scholarly journals Comparison of Health-care Waste Management in Urban and Rural Areas in Iran: Application of Multi-criteria Decision Making Method

Health Scope ◽  
2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Nourooz Ali Azizkhani ◽  
Soheyla Gholami ◽  
Salifu Yusif ◽  
Saeideh Moosavi ◽  
Seyedeh Fatemeh Miri ◽  
...  
Keyword(s):  
Decision Making ◽  
Waste Management ◽  
Waste Disposal ◽  
Rural Areas ◽  
Urban Areas ◽  
Multi Criteria Decision Making ◽  
Cross Sectional ◽  
Healthcare Waste ◽  
Urban And Rural Areas ◽  
Health Care Waste

Background: The global population has grown and is still growing. This growth is happening in more cities than in rural areas, given the continual search for economic opportunities. The implication of this growth is the growth of healthcare centers to meet the growing healthcare demand. Accordingly, healthcare waste production has posed a big challenge to health waste disposal and management. Objectives: This study aimed to prioritize and select the best method of waste management in the health sector with multi-criteria decision making (MCDM) approaches. Methods: The present cross-sectional study was carried out to select the best method of managing healthcare wastes through MCDM approaches in Qazvin. The sample was selected and assigned to two groups of 28 experts (five categories) who evaluated the criteria and a group of 22 individuals (four categories) to rank disposal methods of healthcare waste. First, six waste disposal methods and 12 criteria for designing a questionnaire were identified. After designing the questionnaire, the analytic hierarchy process (AHP) was used to calculate the weights of the criteria. Then, the TOPSIS method was used to rank different waste disposal methods. We used EC (ver. 8), Excel (Microsoft, 2007), and Lingo (ver. 14) for analyzing the data. Results: Concerning the rank of health waste disposal methods based on common existing criteria, urban and rural areas should use different disposal methods. The best disposal methods are irradiation (0.839) and microwave (0.794) in urban areas and steam sterilization (0.867) and microwave (0.840) in rural areas. In both areas, incineration was ranked the last. Conclusions: To achieve the effective disposal and safety of health waste in urban and rural areas, varied but applicable disposable methods should be used for the management of health waste disposal.

scholarly journals Efficacious Waste Organisation in Urban Areas: A Case Study of Bauchi City

2014 ◽  
Vol 20 ◽  
pp. 160-167
Author(s):  
Michael C.O. Ajufoh ◽  
Murtala A. Babaji
Keyword(s):  
Waste Management ◽  
Waste Disposal ◽  
Rural Areas ◽  
Urban Areas ◽  
Management Practices ◽  
Waste Materials ◽  
Solid Waste Disposal ◽  
Management Concepts ◽  
Urban And Rural Areas ◽  
Waste Management Practices

Waste management is the collection, transportation, processing, recycling or disposal of waste materials. The term usually relates to materials produced by human activity and is generally undertaken to reduce their effect on health, aesthetics, amenity and the environment and also to recover resources. Waste management can involve solid liquid or gaseous substances with different methods and fields of emphasis for each. Waste management practices differ for developed, developing nations, for urban and rural areas, and for residential and industrial production. This paper tries to deal with illegal and unplanned solid waste disposal; it also attempts to proffer solutions to the problem of improper waste disposal through incineration and recycling of metals, cellophane and Teflon and how Bauchi state can generate some revenue through the recycling of these waste materials. The paper also tries to educate on the problems associated with landfills while dealing briefly, on the advantages of biological processing and also how waste can be avoided and reduced. The paper also tries to present waste management concepts in relation to Bauchi city.

scholarly journals Frequency of consumption of fruits, vegetables and soft drinks: a comparative study among adolescents in urban and rural areas

2014 ◽  
Vol 17 (2) ◽  
pp. 371-380 ◽  
Author(s):  
Iza Cristina de Vasconcelos Martins Xavier ◽  
Carla Menêses Hardman ◽  
Maria Laura Siqueira de Souza Andrade ◽  
Mauro Virgilio Gomes de Barros
Keyword(s):  
High School Students ◽  
Rural Areas ◽  
Urban Areas ◽  
Soft Drinks ◽  
Fruit Juices ◽  
Daily Consumption ◽  
School Students ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Urban And Rural Areas

