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Results for “Urbanization”

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PubMed2000

Changes in the lifestyle of Mongolian pastoralists in China in connection with urbanization.

The objective of this study was to elucidate changes in the health-related lifestyle of Mongolian pastoralists in China in connection with their urbanization. A total of 592 people participated in a survey that included a medical examination and an interview questionnaire. Files of 72 pastoral Mongolians, 78 urban Mongolians, 380 urban Han/Man and 21 urban Hui were used for this analysis. Urban Mongolians consumed meat and milk products less frequently than did pastoral populations (p < 0.001), and consumed fish and vegetables more frequently than did pastoral populations (p < 0.001). Urban Mongolian consumed mutton, beef, rengyo fish, milk, milk tea, curd, butter, yogurt, and sheep milk less frequently (p < 0.05) and pork, sword fish, and dried milk more frequently (p < 0.05) than pastoral Mongolian. Male pastoral Mongolians were more likely to drink and smoke than were urban Mongolians (p < 0.01), urban Han/Man (p < 0.01), or urban Hui (p < 0.01). The lifestyles of pastoral Mongolians in Inner Mongolia, China have changed in connection with urbanization. Understanding of the traditional pastoral lifestyle and the urban-living acculturation process will contribute to maximizing the positive impacts of urbanization on people's health in Inner Mongolia.

Acculturation↗

PubMed1991

Equilibrium urban unemployment in developing countries: is migration the culprit?

"This paper challenges the prediction of Todaro's model of rural-to-urban migration that an 'increase in urban employment increases urban unemployed.' It is shown that if the urban demand for labor is isoelastic or inelastic, creation of urban jobs causes urban unemployment to decline and urban-to-rural migration to take place. Moveover, urban job creation always reduces the rate of urban unemployment. The paper then remodels the urban job search process and derives the result that equilibrium urban unemployment would not vanish even if the urban-rural wage gap were eliminated." The geographical focus is on developing countries.

Demography↗

PubMed2004

Does irrigated urban agriculture influence the transmission of malaria in the city of Kumasi, Ghana?

To verify the possible impact of irrigated urban agriculture on malaria transmission in cities, we studied entomological parameters, self-reported malaria episodes, and household-level data in the city of Kumasi, Ghana. A comparison was made between city locations without irrigated agriculture, city locations with irrigated urban vegetable production, and peri-urban (PU) locations with rain-fed agriculture. In the rainy as well as dry seasons, larvae of Anopheles spp. were identified in the irrigation systems of the urban farms. Night catches revealed significantly higher adult anopheline densities in peri-urban and urban agricultural locations compared to non-agricultural urban locations. Polymerase chain reaction (PCR) analysis of Anopheles gambiae sensu lato revealed that all specimens processed were A. gambiae sensu stricto. The pattern observed in the night catches was consistent with household interviews because significantly more episodes of malaria and subsequent days lost due to illness were reported in peri-urban and urban agricultural locations than in non-agricultural urban locations. In Kumasi, urban agriculture is mainly practised in inland valleys, which might naturally produce more mosquitoes. Therefore more detailed studies, also in other cities with different water sources and irrigation systems, and a better spatial distribution of sites with and without urban agriculture than in Kumasi are needed.

Adolescent↗

PubMed2003

The mosquito problem and type and costs of personal protection measures used in rural and urban communities in Pondicherry region, South India.

Personal protection measures have become an important tool against mosquito nuisance. The severity of mosquito nuisance and the type and costs of personal protection measures in the Pondicherry region in South India have been investigated, using a structured questionnaire. The number of respondents sampled was 300 in the urban area and 100 in rural areas. 87 and 63% of the urban and rural respondents, respectively, felt that mosquito nuisance was severe in their locality. 83% of the urban and 27% of the rural respondents are aware that mosquitoes transmit diseases and were able to name at least one mosquito-borne disease. All the neighbourhood shops in urban and a majority in rural areas stocked personal protection products. As many as 99.3 and 73% of the urban and rural respondents, respectively, were found to use personal-protection measures during some or all seasons of the year. Mosquito coils were the most widely used measure in both urban and rural areas, followed by vaporising mats in the former and electric fans in the latter areas. 48 and 40% in urban and rural areas, respectively, used personal-protection measures daily. In urban areas 46% used the measures in more than one room. Only a small proportion (3-14%) used bed nets. The average monthly expenditure on the measures was Rupees (Rs.) 62.17 (US$ 1.30) (range: Rs. 0.00-500.00) in urban areas and Rs. 8.03 (US$ 0.17) (range Rs. 0.00-45.00) in rural areas. Annual expenditure on personal protection measures in urban areas amounted to 0.63% of the per capita income. 73.7% of the respondents in urban areas expressed satisfaction with the protective effect of the measures used by them. However, 46.3% of the urban and 15% of the rural respondents felt that the personal-protection measures are harmful to health. Some of the perceived harmful effects are allergy, breathing problems, cough and head ache.

