scholarly journals Unmet needs for assistance with activities of daily living among elderly in rural and urban areas in Kwara State Central Senatorial District, Nigeria

2021 ◽  
Vol 4 (2) ◽  
pp. 78-85
Author(s):  
Mojirola Martina Fasiku ◽  
Kabir Adekunle Durowade ◽  
Matthew Olumuyiwa Bojuwoye ◽  
Abdullahi Ahmed ◽  
Medinat Omobola Osinubi ◽  
...  

Objective: The elderly usually require assistance and sometimes have unmet needs for assistance with activities of daily living. This study assessed the unmet needs for assistance with activities of daily living among the elderly in rural and urban areas in Kwara Central Senatorial District, Nigeria.  Methods:  Cross-sectional data were collected using pre-tested semi-structured interviewer-administered questionnaires from 300 elderly using the multistage sampling technique. The Statistical Package for Social Sciences 20 was used to analyze data, and the level of significance was predetermined at a p-value less than 0.05.  Results: Overall, 60% of the elderly in the urban than rural group (46%) had unmet needs for assistance with activities of daily living. The prevalence of unmet needs for assistance with basic activities of daily living in the rural areas ranged from 0.0% (eating) to 70.8 % (bathing) and 0.0% (eating) to 68.8 % (transferring) in the urban areas. The prevalence of unmet needs for instrumental activities of daily living ranged from 16.7% (handling finances) to 59.3 % (cooking) for those in the rural areas. However, the range was from 33.3% (transportation) to 75.0% (taking medications) in the urban areas. The urban respondents had higher unmet needs for assistance with telephone use than rural respondents. (p=0.004*).  Conclusion: The elderly in the urban areas had a higher prevalence of unmet needs for assistance with activities of daily living. The government must address the needs of the elderly through a policy to prevent unmet needs for assistance with activities of daily living.

2021 ◽  
Vol 6 (2) ◽  
pp. 22-27
Author(s):  
Dr. Chimata Triveni ◽  
◽  
Dr. Tirumuru Divya ◽  
Dr. Ponna Rama Devi ◽  
Dr. N. Lakshmi Chowdary ◽  
...  

Introduction: Visual impairment affects students’ routine schoolwork and day-to-day activities.Hence, the aim is to study the prevalence of various refractive errors and their comparison amongschool children of 5-15 years in rural and urban areas. Methods: This cross-sectional studyexamined 998 students from both rural and urban schools. After obtaining ethical clearance andinformed consent, students were examined for refractive errors. The students with the refractiveerror were given a socio-demographic questionnaire and questionnaire regarding their usage oftelevision, computer, and family history of refractive errors. A Chi-square test was used to test thestatistical significance of proportions. P-value < 0.05 was considered statistically significant, anddata were analyzed by using coGuide software, V.1.03 Results: The prevalence of refractive errorwas found to be 6.41 %, with a prevalence of 7.61% in urban and 5.21% in rural areas. Thedifference in the type of refractive error between the study groups was found to be insignificant,with P= 0.897. Conclusion: Prevalence of refractive errors was more in urban school children thanrural. Refractive error was more prevalent in 13-15 years age group in both rural and urban schoolchildren. The most common refractive error was myopia, followed by astigmatism andhypermetropia.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042762
Author(s):  
Shuai Yuan ◽  
Shao-Hua Xie

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.


2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

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.


2021 ◽  
Vol 43 ◽  
pp. e51421
Author(s):  
Roberta Dayanny Soares ◽  
Aíla Maropô Araújo

Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living   and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.