Objective: To compare the frequency of consumption of fruits, vegetables and soft drinks among adolescents living in urban and rural areas of Pernambuco State. Methods: A cross-sectional study based on secondary analysis of data from a representative sample of high school students in Pernambuco (n = 4,207, 14 - 19 years) was conducted. Data were collected through a previously validated questionnaire. Adolescents who reported a daily consumption of soft drinks and occasional consumption of fruits, juices and vegetables were classified as exposed to inadequate standard of consumption of these foods. The independent variable was the place of residence (urban/rural). Data were analyzed by frequency distribution, χ2 test and binary logistic regression. Results: It was observed that students residing in rural areas had a higher prevalence of occasional consumption of natural fruit juices (37.6%; 95%CI 36.1 - 39.0) than those living in urban areas (32.1%; 95%CI 30.7 - 33.6). The proportion of students exposed to daily consumption of soft drinks was higher among those who reported they lived in urban areas (65.0%; 95%CI 63.5 - 66.4) compared to those who reported living in rural areas (55.3%; 95%CI 53.8 - 56.9). Conclusion: Adolescent students living in rural areas had a higher prevalence of low consumption of natural fruit juices while those residing in urban areas had a higher prevalence of daily consumption of soda drinks.

scholarly journals The nutrition transition in Mexico 1988–2016: the role of wealth in the social patterning of obesity by education

2018 ◽  
Vol 21 (13) ◽  
pp. 2394-2401 ◽  
Author(s):  
Carolina Pérez-Ferrer ◽  
Anne McMunn ◽  
Paola Zaninotto ◽  
Eric J Brunner
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Prevalence Ratio ◽  
Household Wealth ◽  
Education Level ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
The Social ◽  
Lower Education ◽  
Urban And Rural Areas

AbstractObjectiveThe present study investigates whether the reversal of the social gradient in obesity, defined as a cross-over to higher obesity prevalence among groups with lower education level, has occurred among men and women in urban and rural areas of Mexico.DesignCross-sectional series of nationally representative surveys (1988, 1999, 2006, 2012 and 2016). The association between education and obesity was investigated over the period 1988–2016. Effect modification of the education–obesity association by household wealth was tested.SettingMexico.SubjectsWomen (n 54 816) and men (n 20 589) aged 20–49 years.ResultsIn both urban and rural areas, the association between education and obesity in women varied by level of household wealth in the earlier surveys (1988, 1999 and 2006; interaction P<0·001). In urban areas in 1988, one level lower education was associated (prevalence ratio; 95 % CI) with 45 % higher obesity prevalence among the richest women (1·45; 1·24, 1·69), whereas among the poorest the same education difference was protective (0·84; 0·72, 0·99). In the latest surveys (2012, 2016), higher education was protective across all wealth groups. Among men, education level was not associated with obesity in urban areas; there was a direct association in rural areas. Wealth did not modify the association between education and obesity.ConclusionThe reversal of the educational gradient in obesity among women occurred once a threshold level of household wealth was reached. Among men, there was no evidence of a reversal of the gradient. Policies must not lose sight of the populations most vulnerable to the obesogenic environment.

scholarly journals A comparison of breast feeding practices among urban and rural areas of Rangareddy district of Telangana

2017 ◽  
Vol 4 (6) ◽  
pp. 2136 ◽  
Author(s):  
M. Vijay Kumar ◽  
Indranil Acharya ◽  
Jayanti P. Acharya ◽  
Puligila Raj Shravani ◽  
Sabbineni Ramya
Keyword(s):  
Rural Area ◽  
Breast Feeding ◽  
Rural Areas ◽  
Urban Areas ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Young Infants ◽  
Urban And Rural Areas

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. Methods: A community based cross sectional study was conducted among 800 mothers from urban and rural areas of Rangareddy District. A pre designed pre tested questionnaire was used to interview the mothers. Questionnaire contained questions related to demographic factors and breast feeding practices. Institutional Ethical clearance was taken. Results: The overall prevalence of exclusive breast feeding was 65%, being comparatively more in rural area (68%) which was statistically significant. Colostrum was discarded by 15% mothers in urban and 9% in rural area. Breast feeding was initiated within 1 hour in 184 (46%) in urban area and in 148 (37%) in rural area. Conclusions: Though mothers from rural area had certain favorable breast feeding practices such as demand feeding, colostrum being given but still various inappropriate practices were prevalent in both rural and urban areas. 

scholarly journals Awareness about harmful effects of cigarette smoking among adolescents in Shamirpet mandal, Hyderabad

2018 ◽  
Vol 6 (1) ◽  
pp. 208
Author(s):  
M. Pavani Varma ◽  
K. S. V. Prasad
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Early Stage ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Local Setting ◽  
Urban And Rural Areas ◽  
Harmful Effects

Background: Tobacco smoking is habit which usually begins in the adolescent age. It is a risk factor for many non-communicable diseases and mortality can be prevented if smoking is quit.Methods: It is a cross sectional study.2 schools were randomly selected from urban and rural areas in field practice area of Mediciti Institute of Medical Sciences. A GYTS questionnaire is modified to local setting and administered to the students.Results: A total of 367 students were enrolled. The level of awareness regarding harmful effects of tobacco consumption was good. It was 98.85% in urban areas and 94.84% in rural areas.Conclusions: As adolescent is the age of habit forming identification of the problem and correcting it at early stage itself will be beneficial for individuals, family and society. 

