Hypertension Prevalence Rates Among Urban and Rural Older Adults of China, 1991–2015: A Standardization and Decomposition Analysis

Objectives: The prevalence of hypertension (HTN) among older adults is becoming an important issue in public health in China as it is now stepping into the super-aged society with high pressure of a chronic disease burden. With urban–rural differences in population composition and health facilities, this study aimed to assess the gaps in the prevalence trends of HTN among older adults by considering demographic factors such as age, gender, education level, and regional differences during 1991–2015 in China.Methods: We adopted the consistent sampling design and measure of HTN of the cross-longitudinal surveys of the China Health and Nutrition survey, and we compared the HTN prevalence rates between urban and rural older adults by taking each wave of the survey as a cross-sectional sample of the Chinese population by the following and supplementary samples. The classic standardization and decomposition analysis method was utilized with four factor-specific rates, and contributions were calculated, i.e., age, gender, education, and region, which reflects the aspect of demographic and social development differences between urban and rural areas of China.Results: The prevalence rates of HTN of the whole of older adults were increasing in 1991–2015. However, the gaps of prevalence rates of HTN between urban and rural areas show different trends accompanied by the health policies launched by the government. Namely, the gap was narrowed during 1993–1997 and then enlarged during 1997–2011 and narrowing again. Those trends reflect the policy effects with the health resource allocation and utilization of health services for urban and rural older adults.Conclusions: With the four factors of decomposition analysis, the differences reflect the results of health policy effects, considering the urban–rural discrepancy on older adults with different demographic characteristics. Hence, the differentiated policies should be considered with the urban–rural population, such as HTN prevention and the population health promotion.

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

10.21203/rs.3.rs-701569/v1 ◽

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.

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Health Disparities between the Rural and Urban Elderly in China: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158056 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8056

Author(s):

Jian Zhang ◽

Dan Li ◽

Jianmin Gao

Keyword(s):

Health Disparities ◽

Rural Health ◽

Rural Areas ◽

Decomposition Analysis ◽

The Elderly ◽

Rural Elderly ◽

Urban Elderly ◽

Rural And Urban ◽

Urban Rural ◽

Urban And Rural Areas

Background: China is becoming an aging society, and the proportion of the population aged 60 years and above is increasing. There is a dualistic urban–rural economic structure between urban and rural areas in China, but there are few comparative health studies on the self-assessed health (SAH) status of the elderly between urban and rural areas. The aim of this study is to explore the SAH status of the elderly in China, and to identify the health disparity between the urban and rural elderly. Methods: The data from the fourth wave of the China Health and Retirement Longitudinal Study (CHARLS) in 2018 were adopted. A total of 9630 participants aged 60 and above were included in this study. SAH was used as the indicator, measuring the health status. Fairlie decomposition analysis was conducted to find the SAH disparity. Results: The proportion of good SAH of the rural elderly (24.01%) was significantly higher than the urban elderly (19.99%). The association of SAH was widely different between the rural and urban elderly. There was a stronger association between SAH and sleeping time in the urban elderly (Odds ratios (OR) = 3.347 of 4–8 hours; OR = 3.337 of above 8 hours) than the rural elderly (OR = 1.630 of 4–8 hours; OR = 2.293 of above 8 hours). Smoking and social activity were significant only in the urban elderly, while region and assets were significant only in the rural elderly. Drinking (11.45%), region (−33.92%), and assets (73.50%) were the main factors contributing to the urban–rural health disparities. Conclusions: This is the first comparative study examining SAH disparity, focusing on the elderly aged 60 and above in China. From the perspective of drinking, region, and assets, our study highlighted substantial urban–rural health disparities, and provided evidence for policy making on narrowing the health gap between urban and rural areas in China.