2020 ◽  
Vol 43 (1) ◽  
pp. 11
Author(s):  
Cindy Fariski ◽  
Fillah Fithra Dieny ◽  
Hartanti Sandi Wijayanti

The health status during the preconception period was important to prepare pregnancy. Living patterns that can affect diet quality and nutritional status. This study aimed to analyze the differences in diet quality, nutritional status, and anemia between preconception women in rural and urban areas. This study was conducted using a cross-sectional design that consisted of 68 brides aged 16-35 years selected by consecutive sampling. Diet quality was obtained by diet quality index international (DQI-I) form. Nutritional status based on body mass index (BMI) and mid-upper arm circumference (MUAC). Hemoglobin levels were measured by the cyanmethemoglobin method. Data were analyzed by Independent T-test and Mann Whitney. Subjects in rural and urban areas had low diet quality. The score of variation in the type of protein intake, total fat, and saturated fat was higher in rural areas than urban areas (p=0,001; p=0,013; p=0,002). The mean BMI and MUAC were higher in urban subjects than rural subjects but the hemoglobin levels of rural subjects were higher than urban subjects. The subjects of anemia in urban was 23,5 percent were higher than rural was 14,7 percent but the risk of chronic energy deficiency in rural was 55,9% were higher than urban was 11,8 percent. There were no differences in diet quality and hemoglobin levels between preconception women in rural and urban areas (p=0,990; p=0,116). There were a differences in BMI and MUAC (p=0,026; p=<0,001). There were differences in nutritional status based on BMI and MUAC in both areas. There were no differences in diet quality and hemoglobin levels in rural and urban areas


Author(s):  
C. C. Nduka ◽  
H. N. Chineke ◽  
P. O. Adogu ◽  
A. F. Chizoba

Malaria, a disease of poverty, is of significant public health concern. It is endemic in Nigeria with the risk of transmission appearing to be high because of favorable climatic and environmental factors. Increased susceptibility to malaria has also been linked to dirty surroundings that favor the breeding and propagation of the vector, poor access to quality health care and ignorance especially of malaria prevention strategies. However, this study investigated the role of socioeconomic factors responsible for the observed difference in malaria prevalence between selected rural and urban areas of Anambra, Nigeria. A descriptive comparative cross-sectional study, data on demographic and socioeconomic variables were collected from 202 urban and rural respondents, then analyzed using SPSS platform to generate chi-square test of significance. The results were presented in figures, table and charts for clarity. All the subjects were aware of the term malaria but only 63.4% had adequate specific knowledge of malaria. Generally, 25.7% of rural participants had no formal education while the urban group had only 4% of that particular category. About 52.5% of rural participants earned below 50,000 naira monthly, with 14.9% earning above 100,000 naira while the reverse was the case in the urban area. Also, the number of malaria episodes was inversely proportional to the household monthly income (X2=24.30, p<0.001). More episodes of malaria were also reported among the unskilled workers and skilled workers (71.3%) compared to Professionals (28.7%), yet all the participants reported the presence of a healthcare facility <3km from their houses with 95% and 80.2% of them in the rural and urban areas respectively having to pay out-of-pocket for healthcare services. It is clear that socioeconomic factors play a role in the persistence of malaria as an endemic disease in Nigeria. Therefore, existing control measures should incorporate strategies to end poverty and ignorance especially among the rural populace.


2021 ◽  
Vol 66 ◽  
Author(s):  
Anna Marzà-Florensa ◽  
Daniel Boateng ◽  
Charles Agyemang ◽  
Erik Beune ◽  
Karlijn A. C. Meeks ◽  
...  

Objectives: Multimorbidity is a growing public health concern due to the increasing burden of non-communicable diseases, yet information about multimorbidity in low- and middle-income countries and migrant populations is scarce. We aimed to investigate the distribution and patterns of multimorbidity in rural and urban areas in Ghana and Ghanaian migrants in Europe.Methods: The RODAM cross-sectional study included 4,833 participants. Multimorbidity was defined as presence of multiple non-communicable chronic conditions. Patterns were determined from frequent combination of conditions. Prevalence ratios were estimated by logistic regression.Results: Prevalence of multimorbidity was higher in women and in urban Ghana and Europe. We observed a cardiometabolic pattern in all sites as well as circulatory-musculoskeletal and metabolic-musculoskeletal combinations in Ghana. Multimorbidity prevalence ratios were higher in Europe (men 1.47, 95% CI 1.34–1.59, women 1.18, 1.10–1.26) and urban Ghana (men 1.46, 1.31–1.59, women 1.27, 1.19–1.34).Conclusion: Distribution and patterns of multimorbidity differed by sex and site. With a higher burden of multimorbidity in urban areas, prevention strategies should focus on forestalling its increase in rapidly growing rural areas.