scholarly journals RHEUMATIC HEART DISEASE (RHD)

2016 ◽  
Vol 23 (03) ◽  
pp. 324-327
Author(s):  
Ahsan Beg Beg ◽  
Muhammad Younas ◽  
Touseef Asma
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Rural Areas ◽  
Urban Areas ◽  
Economic Status ◽  
Cross Sectional ◽  
Rural And Urban ◽  
Cardiology Department ◽  
Urban And Rural Areas ◽  
Rheumatic Heart

Objectives: To investigate the role of socio-economic factors for Acute RheumaticFever (ARF) and Rheumatic Heart Disease (RHD) in Pakistan. Methodology: Study Design:Descriptive cross-sectional. Setting: OPD of Pediatric Cardiology Department, CPE Institute ofCardiology, Multan. Period: July 2014 to December 2014. Convenience Sampling was done.Sample size of 130 cases with ages between 5 to 12 years were selected for the study. Results:Overcrowding was noticed in 61% and 85% in urban and rural areas, respectively. In rural areas,most parents were illiterate; similar status was seen in urban areas (64.4%; 67.1% respectively).60% and 55 % patients have habit of hand washing in rural and urban patients respectively.Toilet facility is available to 60% and 55.6% in rural and urban patients respectively. Economicstatus of the family is even worse. Average income per family was only Rs.3800 per month.Conclusion: There is a high prevalence of Rheumatic heart disease (RHD) and acute rheumaticfever (ARF) in Pakistan. Overcrowding, poor hygienic conditions, low socio-economic status,illiteracy are major risk factors for ARF and RHD in Pakistan. In order to address this alarmingsituation, platforms like Pakistan Pediatric Cardiac Society and Pakistan Pediatric Associationneed to be mobilized.

scholarly journals Urban–rural differences in the prevalence of diabetes mellitus among 25–74 year-old adults of the Yangon Region, Myanmar: two cross-sectional studies

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020406 ◽  
Author(s):  
Wai Phyo Aung ◽  
Aung Soe Htet ◽  
Espen Bjertness ◽  
Hein Stigum ◽  
Virasakdi Chongsuvivatwong ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Rural Areas ◽  
Urban Areas ◽  
Undiagnosed Diabetes ◽  
Cross Sectional ◽  
Who Steps Methodology ◽  
Urban Rural ◽  
Educational Groups ◽  
Cross Sectional Studies ◽  
Urban And Rural Areas

ObjectivesTo investigate the association between urban–rural location and the occurrence of diabetes mellitus (DM) in the Yangon Region, and to estimate the proportion of urban and rural participants already diagnosed with DM, and of those, the proportion under treatment and under control.DesignTwo cross-sectional studies, using the WHO STEPs methodology.SettingThe Yangon Region of Myanmar, urban and rural areas.ParticipantsMen and women, aged 25–74 years, included during the study period from September–November 2013 (urban) and 2014 (rural areas) (n=1372). Institutionalised people, physically and mentally ill person, monks and nuns were excluded.ResultsThe age-standardised prevalence of DM was 12.1% in urban and 7.1% in rural areas (p=0.039). In urban areas, the prevalence of DM was lowest in the highest educational groups (p<0.001). There were no differences in DM prevalence between gender or income levels. In rural areas, those who were physically inactive had a low intake of fruit and vegetable and were overweight/obese had a higher DM prevalence than others. In a logistic regression, the OR for DM in rural compared with urban areas was 0.38 (0.22, 0.65), adjusted for sociodemographic variables and behavioural risk factors. In urban areas, 43.1% of participants had the experience of receiving blood glucose measurements by a doctor or health worker, and 61.5% of all cases of DM were already diagnosed, 78.7% were under treatment and 45.8% were under control. The corresponding proportions in rural areas were 26.4%, 52.4%, 78.1% and 32.0%, respectively.ConclusionThe prevalence of DM in the Yangon Region was high, and significantly higher in urban than in rural areas. More health services are needed to serve this population with a large proportion of undiagnosed diabetes. Preventive measures to halt and reduce the prevalence of DM are urgently needed.