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SOCIAL ISOLATION AND NETWORKS DO DENSE URBAN CENTERS PROVIDE LARGE SUPPORTIVE SOCIAL NETWORK TO OLDER ADULTS? A CROSS-COUNTRY COMPARATIVE STUDY

Innovation in Aging ◽

10.1093/geroni/igz038.1344 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S368-S368

Author(s):

Nicola Palmarini ◽

Monica Cominato ◽

Francesca Luppi ◽

Margherita Ruggeri ◽

Ivana Pais ◽

...

Keyword(s):

Older Adults ◽

Rural Areas ◽

Successful Aging ◽

Geographical Area ◽

Age Distribution ◽

The United States ◽

Support Network ◽

Urban Migration ◽

Urban Rural ◽

Urban And Rural Areas

Abstract The urban-rural dichotomy underpins the common approach in studying environmental conditions influencing older adults’ lives characterized by post-Second World War urban migration in both Italy and the United States (US). However, the traditional opposition urban-rural dichotomy is inadequate to study how the environmental characteristics of a geographical area can account for the heterogeneous profile of its populations and its age distribution. This study aims to overcome the traditional mobility theories as an explanatory dichotomy for understanding the distribution of the age structure of a given population. The extent of a supportive network, and the connection between the place of residence to the proximity of other residential centres can be seen as potential resources for understanding the attractiveness of certain areas for older adults. A large harmonized set of demographic and socio-economic data were collected from the Italian National Institute of Statistics (ISTAT) and the American Community Survey (ACS). An analysis at the Italian municipality- and US county-level finds the population over 75 years old are overrepresented in rural areas of both countries as would be expected by available employment opportunities, but considerable heterogeneity among both urban and rural areas exist. In particular, rural more than urban settings are based on an informal support network that is argued to rely on human proximity to produce successful aging in the community. The variation in population of older adults in rural areas, therefore, might have implications on how to achieve age-friendly communities, aside from population’s traditional mobility theories and formal support network.

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An Analysis of Consumption Pattern in Pakistan

The Pakistan Development Review ◽

10.30541/v21i4pp.275-296 ◽

1982 ◽

Vol 21 (4) ◽

pp. 275-296 ◽

Cited By ~ 4

Author(s):

Rehana Siddiqui

Keyword(s):

Growth Rates ◽

Rural Areas ◽

Household Size ◽

Consumption Pattern ◽

Total Expenditure ◽

Demand Growth ◽

Food Items ◽

Urban Rural ◽

Urban And Rural Areas

The paper aims at testing the validity of Engel's law with data on Pakistan. Consumption functions for urban and rural areas have been estimated separately. These functions are shown to be determined by total expenditure and household size. Engel's law is confirmed for some commodity groups but not for all. Following tests of urban-rural homogeneity and of stability of urban and rural consumption functions, demand growth rates for different food and non-food items have been calculated, assuming different growth rates of total expenditure and household size.

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Delineation of the Urban-Rural Boundary through Data Fusion: Applications to Improve Urban and Rural Environments and Promote Intensive and Healthy Urban Development

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18137180 ◽

2021 ◽

Vol 18 (13) ◽

pp. 7180

Author(s):

Jun Zhang ◽

Xiaodie Yuan ◽

Xueping Tan ◽

Xue Zhang

Keyword(s):