Attitude to Health↗

PubMed2003

Plasma total homocysteine in Mexican rural and urban women fed typical model diets.

OBJECTIVE: The purpose of the present work was to determine the fasting plasma total homocysteine (tHcy) levels and the time-course response of tHcy concentrations after the consumption of urban and rural Mexican model diets in two groups of Mexican women from urban and rural areas. METHODS: Thirty-three adult women (age range = 18-49 y) were studied. Fifteen women were from a rural community in the state of Mexico. The other 18 were from cities and consumed diets that regularly included an important amount of animal foods. The study was designed as a two-period crossover study in which subjects consumed the model urban or rural diet in a 2-wk interval. Seven milliliters of venous blood was drawn before ingestion of experimental diets (basal) to measure total cholesterol, high-density lipoprotein cholesterol, triacylglycerol, tHcy, folate, vitamin B12, and methionine. Blood samples were then obtained 30, 60, 90, 180, and 240 min after the beginning of meal consumption. RESULTS: The rural and urban groups showed similar concentrations of tHcy 4 h after meal consumption and after fasting. However, the urban and rural groups had higher methionine plasma concentrations after the urban diet than after the rural diet. In contrast, there was no significant difference in methionine plasma levels between the rural and urban groups with each diet. Those women with low tHcy concentrations maintained those values over the study period, and those with high tHcy concentrations maintained those values. There was no significant difference in tHcy concentrations due to consumption of the two diets (P = 0.31) or the interaction between population and diet (P = 0.84). However, there was a significant difference in the concentration of tHcy between the rural (8.73 +/- 0.17 microM/L) and the urban (9.27 +/- 0.13 microM/L) populations (P = 0.01). In both groups, average tHcy concentration was in the normal range. In both populations, the nutrition status for folate and vitamin B12 was adequate, although plasma folate concentration was significantly lower in the rural population than in the urban population (P < 0.01). Plasma vitamin B12 concentrations were similar in both groups. No subject had low plasma vitamin B12. CONCLUSIONS: Plasma tHcy concentrations in rural and urban Mexican women were within the range considered adequate; however, urban women showed significant higher concentrations than did rural women independently of the consumed diet and the plasma methionine concentration. These results indicated that there is no short-term variation in plasma tHcy due to the consumption of rural or urban diets.

Adolescent↗

PubMed2001

A comparison of rural and urban ambulance crashes.

Ambulance crashes are a significant safety issue both to the EMTs and to patients transported in the vehicle. Safety issues are dependent on the environment and may be different in rural and urban settings. Ambulance crashes reported to the State EMS bureau during the years of 1993 to 1997 were evaluated. Counties with >250,000 population were considered urban. State population was 2 million urban and 2.8 million rural. Two investigators determined first if the crash was urban or rural. Outcome information was extracted on the degree of injury, citations given, and information on the ambulance and other vehicle condition. In addition, independent variables of weekend versus weekday, day versus night, posted speed, weather, road condition (wet versus dry), intersections, and use of seat belts were extracted. Results were compared using a 2-tailed Chi-square or Fisher's exact with significance at P <.05. Relative risks and 95% confidence intervals were calculated for each variable. There were a total of 183 Ambulance crashes, 115 urban (19/million pop/yr), and 68 rural (8/million pop/yr). Significantly lower percentage of injury crashes occurred in the urban setting (OR = 0. 49, 95% CI = 0.24 to 0.98) with fewer of these considered "severe" (OR = 0.0, 95% CI = 0.0 to 0.73). Citations were more likely to be issued to the urban ambulance driver (OR = 4.95, 95% CI = 1.09 to 45. 70) and the other urban vehicle driver (OR = 3.65, 95% CI = 1.37 to 11.31). However, the urban ambulance was less likely to be damaged (OR = 0.24, 95% CI = 0.10 to 0.55), disabled (OR = 0.41, 95% CI = 0. 20 to 0.84), or towed (OR = 0.40, 95% CI = 0.20 to 0.83). In the urban setting fewer vehicles were traveling in areas with posted speeds >54 mph (OR = 0.24, 95% CI = 0.06 to 0.78) and nonrestrained people were less likely to be injured (OR = 0.28, 95% CI = 0.06 to 1. 25). For injured persons there was no difference in independent variables in the urban versus rural settings. Although the rate of ambulance injuries was greater in the urban environment, the severity of the injuries was worse in the rural environments where crashes occurred at higher posted speeds. In the rural setting nonrestrained passengers were more likely to be injured.