Why are crime rates higher in urban than in rural areas? — Evidence from Japan

1988 ◽  
Vol 21 (2) ◽  
pp. 81-103 ◽  
Author(s):  
Denis A Ladbrook
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Property Crime ◽  
Cross Sectional ◽  
Urban Populations ◽  
Independent Variables ◽  
Units Of Analysis ◽  
Urban And Rural Areas ◽  
Structural Indicators ◽  
Urban Conditions

Three sociological explanations for why rates of conventional crime are higher in urban than in rural areas are tested with cross-sectional Japanese data for 1970. The three explanations ascribe the higher rates of urban crime to (1) the degree of urbanisation and populated density, (2) the greater rates of migration and population growth in urban populations, and (3) the differences in demographic structures between urban and rural areas, urban areas having greater proportions of young people. Eight indicators are used to test six hypotheses for six crimes against persons and property, with the 46 Japanese perfectures as units of analysis. Measures are taken to constrain the degree of multicollinearity that exists among the independent variables. While the structural indicators measured at an ecological level are not powerful in explaining inter-perfectural variations in rates of homicide, rape and arson, they are significantly associated with larceny, robbery and assault rates. Multiple regression analysis ascribes greatest weight in explaining the variation in rates of property crime to the higher proportion of young adults in urban populations, and to the higher rates of migration in these populations. The differences between Japanese and Western levels and patterns of crime are attributable to the operation of powerful mechanisms of family and community social control and to methods of policing. Trends comparable with those in the West are emerging through youth crime in the context of urban conditions.

scholarly journals A study on complementary feeding practices among mothers in urban and rural areas

2018 ◽  
Vol 5 (3) ◽  
pp. 1162
Author(s):  
Sandhya Rani Javalkar ◽  
Radha Y. Aras
Keyword(s):  
Breast Milk ◽  
Rural Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Full Potential ◽  
Cross Sectional ◽  
Urban And Rural Areas

Background: Adequate nutrition during infancy and early childhood is essential to ensure the growth, health, and development of children to their full potential. Complementary feeding is a process starting when breast milk alone is no longer sufficient to meet the nutritional requirements of infants, and therefore other foods and liquids are needed, along with breast milk. The objective was to study complementary feeding practices and the various factors influencing them in urban and rural areas.Methods: A community based cross sectional study was conducted in Urban and Rural area of Mangalore Taluk. Data was collected by interview method among 408 mothers using a predesigned pretested questionnaire, information regarding demographic profile, socio-economic status, complementary feeding practices, etc was collected.Results: As many as 186 (45.3%) i.e., 129/186 (69.3%) mothers in the rural area and 57/186 (30.6%) mothers in urban area started complementary feeds at the age of 6 months. The most common food preferred as complementary food was combination of rice and dal together. The number of meals per day given to the child varied from 2-4/day. The number of snacks given per day to the child varied from 1-4 /day; commonly preferred snacks were Biscuits both in urban and rural areas Bottle feeding was practiced by 181 (44.4%) of the mothers, that included 113/181 (62.4%) from rural area and 68/181 (37.5%) from urban area.Conclusions: Poor complementary feeding practices were observed both in rural and urban areas. Family member’s advice, poor knowledge and influence of baby food marketing strategies have resulted in inappropriate practices.

scholarly journals Temporal variation in prevalence, awareness and control of hypertension in urban and rural areas in Northeast Brazil between 2006 and 2016

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Nathália Paula de Souza ◽  
Eduarda Ângela Pessoa Cesse ◽  
Wayner Vieira de Souza ◽  
Annick Fontbonne ◽  
Maria Nelly Sobreira de Carvalho Barreto ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Abdominal Obesity ◽  
Rural Areas ◽  
Urban Areas ◽  
Adult Population ◽  
Disease Rate ◽  
Northeast Brazil ◽  
Cross Sectional ◽  
Urban And Rural Areas ◽  
And Control

Abstract: To assess the evolution in prevalence, awareness and control of hypertension for over 10 years in Pernambuco State, Northeast Brazil, two cross-sectional studies were conducted based on random samples of households in urban and rural areas, in 2006 and 2015/2016, involving adults aged 20 years or older. Hypertension was defined as systolic blood pressure of at least 140mmHg or diastolic blood pressure of at least 90mmHg as well as the reported use of antihypertensive medication. A logistic regression analysis was conducted to estimate the influence of the social, behavioral and anthropometric determinants on hypertension. Although social and behavioral factors improved in this 10-year period, overweight and abdominal obesity increased. Approximately one third of the adult population of Pernambuco had hypertension in 2006 and this prevalence was maintained in 2015/2016. In rural areas, awareness concerning hypertension rose from 44.8% in 2006 to 67.3% in 2015/2016, and control from 5.3% to 27.1%, so that awareness and control were similar in urban and rural areas in 2015/2016. After an adjustment for potential confounding factors, the likelihood of having hypertension more than doubled among men (OR = 2.03; p < 0.001), middle (OR = 4.41; p < 0.001) and old-age subjects (OR = 14.44; p < 0.001), and those who had abdominal obesity (OR = 2.04; p < 0.001) in urban areas and among middle-aged (OR = 2.56; p < 0.001), less educated individuals (OR = 2.21; p = 0.006) and those who were overweight (OR = 2.23; p < 0.001) in rural areas. Despite the favorable evolution in the management of hypertension in Pernambuco, public health measures focused in vulnerable populations are still required, mainly in rural areas, to improve primary prevention and decrease the disease rate.

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