scholarly journals Changes in Mortality Inequalities in Urban and Rural Populations during 1990–2018: Lithuanian Experience

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 750
Author(s):  
Olga Mesceriakova-Veliuliene ◽  
Ramune Kalediene
Keyword(s):  
Cardiovascular Diseases ◽  
Rural Areas ◽  
Urban Areas ◽  
Gastrointestinal Diseases ◽  
Rural Populations ◽  
Place Of Residence ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
External Causes ◽  
Inequalities In Mortality

Background and Objectives: Reduction in health inequalities is a highly important task in public health policies worldwide. In Lithuania, inequalities in mortality by place of residence are among the greatest, compared to other European Union (EU) countries. However, studies on inequalities in mortality by place of residence over a long-term period have not been investigated in Lithuania. The aim of this study was to present changes in mortality inequalities in urban and rural populations during 1990–2018. Materials and Methods: Mortality rates from all causes, cardiovascular diseases, cancer, external causes, and gastrointestinal diseases in urban and rural population by sex were calculated per 100,000 populations and were standardized by age. Inequalities in mortality were assessed using rate differences and rate ratio. For the assessment of inequality trends during 1990–2018, the joinpoint regression analysis was applied. Results: Mortality between urban and rural populations varied. In rural areas, mortality lower than that in urban areas was observed only in 1990 among women, in case of mortality from cancer and gastrointestinal diseases (compared with in 2018) (p < 0.05). In 2018, mortality from all causes, cardiovascular diseases, and external causes in urban and rural areas was lower than in 1990 in both sexes. However, mortality from gastrointestinal diseases was higher (p < 0.05). In 2018, mortality from cancer among both sexes was lower only in urban areas (p < 0.05). Mortality inequalities between rural and urban areas decreased statistically significantly only among men from external causes and from all causes (respectively, on average, by 0.52% per year and, on average, by 0.21% per year). Meanwhile, mortality from cardiovascular and gastrointestinal diseases increased in both sexes, and mortality from cancer and all causes of death increased among women. The increase in the inequalities of mortality from gastrointestinal diseases was the most rapid: among men—on average, by 0.69% per year, and among women—on average, by 1.43% per year, p < 0.0001. Conclusions: During 1990–2018, the inequalities in mortality by place of residence in Lithuania statistically significantly decreased only among men, in terms of mortality from external causes and from all causes. Therefore, reduction in inequalities in mortality must be the main the health policy challenge in Lithuania.

scholarly journals Comparison of the knowledge level of individuals living in rural and urban areas about skin cancer and sun protection

2021 ◽  
Vol 8 (6) ◽  
pp. 2762
Author(s):  
Elif Erdogan ◽  
Aynur Uysal Toraman
Keyword(s):  
Skin Cancer ◽  
Rural Areas ◽  
Urban Areas ◽  
Sun Protection ◽  
Rural Populations ◽  
Knowledge Level ◽  
Rural And Urban Areas ◽  
The People ◽  
Rural And Urban ◽  
Knowledge Scale

Background: Among the types of cancer, skin cancer stands out due to its increasing incidence rate both in Turkey and around the world. This study was conducted to compare the knowledge level of the people living in rural and urban areas about skin cancer and sun protection.Methods: The study was conducted with 384 people living in Kirazlı village (rural area) and Türkmen district (urban area) in Kuşadası. Kuşadası town is located in Turkey's western region. Individual’s skin cancer and sun protection knowledge levels were evaluated with Skin Cancer and Sun Knowledge Scale consisting of 25 items.Results: As a result of this evaluation, the median values were 12.5 for the people living in rural areas and 15 for the people living in urban areas. It was found that there was a statistically meaningful difference between skin cancer and sun knowledge scale points of the people living in rural and urban areas (U=9419.5, p<0.01).Conclusions: This study concludes that individuals from urban populations were more knowledgeable than the ones from rural populations in the field of skin cancer and the sun protection behavior.

scholarly journals HEALTH STATUS OF GERIATRIC POPULATION IN RURAL AND URBAN AREAS OF VARANASI - A COMPARATIVE STUDY

2021 ◽  
Vol 9 (2) ◽  
pp. 479-484
Author(s):  
Gupta Yogesh Chandra ◽  
Nathani Neeru
Keyword(s):  
Health Status ◽  
Rural Areas ◽  
Urban Areas ◽  
Heart Diseases ◽  
Gastrointestinal Diseases ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Health Related

The purpose of this study was to assess the health-related problems of rural and urban geriatric population of Varanasi district. A survey-based cross-sectional study was carried out on total 1000 elderly of selected rural and urban areas of Varanasi district by multistage random sampling. Health related details of the re-spondents were gathered through an interview schedule. Most of the respondents were in the age group of 60 to 69 years. The prevalence of hypertension, heart diseases, respiratory diseases, and urinary diseases were significantly higher in rural areas than in urban areas, whereas the prevalence of diabetes mellitus, musculoskeletal problems, and gastrointestinal diseases were significantly higher in urban areas. This study revealed a significant variation in the health status of rural and urban elderly of Varanasi district. People need to be aware of old age and elderly to pay proper attention for better health care to make this later stage of life more pleasant and healthy.

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

2021 ◽  
Vol 12 ◽  
Author(s):  
Patricia Catalá ◽  
Sheila Blanco ◽  
Soledad Perez-Calvo ◽  
Octavio Luque-Reca ◽  
Dolores Bedmar ◽  
...  
Keyword(s):  
Rural Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Functional Limitation ◽  
Physical Symptoms ◽  
Mental Fatigue ◽  
Place Of Residence ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Rural And Urban

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 &lt; 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.

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

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

BMJ Open ◽  
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.