2011 ◽  
Vol 1 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Hari S Joshi ◽  
Rakesh Gupta ◽  
Arun Singh ◽  
Vipul Mahajan

Objectives: To assess the immunization status of children in the age group 12-23 months and to know the reasons for non-immunization of children. Method: -  A cross-sectional survey was conducted using WHO’s thirty cluster sampling technique in rural and urban areas of Bareilly district from August 2008 to January 2009. Rural areas were divided into blocks and blocks were divided into villages. Urban areas were divided into wards. Villages and wards were taken as clusters. During the house-to-house survey, a total of 240 children of age 12-23 months were included in the present study. Result:  only around 50% of children were fully immunized while 27.5% were partially and 22.5 % were not immunized at all. Immunization coverage was highest for BCG (62.5%) and lowest for measles (39.2%). Dropout rates were 37.3%, 19.7% and 18.2% for BCG to measles, DPT1 to DPT3 and OPV1 to OPV3 respectively. Vitamin A prophylaxis showed a decline from 38.3 % to 16.7%. Amongst the various reasons for not immunizing the child, the most common in both rural (78.7%) and urban areas (28.6%) was lack of awareness for the need of vaccination. However in rural areas lack of availability of services (87.2%) was the major cause for not immunizing the child. Conclusion: The present study shows a low coverage of immunization and Vitamin A prophylaxis in both rural and urban areas. Important reasons for non-immunization were lack of awareness about vaccination and availability of immunization services in rural areas and urban areas.Key Words: Immunization coverage; Children between 12-23 months; Vitamin A Prophylaxis.DOI: http://dx.doi.org/10.3126/nje.v1i2.5091 Nepal Journal of Epidemiology 2011;1 (2):47-50


2010 ◽  
Vol 44 (02) ◽  
pp. 105-120 ◽  
Author(s):  
SAIDATULAKMAL MOHD ◽  
AZLINDA AZMAN ◽  
JAMALLUDIN SULAIMAN ◽  
ISMAIL BABA

This study determines and compares the influence of various demographic factors in achieving well-being of the elderly population in the rural and urban areas in Indonesia. Age, marital status, social class, perceived health and economic condition are some of the main contributing factors in measuring well-being. In addition, social aspects such as living and familial arrangement were also investigated to establish elderly population well being. Data were collected using a survey-interview method. A total of 157 elderly in the urban areas and 145 elderly in the rural areas were surveyed. A causal model of well-being was employed to analyse the data obtained. The model of well-being was then tested using path analysis to test the causal relationships among the variables. Although the study indicated that there was no significant difference of well-being between the rural and urban elderly, the social support variables generally help improve the well-being of the elderly population.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Pattaraporn Khongboon ◽  
Sathirakorn Pongpanich

Background. Rural-urban inequality in long-term care (LTC) services has been increasing alongside rapid socioeconomic development. This study estimates the average spending on LTC services and identifies the factors that influence the use and cost of LTC for the elderly living in urban and rural areas of Thailand. Methods. The sample comprised 837 elderly aged 60 years drawn from rural and urban areas in Phichit Province. Costs were assessed over a 1-month period. Direct costs of caregiving and indirect costs (opportunity cost method) were analyzed. Binary logistic regression was performed to determine which factors affected LTC costs. Results. The total annual LTC spending for rural and urban residents was on average USD 7,285 and USD 7,280.6, respectively. Formal care and informal care comprise the largest share of payments. There was a significant association between rural residents and costs for informal care, day/night care, and home renovation. Conclusions. Even though total LTC expenditures do not seem to vary significantly across rural and urban areas, the fundamental differences between areas need to be recognized. Reorganizing country delivery systems and finding a balance between formal and informal care are alternative solutions.


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