Wavelet Transform ◽

Rural Development ◽

Data Fusion ◽

Urban Development ◽

Urban Sprawl ◽

Rural Areas ◽

Healthy Development ◽

Kappa Value ◽

Urban Rural ◽

Urban And Rural Areas

As one of the most important methods for limiting urban sprawl, the accurate delineation of the urban–rural boundary not only promotes the intensive use of urban resources, but also helps to alleviate the urban issues caused by urban sprawl, realizing the intensive and healthy development of urban cities. Previous studies on delineating urban–rural boundaries were only based on the level of urban and rural development reflected by night-time light (NTL) data, ignoring the differences in the spatial development between urban and rural areas; so, the comprehensive consideration of NTL and point of interest (POI) data can help improve the accuracy of urban–rural boundary delineation. In this study, the NTL and POI data were fused using wavelet transform, and then the urban–rural boundary before and after data fusion was delineated by multiresolution segmentation. Finally, the delineation results were verified. The verification result shows that the accuracy of delineating the urban–rural boundary using only NTL data is 84.20%, and the Kappa value is 0.6549; the accuracy using the fusion of NTL and POI data on the basis of wavelet transform is 93.2%, and the Kappa value is 0.8132. Therefore, we concluded that the proposed method of using wavelet transform to fuse NTL and POI data considers the differences between urban and rural development, which significantly improves the accuracy of the delineation of urban–rural boundaries. Accurate delineation of urban–rural boundaries is helpful for optimizing internal spatial structure in both urban and rural areas, alleviating environmental problems resulting from urban development, assisting the formulation of development policies for urban and rural fringes, and promoting the intensive and healthy development of urban areas.

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Association between Rural Land Use Transition and Urban–Rural Integration Development: From 2009 to 2018 Based on County-Level Data in Shandong Province, China

Land ◽

10.3390/land10111228 ◽

2021 ◽

Vol 10 (11) ◽

pp. 1228

Author(s):

Zhiheng Yang ◽

Nengneng Shen ◽

Yanbo Qu ◽

Bailin Zhang

Keyword(s):

Land Use ◽

Rural Areas ◽

Shandong Province ◽

County Level ◽

Rural Land ◽

Integrated Development ◽

Land Use Transition ◽

Rural Land Use ◽

Urban Rural ◽

Urban And Rural Areas

Integrated development in urban and rural areas has led to a new form of urban–rural interdependence, which promotes rural territorial functional evolution and land use changes. Rural land use transition, showing the synchronous development between cities and villages, is an important window through which to observe integrated development in urban and rural areas. We focus on uncovering the association between rural land use transition and urban–rural integration development (URID), put forward a dynamic relationship assumption between rural land use transformation and URID stages based on the transmission mechanism of urban–rural linkages, and undertake empirical analysis using the panel regression model with the data of county-level administrative units in Shandong Province, China. The results show that rural land use transition has maintained a close association with URID, and that the changes in cultivated land, forest land, and surface-water area are highly related to URID. There are different leading urban–rural linkages in rural areas around big-sized cities, mid-sized cities, and small-sized cities, which determine whether rural areas are in different URID stages of high, medium, or low levels. Further, rural areas can take different actions to promote URID at different stages through strengthening or introducing urban–rural linkages driven by economies of scale and deepening urbanization. This provides a reference for developing countries to formulate rural land use policies on achieving the goal of URID.

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Urban-rural differences in the prevalence of muscle weakness and slow gait speed: A cross-sectional analysis from the NHANES (2001-2002 and 2011-2014)

Journal of Aging Research and Lifestyle ◽

10.14283/jarlife.2021.4 ◽

2021 ◽

pp. 1-7

Author(s):

J.J. Aziz ◽

K.F. Reid ◽

J.A. Batsis ◽

R.A. Fielding

Keyword(s):