Relating Household Consumption Expenditures to Road Traffic Fatalities: A Rural–Urban Study

2021 ◽  
pp. 036119812110332
Author(s):  
Ruchika Agarwala ◽  
Vinod Vasudevan
Keyword(s):  
Developing Countries ◽  
Traffic Safety ◽  
Rural Areas ◽  
Urban Areas ◽  
Household Consumption ◽  
Household Expenditure ◽  
Traffic Fatality ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
The Relationship

Research shows that traffic fatality risk is generally higher in rural areas than in urban areas. In developing countries, vehicle ownership and investments in public transportation typically increase with economic growth. These two factors together increase the vehicle population, which in turn affects traffic safety. This paper presents a study focused on the relationship of various factors—including household consumption expenditure data—with traffic fatality in rural and urban areas and thereby aims to fill some of the gaps in the literature. One such gap is the impacts of personal and non-personal modes of travel on traffic safety in rural versus urban areas in developing countries which remains unexplored. An exhaustive panel data modeling approach is adopted. One important finding of this study is that evidence exists of a contrasting relationship between household expenditure and traffic fatality in rural and urban areas. The relationship between household expenditure and traffic fatality is observed to be positive in rural areas and a negative in urban areas. Increases in most expenditure variables, such as fuel, non-personal modes of travel, and two-wheeler expenditures, are found to be associated with an increase in traffic fatality in rural areas.

Komparácia pro-poor rastu vo vidieckych a mestských oblastiach Indonézie

2021 ◽  
Author(s):  
Barbora Frličková
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Poor People ◽  
Average Income ◽  
Poor Growth ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Poverty And Inequality ◽  
Partial Period ◽  
Urban And Rural Areas

The paper analyses construction and use of a selected indicator of pro-poor growth – the rate of pro-poor growth. It further explains the interpretation of this indicator in absolute and relative terms and indicates how economic growth affects poverty and inequality. The selected indicator is applied to the example of Indonesia and compares pro-poor growth in urban and rural areas of the country, examines regional disparities in terms of pro-poor growth for the period 1996–2019. From the absolute interpretation, pro-poor growth is observed in both urban and rural areas over the whole period. In relative terms, results of pro-poor growth for the first partial period (1996–2000) differ. While there was a relative pro-poor growth in the rural areas, there was a strong pro-poor growth in the cities with a significant decline in inequality observed (incomes of poor people increased while the average income of the whole population dropped). Indonesia achieved trickle-down growth in both rural and urban areas in two remaining periods (2000–2010 and 2010–2019).

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

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.

scholarly journals ALS Curriculum Implementation for Juvenile Delinquents in Urban and Rural Areas in the Philippines: A Comparative Analysis

2020 ◽  
Vol 1 (1) ◽  
pp. 1-14
Author(s):  
Vandon Borela
Keyword(s):  
Rural Areas ◽  
Juvenile Delinquents ◽  
Urban Areas ◽  
The Philippines ◽  
Learning System ◽  
Structured Interviews ◽  
Alternative Learning ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Urban And Rural Areas

Purpose: The aim of this research study is to evaluate the implementation of Alternative Learning System (ALS) curriculum offered to juvenile delinquents in urban and rural areas in the Philippines. The study also aims to determine whether the current education programs meet the needs of the juvenile delinquents with reference to Juvenile delinquency acts. The study is an attempt to highlight the aspects of Alternative Learning System (ALS) that should be developed.  Approach/Methodology/Design: The study is qualitative and conducted in Marikina City and Rizal province, the Philippines. This study used exploratory study analysis. The respondents are the Alternative Learning System (ALS) teachers. For data collection, three semi-structured interviews were employed and the respondents’ answers were categorized using analytical coding to compare and analyze the implementation of the ALS curriculum for juvenile delinquents. Findings: The interpretation and analysis of the data collected shows that the ALS teachers from both the rural and urban areas have the same experiences on the implementation of the ALS program for juvenile delinquents in terms of curriculum, instruction and assessment. Furthermore, the teachers gave an emphasis that once the juvenile delinquents undergo the program, they are given a new hope and new direction in life to pursue their dreams. Lastly, the teachers from both areas have the same suggestions for the improvement of the implementation of the program, such as additional funds for the development of quality learning materials, increasing the number of learning centers, and designing various forms of assessment.  Practical Implications: The study will contribute positively to the understanding of Alternative learning System. The significance of this study lies in the comparison of the alternative learning system curriculum and how it is implemented to the juvenile delinquents in urban and in rural areas. Originality/value: This study engages ALS teachers in assessing the ALS curriculum, reflecting actual experiences to meet the expectations and needs of the juvenile delinquents.

scholarly journals Back to the Countryside: Rural Development and the Spatial Patterns of Population Migration in Zhejiang, China

Agriculture ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 788
Author(s):  
Weiming Tong ◽  
Kevin Lo
Keyword(s):  
Rural Development ◽  
Spatial Patterns ◽  
Rural Areas ◽  
Return Migration ◽  
Urban Areas ◽  
Population Migration ◽  
Dominant Form ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Level Data

This study examines how rural development in China shapes new trends in population migration. Using first-hand, village-level data from Zhejiang—an economically developed province in China—we investigated the patterns and influencing factors of population migration between rural and urban areas. We conceptualized three types of migration in rural areas: rural out-migration, rural in-migration, and rural return-migration. First-hand data were collected from 347 villages. The results show that although rural out-migration remains the dominant form of migration, rural in-migration and return-migration are also common, and the latter two are positively correlated. Further, we found evidence to support the conclusion that rural economic, social, and spatial development encourages rural in-migration and return-migration but does not have a significant impact on rural out-migration. Therefore, it is foreseeable that rural in-migration and return-migration will become increasingly common in China.

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