scholarly journals Effect of Children’s Support on Depression among Older Adults Living Alone or with a Spouse: A Comparative Analysis between Urban and Rural Areas of China

2021 ◽  
Vol 13 (11) ◽  
pp. 6315
Author(s):  
Xiaocui Ren ◽  
Chen Lv
Keyword(s):  
Older Adults ◽  
Comparative Analysis ◽  
Psychological Health ◽  
Rural Areas ◽  
Financial Support ◽  
Living Alone ◽  
Rapid Urbanization ◽  
Research Attention ◽  
Frequency Of Contact ◽  
Urban And Rural Areas

Against the backdrop of rapid urbanization and severe population aging, older adults living alone or with a spouse in China have become a special and vulnerable group that deserve more research attention. Based on a national sample of 3886 older adults (≥60 years old) living alone or with a spouse, we used multiple linear regression models to investigate the effect of children’s support on depression among older adults living alone or with a spouse in China. A comparative analysis was conducted to examine the differences between urban and rural areas. The results indicated that financial support from children was negatively correlated with depression among older adults living alone or with a spouse, especially in rural areas. Their children’s frequency of contact also significantly alleviated depression among non-cohabiting parents in rural areas, but not for the same types of parents living in urban areas. Compared with financial support, their children’s frequency of contact contributes more to decreasing depression among older adults living alone or with a spouse. The effect of their children’s support on depression is comparable to that of demographic characteristics, which are usually deemed as important factors in the psychological health of older adults. Moreover, we found that the marginal effects of self-rated health and pain were significant and much higher than other control variables, especially in the urban model.

scholarly journals Breastfeeding practice in China from 2013 to 2018: a study from a national dynamic follow-up surveillance

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leni Kang ◽  
Juan Liang ◽  
Chunhua He ◽  
Lei Miao ◽  
Xiaohong Li ◽  
...  
Keyword(s):  
Psychological Health ◽  
Rural Areas ◽  
Urban Areas ◽  
Child Nutrition ◽  
Central Area ◽  
Mother And Child ◽  
Physical And Psychological Health ◽  
Urban And Rural Areas ◽  
Log Linear ◽  
Breastfeeding Practice

Abstract Background Breastfeeding is important for the physical and psychological health of the mother and child. Basic data on breastfeeding practice in China are out-of-date and vary widely. This study aimed to evaluate the progress of breastfeeding practice in China, as well as to explore the bottlenecks in driving better practice. Methods This was an observational study. We used data from the Under-5 Child Nutrition and Health Surveillance System in China for the period 2013–2018. The prevalence of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) were calculated for each year for subgroups of China. The Cochran-Armitage test was used to explore the time trends. The annual percent of change (APC) were calculated by log-linear regression followed by exp transformation. Results The prevalence of EIBF increased significantly from 44.57% (95% CI: 44.07, 45.07) in 2013 to 55.84% (95% CI: 55.29, 56.38) in 2018 (Ptrend < 0.001), with an APC of 4.67% (95% CI: 3.51, 5.85). And the prevalence of EBF increased rapidly from 16.14% (95% CI: 15.10, 17.18) to 34.90% (95% CI: 33.54, 36.26) (Ptrend < 0.001), with an APC of 14.90% (95% CI: 9.97, 20.04). Increases were observed in both urban and rural areas, with urban areas showing greater APCs for EIBF (6.05%; 95% CI: 4.22, 7.92 v.s. 2.26%; 95% CI: 1.40, 3.12) and EBF (18.21%; 95% CI: 11.53, 25.29 v.s. 9.43%; 95% CI: 5.52, 13.49). The highest EBF prevalence was observed in the East, but the Central area showed the highest APC. The prevalence of EBF decreased with increasing age within the first 6 months, especially after 3 months. Conclusion The prevalence of both EIBF and EBF in China are improving in recent years. The rural and West China could be the key areas in the future actions. More efforts should be made to protect and promote breastfeeding to achieve near- and long-term goals for child health.

scholarly journals Placemaking Interventions in Palestine as Demonstration Effects on the Ground

2020 ◽  
pp. 167-176
Author(s):  
Ahmad El-Atrash
Keyword(s):  
Rural Areas ◽  
West Bank ◽  
Gaza Strip ◽  
Building Design ◽  
Public Spaces ◽  
The West ◽  
Rapid Urbanization ◽  
Urban And Rural Areas ◽  
Privately Owned