United States ◽

Older Adults ◽

Grip Strength ◽

Muscle Weakness ◽

Rural Areas ◽

Gait Speed ◽

The United States ◽

Cross Sectional ◽

Comorbidity Burden ◽

Urban Rural

Background: Older adults living in rural areas suffer from health inequities compared to their urban counterparts. These include comorbidity burden, poor diet, and physical inactivity, which are also risk factors for sarcopenia, for which muscle weakness and slow gait speed are domains. To date, no study has examined urban-rural differences in the prevalence of muscle weakness and slow gait speed in older adults living in the United States. Objective: To compare the prevalence of grip strength weakness and slow gait speed between urban and rural older adults living in the United States. Design: A cross-sectional, secondary data analysis of two cohorts from the National Health and Nutrition Examination Survey (NHANES), using gait speed or grip strength data, and urban-rural residency, dietary, examination, questionnaire and demographic data. Participants: 2,923 adults (≥ 60 yrs.). Measures: Grip weakness was defined as either, an absolute grip strength of <35 kg. and <20 kg. or grip strength divided by body mass index (GripBMI) of <1.05 and <0.79 for men and women, respectively. Slow gait speed was defined as a usual gait speed of ≤0.8m/s. Results: The prevalence of GripBMI weakness was significantly higher in urban compared to rural participants (27.4% vs. 19.2%; p=0.001), whereas their absolute grip strength was lower (31.75(±0.45) vs. 33.73(±0.48)). No urban-rural differences in gait speed were observed. Conclusions: Older adults residing in urban regions of the United States were weaker compared to their rural counterparts. This report is the first to describe urban-rural differences in handgrip strength and slow gait speed in older adults living in the United States.

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Demographic dynamics, urban-rural divides and the (changing) mother's age at birth in Greece: a regional analysis, 1980–2016

Studia Demograficzne ◽

10.33119/sd.2018.2.4 ◽

2018 ◽

pp. 67-86

Author(s):

Luca Salvati ◽

Ilaria Zambon

Keyword(s):

Rural Areas ◽

Spatial Scales ◽

Regional Analysis ◽

Age At First Birth ◽

Fertility Trends ◽

Number Of Children ◽

Urban Rural ◽

Mother’S Age ◽

Urban And Rural Areas ◽

Age At Birth

Being more sensitive to economic fluctuations, childbearing postponement increased during the second demographic transition and was accompanied by a moderate decline in the number of children per woman and the progressive rise of mother’s age at first birth. Under the hypothesis that recessions have a marked influence on population dynamics, the present study investigates spatial changes in mother’s age at birth in Greece with the aim to assess the differential impact of economic crisis along the urban-rural gradient. The percent composition of births by mother's age class – considered a gross indicator of fertility under a changing socioeconomic context – was studied at 4 spatial scales (the whole country, administrative regions, prefectures and metropolitan areas or specific economic districts) over an economic cycle from expansion to recession (1980–2016). While stimulating childbearing postponement observed since the early 1980s, empirical results of this study indicate that the 2007 recession was quite neutral on fertility trends in Greece, consolidating the traditional divide between urban and rural areas.

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

10.21203/rs.3.rs-72830/v1 ◽

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.

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Współpraca gmin obwarzankowych na płaszczyźnie gospodarczej. Zarys problemu

Rocznik Instytutu Europy Środkowo-Wschodniej ◽

10.36874/riesw.2020.4.11 ◽

2020 ◽

Vol 18 (4) ◽

pp. 247-259

Author(s):

Lech Jańczuk

Keyword(s):

Local Government ◽

Rural Areas ◽

Local Governments ◽

Research Method ◽

Rural Municipality ◽

Research Hypothesis ◽

Economic Level ◽

Urban Rural ◽

Rural Municipalities ◽

Urban And Rural Areas

There are “urban-rural municipalities” in Polish administration nomenclature. They are territorial units where urban and rural areas have one name and one local government. There are also urban and rural municipalities that have one name but different local governments. That neighborhood of municipalities in Polish may be described as “municipalities bagel”. The aim of this article was to investigate whether and to what extent the “municipalities bagel” cooperate (coordinate) the exercising public tasks on the economic level. The article attempts to verify the research hypothesis: in “municipalities bagel” there is a lack of coordination of the exercising public tasks”. The research method was a diagnostic survey in which the questionnaire was conducted. In December 2019, questionnaire forms were sent to all “municipalities bagel” in Poland. The results of the research indicated a lack of coordination in the performance of public tasks between “municipalities bagel”. The result is a reduction of the efficiency of performance of public duties in such municipalities. The “municipalities bagel” are functionally related areas. This link is characterized by the subordination of the interests of the rural municipality (especially economic). The development of bagel rural communes is determined by the development and cooperation with their urban counterparts.

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