scholarly journals Fears Related to COVID-19 among Rural Older People in Japan

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 524
Author(s):  
Ryuichi Ohta ◽  
Yoshinori Ryu ◽  
Chiaki Sano
Keyword(s):  
Social Support ◽  
Older People ◽  
Rural Areas ◽  
Urban Areas ◽  
Local Governments ◽  
Social Cognitive ◽  
Group Discussions ◽  
Social Lives ◽  
Critical Approaches ◽  
Precautionary Measures

Coronavirus disease 2019 (COVID-19) has affected people’s social lives by inhibiting their movement; this seriously impacts the lives of older people in particular. Rural older people may have been particularly affected because they live dispersedly and in isolation. This study explored rural older people’s perceptions of how COVID-19 has impacted their social lives. This qualitative study assessed participants who were 65 years and older and residing in rural Japanese communities. Five focus group discussions were conducted with 53 participants to explore their perceptions and challenges during COVID-19. Data were analyzed using thematic analysis, and four themes were developed: the beginning of suffering, social cognitive suppression, reflection on rural contexts, and critical approaches to the pandemic based on rural standards. The daily activities of rural older people were suppressed due to social norms and pandemic-related standard precautionary measures based on urban areas. Specific infection control standards for rural areas and the provision of direct information to individuals in the community to sustain social support are needed. To effectively maintain rural social support, as well as the trust and accountability of rural citizens, constant dialog among local governments and rural citizens is required.

Village senior centres and the living arrangements of older people in rural China: considerations of health, land, migration and intergenerational support

2016 ◽  
Vol 37 (10) ◽  
pp. 2044-2073 ◽  
Author(s):  
HUIJUN LIU ◽  
KAREN N. EGGLESTON ◽  
YAN MIN
Keyword(s):  
Older People ◽  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Independent Living ◽  
Rural China ◽  
Living Arrangement ◽  
Population Ageing ◽  
Intergenerational Support ◽  
North East

ABSTRACTChina is experiencing rapid urbanisation and population ageing, alongside sometimes contentious rural land consolidation. These on-going social, economic, political and demographic changes are especially problematic for older people in rural areas. In these regions, social and institutional support arrangements are less developed than in urban areas; older people have few options for re-settlement but are resistant to or incapable of adjusting to high-rise apartment living. In 2012–13, we gathered rich qualitative and quantitative data on over 600 older residents in 12 villages under the jurisdiction of City L in north-east coastal China to analyse residents’ living arrangement choices during the village renovation process. We compared villages with and without senior centres to shed light on the correlates of co-residence and independent living. Senior centres play a role in balancing the burden on rural Chinese families resulting from population ageing, smaller families, widespread migration for work, and the rapid urbanisation that is restructuring land rights and social support arrangements.

scholarly journals Exploring the Preparedness of Ghanaians for Retirement and Ageing: A Case Study of the Cape Coast Metropolitan Area

2018 ◽  
Vol 6 (5) ◽  
Author(s):  
Irene Korkoi Aboh ◽  
Busisiwe P. Ncama
Keyword(s):  
Focus Group ◽  
Older People ◽  
Old Age ◽  
Rural Areas ◽  
Elderly Persons ◽  
Focus Group Discussions ◽  
Cape Coast ◽  
Group Discussions ◽  
Traditional System ◽  
The Family

Introduction: There is evidence of the inability of older people in Nigeria, Ghana and other developing countries to sustain themselves through savings, assets or pensions. This situation highlights the minimal benefit of pensions, savings or assets as income sources for older people; old age very often brings poverty and disability. Methodology: A qualitative interpretive design informed the study. The study area was categorized into three distinct ecological areas namely urban, periurban and rural areas. Twenty interviews and three focus group discussions with 68 elderly persons were conducted in ten sub-districts in the Cape Coast Metropolis, Ghana. The forty-eight elderly individuals were put into groups of 8, 20 and 20 for the focus group discussions. Data was thematically analysed.Results: Four major themes and subthemes were identified to reflect the pertinent issue of exploring and defining the preparedness of people for their retirement and ageing. There was evidence that preparing for old age is not an active precedent for the people of Cape Coast and they still believe in the traditional system of caring where it is the sole responsibility of the family to care for its own aged members.Conclusion: It is evident that formal care is not practiced in Ghana and that the aged therefore find the idea bewildering. They want to experience this care, but existing norms expect the family members to single-handedly provide care for their aged.