Accidents, Traffic↗

PubMedDate not supplied

Urban-rural contrasts in the growth status of school children in Oaxaca, Mexico.

OBJECTIVES: The growth status of school children resident in an urban colonia and in a rural indigenous community in Oaxaca, southern Mexico, was considered in the context of two objectives, current status and the magnitude of urban-rural differences over a span of about 30 years. Both communities were initially surveyed in 1968 and 1972. MATERIALS AND METHODS: Height, body mass, segment lengths, skeletal breadths, limb circumferences, and subcutaneous fatness were taken on 361 rural (177 boys, 184 girls) and 339 urban (173 boys, 166 girls) school children, aged 6-13 years. Additional variables were derived. RESULTS: Height and body mass were significantly greater in urban compared with rural children. Sitting height, estimated leg length and skeletal breadths on the trunk were also larger in urban than in rural school children, but only the difference in skeletal breadths was significant after age and body size were statistically controlled. Urban and rural children did not consistently differ in skeletal breadths on the extremities and limb circumferences. Subcutaneous fatness was more variable. After controlling for age and body size, rural girls had thicker skinfolds. The magnitude of the urban-rural difference in boys in 2000 was greater for body mass, BMI and triceps skinfold, and reduced for height, sitting height, leg length, and arm and estimated arm muscle circumferences compared with 1970. The magnitude of the urban-rural difference in girls was greater in 2000 than 30 years earlier for body mass, height, sitting height, leg length and BMI. Urban-rural differences for arm and arm muscle circumferences and the triceps skinfold were slightly smaller over the interval. CONCLUSIONS: Children resident in an urban colonia were taller and heavier than children resident in a rural indigenous community. After controlling for age and body size, urban-rural differences in skeletal breadths and limb circumferences were reduced or eliminated, but skinfold thicknesses were greater in rural girls. The magnitude of urban-rural differences in body size has decreased over approximately 30 years in boys, but has increased in girls.

Adolescent↗

PubMed1992

Prevalence of glucose intolerance in Asian Indians. Urban-rural difference and significance of upper body adiposity.

OBJECTIVE: To evaluate the prevalence of NIDDM and IGT in the urban and rural areas in southern India. RESEARCH DESIGN AND METHODS: Two populations of the same ethnic background, but different socioeconomic background were chosen for this study. Nine-hundred urban people and 1038 rural subjects were studied. Fasting and 2-h post-glucose capillary blood samples after a 75 g oral glucose load (WHO criteria) were obtained in these randomly selected adults (greater than or equal to 20 yr of age). RESULTS: Using the WHO criteria, the prevalence of NIDDM, adjusted to the age of the respective general population, was 8.2% in the urban and 2.4% in the rural populations. The prevalence was 8.4 and 7.9%, respectively, in urban men and women, and 2.6 and 1.6% in rural men and women. The age-adjusted prevalence of IGT was 8.7 and 7.8% in the urban and rural areas, respectively. The prevalence of IGT was 8.8% in urban men and 8.3% in women; the corresponding values for rural men and women were 8.7 and 6.4%. The prevalence of NIDDM increased with age, markedly so in the urban people. The urban-rural difference was significant for NIDDM (chi 2 = 29.4, P less than 0.001) but not for IGT. In the urban population, 65% of the NIDDM patients were known cases, whereas in the rural area, the known cases accounted for only 24%. Bivariate analysis showed an association of BMI, STR, and WHR with prevalence of NIDDM plus IGT. In the multiple logistic regression analysis, age, BMI, STR, and WHR were associated significantly with glucose intolerance in the urban population, whereas only age was significant in the rural population. The best predictors of NIDDM were age, BMI, WHR, and urbanization. CONCLUSIONS: The study showed a high prevalence of NIDDM in the urban southern Indian population. The prevalence of NIDDM in the same ethnic group in rural areas was significantly lower. The prevalence of IGT was similar in both populations. Upper body adiposity was a significant predictor of NIDDM in this population with low rates of obesity.