The urban development and rapid urbanization that the West Bank, including occupied East Jerusalem and Gaza Strip have recently encountered have adversely affected the quality and availability of open spaces inside the Palestinian urban and rural areas. Public spaces are fundamental in the lives of any community striving to achieve a sustainable and inclusive environment and improve the quality of life of its inhabitants. In that respect, the prevailing planning practices fall short in terms of adequately addressing the provision of public spaces. Laws and regulations are designed to focus on limited physical properties of buildings (e.g. building design, elevation, heights, setbacks, parking, etc.,) with little or no attention to the residual space, inevitably, created between those blocks. Lands are chiefly privately owned, and considered of a very high value due to the artificial land scarcity phenomenon resulted from the geo-political classification of the West Bank Existing public spaces are not welcoming to the general public. Spaces are misplaced and scattered, they offer pre-defined activities and an inflexible environment. Many parts of the society feel alienated to such public spaces, created by a top-down process with minimal integration of their needs and aspirations.

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

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.

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

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.

scholarly journals Religiosity and self-rated health among older adults in Colombia

2019 ◽  
pp. 67-76
Author(s):  
Carlos A Reyes Ortiz ◽  
Claudia Payan ◽  
Geraldine Altamar ◽  
Jose F Gomez Montes ◽  
Harold G Koenig
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Community Dwelling ◽  
Cross Sectional Survey ◽  
Significant Interaction Effect ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Urban And Rural Areas ◽  
Fair Poor ◽  
The Relationship

Objective: To identify the relationship between religiosity and self-rated health among older adults in Colombia. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 18,871 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Religiosity was assessed by self-rated religiosity (how religious are you: not at all, somewhat or very). Self-rated health during previous 30 days was assessed as very good, good, fair, poor or very poor, analyzed as an ordinal variable(1-5) using weighted logistic regression, adjusting for confounders. Results: Those who were more religious were older, female, had lower socioeconomic status, and were more likely to be married. Multivariate analyses demonstrated that older adults who were more religious had better self-rated health (OR 0.92 95% CI 0.86- 0.99, p= 0.038); however, there was a significant interaction effect between gender and religiosity on self-rated health (p= 0.002), such that the relationship between religiosity and health was stronger in men (OR 0.86, 95% CI: 0.79-0.94, p= 0.001) but not significant in women. Conclusion: Older adults in Colombia who consider themselves more religious, especially men, are less likely to perceive their physical health as poor compared to those who are less religious.

Attitudes toward aging, social support and depression among older adults: Difference by urban and rural areas in China

2020 ◽  
Vol 274 ◽  
pp. 85-92
Author(s):  
Danxia Liu ◽  
Juan Xi ◽  
Brian J. Hall ◽  
Mingqi Fu ◽  
Bo Zhang ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Rural Areas ◽  
Attitudes Toward Aging ◽  
Urban And Rural Areas

THE IMPACT OF URBANIZATION ON MURDER RATES AND ON THE GEOGRAPHY OF HOMICIDE IN ENGLAND AND WALES, 1780–1850

2010 ◽  
Vol 53 (3) ◽  
pp. 671-698 ◽  
Author(s):  
PETER KING
Keyword(s):  
Rural Areas ◽  
Rapid Urbanization ◽  
Homicide Rates ◽  
England And Wales ◽  
Large Cities ◽  
Methodological Problems ◽  
Urban And Rural Areas ◽  
And Migration ◽  
Impact Of Urbanization ◽  
The Impact

ABSTRACTAlthough higher murder rates have traditionally been associated with large cities, this view has recently been challenged by several historians who have argued that ‘homicide rates were negatively correlated with urbanisation and industrialisation’, and this is rapidly becoming the new consensus. By exploring the geography of homicide rates for one area undergoing rapid urbanization and industrialization – England and Wales, 1780–1850 – this article challenges this new view and re-assesses the relationship between recorded homicide rates and both modernization and urbanization. After discussing the methodological problems involved in using homicide statistics, it focuses mainly on the first fifteen years for which detailed county-based data is available – 1834–48 – as well as looking at the more limited late eighteenth-century and early nineteenth-century evidence. This data raises fundamental questions about the links historians have recently made between urbanization and low homicide rates, since the remote rural parts of England and Wales generally had very low recorded murder rates while industrializing and rapidly urbanizing areas such as Lancashire had very high ones. Potential explanations for these systematic and large variations between urban and rural areas – including the impact of age structures and migration patterns – are then explored.

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