scholarly journals Análisis del desarrollo infantil en escolares de 5 a 6 años de zona rural y urbana de la Región del Bíobío, Chile (Analysis of child development in school children aged 5 to 6 in rural and urban areas of the Bíobío Region, Chile)

Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 551-559
Author(s):  
Pablo Luna-Villouta ◽  
Jaime Pacheco-Carrillo ◽  
Carlos Matus-Castillo ◽  
Martín Valdés-Ebner ◽  
Daniela Fernández-Vera ◽  
...  

  El estudio tuvo como objetivo analizar las diferencias en el desarrollo infantil en las dimensiones de motricidad, lenguaje, cognición y estado socioemocional en escolares de cinco y seis años pertenecientes a una escuela rural y otra urbana de la región del Biobío en Chile. El estudio fue observacional de corte transversal, con características descriptivas y analíticas. La muestra fue compuesta por 28 escolares de ambos sexos, distribuidos en siete niñas y siete niños de una zona rural (5.7±0.5 años) y siete niñas y siete niños de una zona urbana (5.6±0.6 años), seleccionada de forma no probabilística por conveniencia. Se evaluó el desarrollo infantil por medio del Test de Aprendizaje del Desarrollo Infantil (TADI). Los resultados muestran que existen diferencias significativas en los puntajes promedio de las dimensiones motriz y cognitiva (p˂0.05), con mejores resultados en los escolares de la zona rural. No hubo diferencias significativas en las dimensiones de lenguaje y estado socioemocional (p˃0.05), además se evidencia una relación positiva directa entre las dimensiones motriz y socioemocional para la zona urbana (p˂0.05). Se concluye que existen diferencias significativas en el desarrollo infantil entre los escolares pertenecientes a la zona rural y a la zona urbana, específicamente en las dimensiones motriz y cognitiva, con mejores resultados para los escolares de la zona rural.  Abstract. The objective of the study was to analyze the differences in child development in the dimensions of motor skills, language, cognition, and socio-emotional state in five- and six-year-old school children belonging to a rural and an urban school in the Biobío region of Chile. The study was cross-sectional observational, with descriptive and analytical characteristics. The sample consisted of 28 school children of both sexes, seven girls and seven boys from rural areas (5.7 ± 0.5 years) and seven girls and seven boys from urban areas (5.6 ± 0.6 years) selected in a non-probabilistic way for convenience. Child development was assessed through the Child Development Learning Test (TADI). The results show that there are significant differences in the average scores of the motor and cognitive dimensions (p˂0.05), with better results in school children in rural areas. There were no significant differences in the dimensions of language and socio-emotional state (p˃0.05), in addition there was a direct positive relationship between the motor and socioemotional dimensions for the urban area (p˂0.05). Therefore, it is concluded that there are significant differences in child development between school children belonging to rural and urban areas, specifically in the motor and cognitive dimensions, with better results for school children in rural areas.

2021 ◽  
Vol 8 (22) ◽  
pp. 1835-1840
Author(s):  
Errayya Dowrula ◽  
Venkata Durga Prasad Vithanala ◽  
Sunita Sreegiri ◽  
Phani Madhavi Kajana ◽  
Devi Madhavi Bhimarasetty

BACKGROUND Children from rural areas and urban slums suffer from poor quality of life. In spite of several health programmes in existence, conditions such as infections, malnutrition etc. continue to be major threats leading to morbidities among school children. This study was conducted to evaluate the various morbid conditions prevailing among school going children and compare the urban and rural scenarios in Visakhapatnam district. METHODS A cross sectional study was conducted between November 2018 and October 2019 (1 year) among secondary school children studying in classes 6 th to 10th (age between 11 and 15 years) of three randomly selected government schools in urban and rural areas. A total of 800 school going children was considered (400 from three rural and 400 from three urban schools) for the study. Prior approval from the Institutional Ethics Committee was taken for the study. Data was collected by using a pre-tested questionnaire. Clinical examination was conducted to detect any morbidity. RESULTS The most common morbid condition was found to be anaemia. The prevalence of anaemia was 47.12 %, followed by nose, throat, and eye conditions (33.87 %, 22.5 % and 30.75 % respectively) and morbidity of oral cavity (30.62 %). The prevalence of skin infections such as pediculosis and tinea and other fungal infections was 24.87 %. CONCLUSIONS Children in urban schools were found to be suffering more from skin, nose and throat abnormalities and anaemia as compared to children from rural schools who had ocular problems especially signs of Vitamin A deficiency along with anaemia. KEYWORDS Morbidity, School Children, Rural and Urban Areas


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.


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


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.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Ahmad Ayaz Sabri ◽  
Muhammad Ahad Qayyum ◽  
Naif Usman Saigol ◽  
Khurram Zafar ◽  
Fawad Aslam

A questionnaire-based cross-sectional study was carried out to assess the awareness of diabetes mellitus among rural and urban diabetics. After analyzing the awareness level of both populations, the urban diabetics were found to be more educated about diabetes. A 25-question survey was used to judge the awareness level of diabetes mellitus. A total of 240 diabetics were surveyed, 120 each from rural and urban areas. The mean awareness among the rural population was 13 (SD± 2) correct answers out of a possible 25. Similarly, in the case of the urban diabetics the mean awareness was 18 (SD± 2) correct answers. The survey was conducted on randomly chosen diabetics belonging to Lahore and Faisalabad, (urban areas), as well as Habibabad, Haveli Koranga and Baba Kanwal (rural areas). The results emphasize the interrelation between demography and awareness of diabetes mellitus. The rural diabetics are far less knowledgeable about diabetes mellitus, its management and its complications. Thus, there is an urgent need to improve the awareness level of diabetes mellitus in rural areas. Doing so will give rise to a healthier workforce and a lessened economic burden on Pakistan.


Author(s):  
Sanskruti J. Patel ◽  
Gurusharan H. Dumra

Background: Self-medication is termed as administration of medications by care-givers without medical consultation. It includes several forms through which the individual themselves or the ones responsible for them decide, without medical evaluation, which drug they will use and in which way for the symptomatic relief and cure of a condition. Objectives of the study was to estimate the overall prevalence of parents induced self-medication, to identify the most commonly used drugs and the reasons of self-medications in rural and urban areas of Ahmedabad, Gujarat.Methods: This is community based observational cross sectional study was conducted over a period of four months in urban and rural areas of district Ahmedabad under the field practice area of AMC MET Medical College and Sheth LG General Hospital, district Ahmedabad, Gujarat. The study population included children from 5-15 years. The data was collected from the care giver/parents of the children through a pre-validated questionnaire.Results: Prevalence of self-medication was 86.14%. Most common illness for which self- medication was done was fever in 84 children (22.16%) followed by acidity in 72 children (18.99%). Commonly used drugs were antipyretics, antibiotics and oral rehydration therapy. Previous prescription was used by most of them to procure the drugs and previous experience on efficacy was the most common reason cited.Conclusions: In this study, the prevalence of parents induced self-medication is quite high. There is a need to strengthen public education regarding self- medication, by mass media and local government authorities.


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