Adipose Tissue↗

PubMed2006

Rural-urban difference in lipid levels and prevalence of dyslipidemia: a population-based study in Khon Kaen province, Thailand.

OBJECTIVES: To determine the lipid levels and examine the effect of an urban lifestyle on dyslipidemia, by comparing the lipid levels and the prevalence of dyslipidemia of rural vs. urban dwellers in Thailand MATERIAL AND METHOD: A cross-sectional study was conducted in both rural and urban areas of Khon Kaen province. After a 12-hour fast, blood was drawn for assessment of total cholesterol (TC), triglyceride (TG), high-density lipoprotein (HDL-C) and low-density lipoprotein (LDL-C) cholesterol. The classification of dyslipidemia was based on the NCEP A TP III guidelines. RESULTS: The authors recruited 916 subjects (595 urban; 321 rural), ranging between 20 and 88 years of age. In both the men and women, the mean TC and LDL-C were significantly higher in urban vs. rural subjects (TC; 207 vs. 169 for men and 204 vs. 192 mg/dl for women and LDL-C; 120 vs. 87 for men and 122 vs. 110 mg/dl for women, p < 0.001). The rural women had a significantly higher mean TG (159 vs. 111 mg/dl, p < 0.001) but lower HDL-C (51 vs. 59, mg/dl, p < 0.001) than urban women. The TG and HDL-C between urban and rural men was not significantly different. Urban men had a significantly higher prevalence of dyslipidemia (TC > or =240 and LDL-C > or = 60 mg/dl) than rural men (25.9 vs. .3.7 per cent for TC and 16.7 vs. 3.7 percent for LDL-C, p < 0.001) while the prevalence of hypertriglyceridemia (> or =200 mg/dl) and low HDL-C (< 40 mg/dl) was significantly higher in rural women (18.2 vs. 7.9 percent for TG and 15.0 vs. 3.8 per cent of HDL-C, p < 0.001). The results were unchanged after matching for age and sex between the urban and rural populations. CONCLUSION: This present study demonstrated a significant difference in urban vs. rural lipid levels and the prevalence of dyslipidemia. Migration to urban centers and adopting an urban lifestyle is likely related to the rising lipid level and prevalence of dyslipidemia.

Adult↗

PubMed1997

Urban-rural differences in the prevalence of coronary heart disease and its risk factors in Delhi.

A community-based epidemiological survey of coronary heart disease and its risk factors was carried out over the period 1984-87 on a random sample of adults aged 25-64 years: 13,723 adults living in Delhi and 3375 in adjoining rural areas. ECG examination and analysis of fasting blood samples for lipids were performed on subjects with the disease and asymptomatic adults free of clinical manifestations. The overall prevalence of coronary heart disease among adults based on clinical and ECG criteria was estimated at 96.7 per 1000 and 27.1 per 1000 in the urban and rural populations, respectively. Prevalences of a family history of coronary heart disease, hypertension, obesity and diabetes mellitus were significantly higher in the urban than in the rural population, and smoking was commoner among rural men and women. Mean levels of total serum cholesterol and low density lipoprotein cholesterol were higher among urban subjects; the mean level of triglycerides was higher in rural subjects. The proportions with total cholesterol levels > 190 mg/dl were 44.1% and 23.0% in urban and rural men, respectively, and 50.1% and 23.9% among urban and rural women, respectively. High density lipoprotein cholesterol levels < 35 mg/dl were found in 2.2% of urban men and 8.0% of rural men compared with 1.6% and 3.5% among urban and rural women, respectively. An abnormal ECG pattern (Q wave or ST-T changes) in asymptomatic individuals is also considered to be a risk factor for coronary heart disease. In asymptomatic adults, 1.7% of urban men and 1.2% of urban women showed abnormal Q waves compared with 0.3% of rural men and 0.4% of rural women. A higher proportion of asymptomatic women showed ST-T changes in both populations. Rural men and women had higher total calorie and saturated fat intakes than urban subjects. Differences in dietary cholesterol intake were marginal. Sodium intake was greater in urban adults. Average daily consumption of alcohol by urban men was 12.7 ml ethanol compared with 2.4 ml in rural men.