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 A Traditional Closed-Loop Sanitation System in a Chronic Emergency: A Qualitative Study from Afghanistan

Water ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 298 ◽  
Author(s):  
Sayed Mohammad Nazim Uddin ◽  
Jean Lapegue ◽  
Jutta Gutberlet ◽  
Jan Franklin Adamowski ◽  
Caetano C. Dorea ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Closed Loop ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
The World ◽  
Smart Community ◽  
Urban And Rural Areas ◽  
Sanitation Systems

The use of closed-loop sanitation systems (CLSS), or reuse-oriented sanitation systems, has increased in recent years, and such systems have been successfully implemented in many parts of the world. However, no research has explored Traditional CLSS (T-CLSS) for a long-term humanitarian situation. This study explores the strengths, weaknesses, opportunities and threats (SWOT) of T-CLSS in peri-urban and rural contexts in three different provinces in Afghanistan (the first study of its kind in Afghanistan). Participatory research tools, such as transect walks, focus group discussions, smart community gatherings and interactive workshops, were applied to assess the SWOT associated with T-CLSS. The results indicate that T-CLSS has been practiced historically in both peri-urban and rural areas using local and traditional knowledge, skills and technologies. The socio-cultural acceptance of the system in both rural and peri-urban areas is an important strength of this established system. However, due to chronic development challenges in the study regions, T-CLSS may possibly lead to exposure to microbial contaminants. It is recommended that the feasibility of an improved CLSS be assessed and implemented in light of the issues that are inherent in the use of T-CLSS in Afghanistan.

scholarly journals Association between Personal Social Capital and Loneliness among Widowed Older People

2020 ◽  
Vol 17 (16) ◽  
pp. 5799 ◽  
Author(s):  
Dongdong Jiang ◽  
Yitan Hou ◽  
Jinwei Hao ◽  
Jiayi Zhou ◽  
Junfeng Jiang ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Older People ◽  
Rural Areas ◽  
Urban Areas ◽  
Short Form ◽  
Linear Regression Models ◽  
Bridging Social Capital ◽  
Related Quality ◽  
Health Related

To explore the association between the personal social capital and loneliness among the widowed older adults in China. Data from 1497 widowed older adults were extracted from China’s Health-Related Quality of Life Survey for Older Adults 2018. The Chinese version of the Personal Social Capital Scale (PSCS-16) was used to evaluate the participants’ status of bonding and bridging social capital (BOC and BRC). Loneliness was assessed by the short-form UCLA Loneliness Scale (ULS-8). Multiple linear regression models were established to examine the relationship between social capital and loneliness. The BOC and BRC of rural widowed older people were significantly lower than those of widowed older people in urban areas, while loneliness of rural widowed older people was higher than that of widowed older people in urban areas. The result of the final model showed that loneliness of rural participants was significantly associated with both BOC (B = 0.141, p = 0.001) and BRC (B = −0.116, p = 0.003). The loneliness of the urban widowed sample had no association with both BOC and BRC (p > 0.05). These findings suggested that more social support and compassionate care should be provided to enrich the personal social capital and thus to reduce loneliness of widowed older adults, especially those in rural areas.

scholarly journals Don’t become a burden and don’t complain: a case study of older persons suffering from incurable cancer and living alone in rural areas

2011 ◽  
Vol 1 (1) ◽  
pp. 3 ◽  
Author(s):  
Guri Bitnes Wiik ◽  
Siri Devik ◽  
Ove Hellzen
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Rural Areas ◽  
Urban Areas ◽  
Older Persons ◽  
Healthcare Services ◽  
Hospital Treatment ◽  
Incurable Cancer ◽  
Gain Access

The majority of older people wish to continue to live at home for as long as possible. As a consequence, the healthcare system, including cancer care, is located in urban areas and people living in rural areas must commute to gain access to the services offered. The aim of this study was to investigate how older people, who live on their own, experience living with incurable cancer and commuting for palliative care in rural Norway. A case study was designed and informants were recruited not because they were typical but because they were deemed to have the potential to contribute to knowledge about the phenomenon of being an older person who has been diagnosed with incurable cancer and lives alone in a rural area. Three major categories were identified: &ldquo;<em>Hovering between hope and fear</em>, <em>Stressful commuting to palliative care</em>, and <em>Being exhausted</em>. The findings indicated that older people who have been stricken with incurable cancer and who live alone in rural areas have to<em> walk the palliative path alone</em>. A common feature of all the informants is that they do not speak out and they do not complain. Even though the trend in healthcare is towards centralized treatment, shorter and more effective stays in hospital, and policlinic (policlinic services are a place where healthcare services can be accessed without the need for an overnight stay in hospital, usually such clinics are located close to a hospital) treatment and care, not all older persons manage to take care of themselves. The findings suggest that nurses should pay more attention to these patients&rsquo; needs for care at different levels of the healthcare service.

scholarly journals Rural-Urban Migration in Nigeria, Implication on the Development of the Society: Anambra State as the Focus of the Study

2019 ◽  
Vol 9 (2) ◽  
pp. 209
Author(s):  
Anselem C. Nweke
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Local Governments ◽  
Rural Economy ◽  
Natural Increase ◽  
Mode Analysis ◽  
Urban Migration ◽  
Anambra State ◽  
Rural Urban Migration ◽  
The Government

