefficients of variables and discriminant function scores. Beside these variables, rural people, Muslims, adults of ages 40 – 50 years, illiterate people had more risk of facing the problem of diabetes disability.

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A Spatially Highly Resolved Ground Mounted and Rooftop Potential Analysis for Photovoltaics in Austria

ISPRS International Journal of Geo-Information ◽

10.3390/ijgi10060418 ◽

2021 ◽

Vol 10 (6) ◽

pp. 418

Author(s):

Christian Mikovits ◽

Thomas Schauppenlehner ◽

Patrick Scherhaufer ◽

Johannes Schmidt ◽

Lilia Schmalzl ◽

...

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Agricultural Land ◽

National Level ◽

Solar Pv ◽

Federal States ◽

Upper Austria ◽

Alpine Regions ◽

Renewable Electricity Generation ◽

Urban And Rural Areas

Austria aims to meet 100% of its electricity demand from domestic renewable sources by 2030 which means, that an additional 27 TWh/a of renewable electricity generation are required, thereof 11 TWh/a from photovoltaic. While some federal states and municipalities released a solar rooftop cadastre, there is lacking knowledge on the estimation of the potential of both, ground mounted installations and rooftop modules, on a national level with a high spatial resolution. As a first, in this work data on agricultural land-use is combined with highly resolved data on buildings on a national level. Our results show significant differences between urban and rural areas, as well as between the Alpine regions and the Prealpine- and Easter Plain areas. Rooftop potential concentrates in the big urban areas, but also in densely populated areas in Lower- and Upper Austria, Styria and the Rhine valley of Vorarlberg. The ground mounted photovoltaic potential is highest in Eastern Austria. This potential is geographically consistent with the demand and allows for a production close to the consumer. In theory, the goal of meeting 11 TWh/a in 2030 can be achieved solely with the rooftop PV potential. However, considering the necessary installation efforts, the associated costs of small and dispersed production units and finally the inherent uncertainty with respect to the willingness of tens of thousands of individual households to install PV systems, installing the necessary solar PV on buildings alone is constrained.

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Abstract WP350: National Trends in Outcomes of Ischemic Stroke and Prognostic Influence of Stroke Center Capability in Japan

Stroke ◽

10.1161/str.51.suppl_1.wp350 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Ai Kurogi ◽

Akiko Kada ◽

Kunihiro Nishimura ◽

Daisuke Onozuka ◽

Ryota Kurogi ◽

...

Keyword(s):

Ischemic Stroke ◽

Patient Outcomes ◽

Rural Areas ◽

Urban Areas ◽

National Level ◽

Temporal Trends ◽

Stroke Severity ◽

Acute Stroke Care ◽

Poor Outcomes ◽

Stroke Center

Background: Limited national-level information on temporal trends in comprehensive stroke center (CSC) capabilities and their effects on acute ischemic stroke (AIS) patients exists. Aims: To examine trends in in-hospital outcomes of AIS patients and the prognostic influence of temporal changes in CSC capabilities in Japan. Methods: This retrospective study used the J-ASPECT Diagnosis Procedure Combination database and identified 372,978 AIS patients hospitalized in 650 institutions between 2010 and 2016. Temporal trends in patient outcomes and recombinant tissue plasminogen activator (rt-PA) and mechanical thrombectomy (MT) usage were examined. Facility CSC capabilities were assessed using a validated scoring system (CSC score: 1-25 points) in 2010 and 2014. The prognostic influence of temporal CSC score changes on in-hospitalmortality and poor outcomes (modified Rankin Scale: 3-6) at discharge were examined using hierarchical logistic regression models. Results: Over time, stroke severity at admission decreased, whereas median age, sex ratio, and comorbidities remained stable. During the study period, usage of rt-PA and MT in rural areas remained lower than that of urban areas, but in 2016, the differences in their use were within 1%. The median CSC score increased from 16 to 17 points. After adjusting for age, sex, comorbidities, consciousness level, and facility CSC score, proportion of in-hospitalmortality and poor outcomes at discharge decreased (from 7.6% to 5.0%, and from 48.7% to 43.1%, respectively). The preceding CSC score increase (in 2010-2014) was independently associated with reduced in-hospital mortality and poor outcomes, and increased rt-PA and MT use (odds ratio (95% confidence interval): 0.97(0.95-0.99), 0.97(0.95-1.00), 1.07(1.04-1.10), and 1.21(1.14-1.28) , respectively). Conclusions: This nationwide study revealed six-year trends in better patient outcomes and increased use of rt-PA and MT in AIS. In addition to lesser stroke severity, preceding improvement of CSC capabilities was an independent factor associated with such trends, suggesting importance of CSC capabilities as a prognostic indicator of acute stroke care.

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