Adult↗

PubMed2005

Environmental quality of urban parks and open spaces in Hong Kong.

It is widely purported that urban parks and open spaces can improve the urban environment by cleansing the air and reducing the noise. However, such environmental functions can be constrained by the size and the location of urban parks in very dense cities. This study examines the air and acoustic environment and heavy metal contamination in Hong Kong urban parks and open spaces. Using a hybrid field measurement and computer simulation approach, the study has found that while the air quality in urban parks is better than that of the roadside, it is not significantly different from that of the ambient conditions. Noise levels in the urban parks are not significantly lower than those at the typical home environment in Hong Kong. Heavy metals in urban park dust are slightly lower than that found at the roadside and are broadly comparable to those found at typical homes and nursery schools. These findings lend support to the postulation that the capability of urban parks and open spaces in dense cities to improve the urban environment is rather limited and call for a re-examination of the role of urban parks in enhancing urban livability. The findings also have implications on how urban parks in dense cities should be designed and managed.

Air Pollutants↗

PubMed2004

Comparative evaluation of background anthropogenic hydrocarbons in surficial sediments from nine urban waterways.

Anthropogenic hydrocarbons in surficial urban sediments derived from nonpoint sources (e.g., stormwater runoff, surface runoff, direct atmospheric deposition, and small but persistent discharges) are the principal characteristics of "urban background". Establishing the character and concentration of urban background helps determine the incremental impacts from point sources and develop successful remedial strategies. In this study, we compared the nature and amount of total extractable hydrocarbons (THC) and polycyclic aromatic hydrocarbons (PAHs), including alkylated PAHs, within 280 surficial (mostly 0-10 cm) sediments from nine, well-studied urban waterways on the East and West U.S. Coasts. These 280 sediments were predominantly impacted by urban background. All the sediments were analyzed by consistent preparation and analytical methods and met consistent data quality objectives, thereby minimizing variations attributable to methodology. The data demonstrate that the anthropogenic hydrocarbons comprising urban background from all locations exhibit a generally consistent nature, dominated by (1) a variably shaped unresolved complex mixture (UCM) within the residual (C20+) range and (2) a variable distribution of resolved 4- to 6-ring nonalkylated (parent) PAHs, mostly dominated by fluoranthene and pyrene (and exhibiting a FL/PY ratio of 0.9 +/- 0.2). The variable nature of both the THC and PAH distributions testifies that, while there is a general consistency to urban background, there are definite differences between (and even within) different urban settings. This indicates thatthere is no single "representative" urban background THC or PAH signature. The greatest mass of THC is reasonably attributable to heavy petroleum(s) comprising the UCM, whereas the greatest mass of PAHs is reasonably attributable to combustion-derived particulate matter. The mean concentration of THC attributable to urban background was 415 mg/kg (dry wt). The concentration of EPA 16-Priority Pollutant PAHs was less than 20 000 microg/kg (dry wt) in 96% of the sediments studied. Thus, sediments containing significantly more than 20000 microg/kg of the EPA 16 Priority Pollutant PAHs (or more the 30000 microg/kg of 43 parent and alkylated PAHs) should be suspected to contain PAHs not entirely attributable to urban background, unless site- or regional-specific survey data supports a different urban background concentration profile.

Cities↗

PubMed2002

External contribution to urban air pollution.

Elevated particulate matter concentrations in urban locations have normally been associated with local traffic emissions. Recently it has been suggested that such episodes are influenced to a high degree by PM10 sources external to urban areas. To further corroborate this hypothesis, linear regression was sought between PM10 concentrations measured at eight urban sites in the U.K., with particulate sulphate concentration measured at two rural sites, for the years 1993-1997. Analysis of the slopes, intercepts and correlation coefficients indicate a possible relationship between urban PM10 and rural sulphate concentrations. The influences of wind direction and of the distance of the urban from the rural sites on the values of the three statistical parameters are also explored. The value of linear regression as an analysis tool in such cases is discussed and it is shown that an analysis of the sign of the rate of change of the urban PM10 and rural sulphate concentrations provides a more realistic method of correlation. The results indicate a major influence on urban PM10 concentrations from the eastern side of the United Kingdom. Linear correlation was also sought using PM10 data from nine urban sites in London and nearby rural Rochester. Analysis of the magnitude of the gradients and intercepts together with episode correlation analysis between the two sites showed the effect of transported PM10 on the local London concentrations. This article also presents methods to estimate the influence of rural and urban PM10 sources on urban PM10 concentrations and to obtain a rough estimate of the transboundary contribution to urban air pollution from the PM10 concentration data of the urban site.