This paper examines the implication of rural- urban migration on Nigeria Society using Anambra state as focus of the study. Cities have been growing both through natural increase and through stampede from rural areas in Nigeria. People migrate to urban areas based on the prevailing conditions they fund themselves and the reasons for the migration vary from one individual to another depending on the situation that informs the decision to migrate. In most rural areas, the effect of rural-urban migration was a rapid deterioration of the rural economy leading to poverty and food scarcity. The cause of the phenomenon has been described as the push factors in the rural areas and the pull factors in the urban areas. The objective of this paper is to identify the implication of rural-urban migration on Nigeria society. It is a survey research. Thus, 1200 questionnaire were distributed among the selected local governments in Anambra State. The analysis was run using Runs test and mode analysis. The result of the analysis found the effect of people migrating from rural areas to urban centres on the society to include: increase in prostitution in the urban centres; increase in squalor settlement in the urban centres; and people are doing all sorts of odd jobs in order to survive in urban centres. The paper therefore recommends that the government should make and implement a policy on provision of functional social amenities such as electricity, pipe borne water etc. in the rural areas. Good schools and qualified teachers should be made available in the rural areas and establishment of industries in both rural and urban areas that will to an extent accommodate unemployed youths.

scholarly journals Assessment of Heatwave Vulnerability in Korea Considering Socio-economic Indices

2021 ◽  
Vol 21 (5) ◽  
pp. 39-47
Author(s):  
Dongwook Kim ◽  
Ji Eun Kim ◽  
Cho-Rok Jang ◽  
Moon-Yup Jang
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Local Governments ◽  
Principal Component ◽  
Vulnerability Index ◽  
Economic Damage ◽  
Equal Weight ◽  
Economic Indices ◽  
Vulnerability Framework ◽  
Weighting Methods

The rising heatwave occurrences in recent times due to climate change have resulted in increased mortalities and socio-economic damage. Consequently, several studies have been conducted to examine heatwave vulnerability in Korea. However, most of these studies used the IPCC vulnerability framework and weighting techniques, such as the equal weight and AHP methods, which lacked objectivity in the process of calculating vulnerability. This study employed socio-economic data to measure the heatwave vulnerability index for individual local governments in Korea using the principal component analysis and entropy weighting methods. These techniques ensure that the aggregation of proxies and the weighting process remain objective, unlike previous studies. According to the obtained results, rural areas such as Jeollanam-do, Jeollabuk-do, Gyeongsangnam-do, and Gyeongsangbuk-do, and relatively decrepit urban areas demonstrated high vulnerability scores. In addition, a positive correlation was found between the calculated vulnerability index and mortalities from the recent heatwaves. The heatwave vulnerability index developed in this study can therefore be used to form effective heatwave response policies suited to the conditions of each local government.

scholarly journals The structure and functional correlates of social support networks of people in advanced old age living in chosen urban and rural areas in Poland: a cross-sectional study

2020 ◽  
Author(s):  
Z. B. Wojszel ◽  
B. Politynska
Keyword(s):  
Social Support ◽  
Older People ◽  
Rural Areas ◽  
Functional Disability ◽  
Well Being ◽  
Community Dwelling ◽  
Support Networks ◽  
Social Support Networks ◽  
Different Types ◽  
Network Type

Abstract The purpose of the study was to identify the different types of social support networks (SSNs) among community-dwelling people aged 75+ years in selected areas of Poland, and to evaluate any associations between the network type and demographic and health variables of the population studied. The two most prevalent SSN types identified using the Practitioner Assessment of Network Type were “family dependent” (35.8%) and “locally integrated” (32.2%). “Local self-contained” (6.4%), “wider community focused” (2.8%) and “private restricted” (5.6%) SSNs were observed less frequently. In 17.2% of cases, it was not possible to identify the type of network unequivocally. Older people with a locally integrated SSN, in contrast to the family dependent type, were generally younger, living alone, and less likely to be homebound, rate their health as poor, suffer from depression or dementia, and had lower levels of functional disability. Locally integrated SSNs are recognized in the literature as being the most robust in terms of facilitating well-being and providing sufficient support to help maintain the older person in the community. This may reflect the higher levels of independence of older people able to sustain these support networks, which are then transformed into family-dependent types as their health deteriorates, but confirmation of this would require prospective studies. An improved understanding of the prevalence of different types of social networks among older people in Poland would help to guide a systematic approach to recognizing unmet needs in this population and provide crucial information in the planning of formal services.

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

2020 ◽  
Vol 8 ◽  
Author(s):  
Baojing Li ◽  
Hong Tang ◽  
Zilu Cheng ◽  
Yuxiao Zhang ◽  
Hao Xiang
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Rural China ◽  
National Level ◽  
Temporal Trends ◽  
Future Trend ◽  
Mortality Trends ◽  
Projection Model ◽  
Precautionary Measures ◽  
Urban And Rural Areas

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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