Air Movements↗

PubMed2003

The impact of urban planning on land use and land cover in Pudong of Shanghai, China.

Functional zones in cities constitute the most conspicuous components of newly developed urban area, and have been a hot spot for domestic and foreign investors in China, which not only show the expanse of urban space accompanied by the shifts both in landscape (from rural to urban) and land use (from less extensive to extensive), but also display the transformation of regional ecological functions. By using the theories and methods of landscape ecology, the structure of landscape and landscape ecological planning can be analyzed and evaluated for studying the urban functional zones' layout. In 1990, the Central Government of China declared to develop and open up Pudong New Area so as to promote economic development in Shanghai. Benefited from the advantages of Shanghai's location and economy, the government of Pudong New Area has successively built up 7 different functional zones over the past decade according to their functions and strategic goals. Based on the multi-spectral satellite imageries taken in 1990, 1997 and 2000, a landscape ecology analysis was carried out for Pudong New Area of Shanghai, supported by GIS technology. Green space (including croplands) and built-up area are the major factors considered in developing urban landscape. This paper was mainly concerned with the different spatial patterns and dynamic of green space, built-up areas and new buildings in different functional zones, influenced by different functional layouts and development strategies. The rapid urbanization in Pudong New Area resulted in a more homogeneous landscape. Agricultural landscape and suburban landscape were gradually replaced by urban landscape as the degree of urbanization increased. As consequence of urbanization in Pudong, not only built-up patches, but also newly-built patches and green patches merged into one large patch, which should be attributed to the construction policy of extensive green space as the urban development process in Pudong New Area. The shape of green area of 7 functional zones became more and more regular because of the horticultural needs in Shanghai urban planning. Some suggestions were finally made for the study of future urban planning and layout.

China↗

PubMed2003

Global urbanization and impact on health.

Nearly half the world's population now lives in urban settlements. Cities offer the lure of better employment, education, health care, and culture; and they contribute disproportionately to national economies. However, rapid and often unplanned urban growth is often associated with poverty, environmental degradation and population demands that outstrip service capacity. These conditions place human health at risk. Reliable urban health statistics are largely unavailable throughout the world. Disaggregated intra-urban health data, i.e., for different areas within a city, are even more rare. Data that are available indicate a range of urban health hazards and associated health risks: substandard housing, crowding, air pollution, insufficient or contaminated drinking water, inadequate sanitation and solid waste disposal services, vector-borne diseases, industrial waste, increased motor vehicle traffic, stress associated with poverty and unemployment, among others. Local and national governments and multilateral organizations are all grappling with the challenges of urbanization. Urban health risks and concerns involve many different sectors, including health, environment, housing, energy, transportation, urban planning, and others. Two main policy implications are highlighted: the need for systematic and useful urban health statistics on a disaggregated, i.e., intra-urban, basis, and the need for more effective partnering across sectors. The humanitarian and economic imperative to create livable and sustainable cities must drive us to seek and successfully overcome challenges and capitalize on opportunities. Good urban planning and governance, exchange of best practice models and the determination and leadership of stakeholders across disciplines, sectors, communities and countries will be critical elements of success.

Air Pollutants↗

PubMed1990

Assessing the health impact of urbanization.

Several components of urbanization influence health status, but it is difficult to attribute changes in health status to any particular component. The overall impact may be estimated by relating the degree of urbanization of populations to some proxy measure, like the under-5 mortality rates. In this respect the net effect of urbanization is shown to be beneficial. A variety of survey and computational methods have been used to clarify the relationship. Some illustrate the effects of urbanization upon particular clinical conditions, such as promoting the eradication of leprosy, others of particular components, such as overcrowding and pollution, on infant mortality. To help set goals, excess or avoidable mortality may be computed for a country or region by relating its experience to current mortality levels in a developed country; and changes in the levels of avoidable mortality from sentinel conditions such as infectious diseases may be related to changes in particular aspects of urbanization, e.g. improvements in levels of sanitation. Migration to the urban environment imparts the tendency to acquire the health characteristics of the host population. Rapid urbanization causes problems of psychosocial adjustment for older children. Urbanization may impact upon the incidence and prevalence of disability. Where sex-age disability-survey data exist, they may be combined with age-specific mortality data to construct an index of disability-free life expectancy, a more subtle measure for assessing the progressive impact of urbanization. Up to now, however, there have been no international studies of how levels of disability change according to the progress of urbanization, and there are no international census or survey recommendations for harmonizing the classification of disabled people.(ABSTRACT TRUNCATED AT 250 WORDS)

Birth Rate↗

PubMed2004

Rural-urban differences in the prevalence of major depression and associated impairment.

BACKGROUND: The possibility of a rural and urban difference in the prevalence of major depression has been of interest to researchers and mental health service providers. The objectives of this analysis were to determine the rural and urban difference in the 12-month prevalence of major depressive episode(s) (MDE) in Canada and whether participants in rural and urban areas differed in the impairment levels due to depressive symptoms and in mental health service utilization. METHODS: Data from the 1998-1999 Canadian National Population Health Survey (NPHS) were used in this study. In the NPHS, MDE was measured by the Composite International Diagnostic Interview-Short Form for Major Depression. Two-week disability and daily life interference due to depressive symptoms were used as indicators of impairment in this analysis. The prevalence of MDE in rural and urban areas, at national and regional levels, was calculated. The association between urbanicity and MDE was evaluated by Odds Ratios, controlling for potential confounders. Impairment levels and mental health service utilization were also compared between the rural and urban groups. RESULTS: NPHS participants in rural areas had a lower prevalence of MDE than those in urban areas, controlling for the effects of race, immigration status, working status and marital status. Non-immigrants and those who are white in rural areas had a lower prevalence of MDE than did those in urban areas, and such differences depended on age and geographic regions. Rural and urban participants did not differ in 2-week disability and daily life interference due to depressive symptoms. However, rural participants were less likely to have contacted health professionals for mental health problems. CONCLUSIONS: The reasons for the rural and urban differences in the prevalence of MDE are complex. This may depend on individuals' age, immigration status, race, working status, marital status and the provinces where they live. These differences should be considered in future mental health service planning, particularly at provincial levels. There may be gaps between rural and urban areas in terms of availability of mental health services. This should be addressed in future studies and in mental health service planning.

Adolescent↗

PubMed2005

Contribution of lean tissue mass to the urban-rural difference in bone mineral density.

While the urban-rural difference in bone mineral density (BMD) has been shown in some, but not all, Western populations, such a difference and the reason for the difference is largely unknown, particularly in developing countries. This cross-sectional, epidemiologic study was designed to examine the hypothesis that differences in measures of body composition such as lean mass (LM) and fat mass (FM) contribute to the urban-rural difference in BMD. Lean mass, fat mass, lumbar spine and femoral neck BMD were measured by DXA (GE Lunar Corp, Wis.) in 411 urban (Bangkok city) and 436 rural (Khon Kaen province) Thai subjects, aged 20-84 years. Rural men and women had significantly higher LM and lower FM than their urban counterparts. In multiple linear regression analysis, age, LM, menopausal status (in women) and residence were independent determinants of BMD. After adjusting for age, menopause and LM, rural subjects were found to have significantly higher femoral neck BMD, but not lumbar spine BMD, than urban subjects. Furthermore, to alleviate the potential effect of multicolinearity of LM and FM, each rural subject was matched with each urban subject for FM and age, which resulted in 46 pairs of men and 91 pairs of women. In this matched-pair analysis, the femoral necks in rural men and women were, respectively, 7.3+/-2.1% (mean+/-SE; P<0.01) and 6.3+/-2.8% (P<0.02) higher than in urban men and women. The urban-rural difference in LM accounted for approximately 23 and 5% of the urban-rural difference in femoral neck BMD in men and women, respectively. These data are thus consistent with the hypothesis that the urban-rural difference in BMD at a weight-bearing site is in part associated with the urban-rural difference in lean mass.

Absorptiometry, Photon↗