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At least 19 recordsLinked to original sources

PubMed2002

Preschool and school age activities: comparison of urban and suburban populations.

The objective of this study was to compare urban and suburban preschool and school age activities. A prospective survey using a convenience sample was conducted at one urban and one suburban primary care pediatric office. Questionnaires were completed for 66 urban preschool children, 70 suburban preschool children, 57 urban school age children and 61 suburban school age children during the school year. Also, questionniaires were completed for 63 suburban school age children during the summer. The suburban preschool children spent more time outdoors, were read to more frequently, visited the library more frequently and more often attended summer camp. The suburban school age children spent more time outdoors, more frequently participated in a community sport league and more often attended summer camp. The urban school age children watched more television or videos. During the summer, suburban school age children spent more time outdoors, while during the school year, suburban school age children used the library more frequently. Important differences exist between the activities of urban and suburban children in two practices in the New York metropolitan area. Pediatricians caring for urban children may have an important opportunity to promote participation in sports and educational activities.

Camping↗

PubMed1987

Non-ghetto gays: a sociological study of suburban homosexuals.

This ethnographic study is focused upon the lifestyles of white, suburban, middle-class homosexuals. Interview data on some two dozen individuals obtained in the spring of 1982 was increasingly supplemented and supplanted by continued field observation and other techniques of data-gathering through the summer of 1985. The data on the coming-out experiences were largely congruent with models of homosexual identity formation, especially those of Plummer (1975) and Troiden (1979). As expected, older subjects generally progressed through coming-out stages at a slower pace than their younger counterparts. The middle-class orientation and the suburban socio-cultural environment were also seen as inhibiting homosexual identity formation. The advent of AIDS seemed to have little obvious impact on behavior until the last months of the study. Suburban homosexuals in this study were strongly oriented to their work and career-building, to suburban home ownership, and to obtaining a long-term love relationship with another male. Suburban homosexuals were also strongly individualistic and assimilationist, rather than oriented towards collective action or organizational membership based on shared sexual identity. While the fortunes of the two friendship groups differed, friendship bonds among suburban homosexuals compare favorably with male friendships in the general population. The findings in this study suggest that suburban homosexuals, like many other Americans, are finding suburban life increasingly attractive and that the lure of large cities and gay ghettos has faded.

Acquired Immunodeficiency Syndrome↗

PubMed1996

Comparison of the reluctance of house staff of metropolitan and suburban hospitals to perform mouth-to-mouth resuscitation.

BACKGROUND: Although performing mouth-to-mouth resuscitation (MMR) during cardiopulmonary resuscitation (CPR) is an effective lifesaving procedure, both the general public and physicians are often unwilling to perform CPR. Fear of contracting infectious diseases, especially AIDS, is often stated as the reason for this reluctance. However, the likelihood of saving a life usually outweighs the chance of contracting an infectious disease, especially when victims are considered to be at low risk for being HIV+ and are in communities with low incidences of HIV antibodies. METHODS: The entire housestaff (58 residents) in the Department of Internal Medicine of a suburban hospital responded to a questionnaire of hypothetical cardiac arrest scenarios in both inpatient and outpatient settings. Their responses were compared to those previously obtained from the housestaff (82 residents) of a hospital in a large metropolitan area with a high incidence of HIV positive patients. RESULTS: The willingness of the suburban housestaff (residents) to perform MMR in the inpatient scenario of a patient with an unknown risk for communicable infections was 43%, with trauma was 12%, with a perceived high risk for being HIV+ was 14%, and in the elderly was 29%, compared to 45, 16, 7 and 39%, respectively of the house staff of the metropolitan hospital. In outpatient scenarios, the willingness of the suburban housestaff to perform MMR on a victim with an unknown risk for communicable infections was 50%, with trauma was 33%, with a perceived high risk for being HIV+ was 34%, in the elderly was 26%, and in a child was 86%, compared to 54, 36, 21, 65, and 99%, respectively, of the metropolitan residents. Overall, the suburban male residents were more likely to be willing to perform MMR than the female ones, as were residents actively practising a religion or having graduated from medical schools in the United States. Suburban residents under 30 years of age seemed more willing to perform MMR in the majority of the scenarios than those over 30 years of age. Of the 31 suburban residents that stated they would be unwilling to perform MMR in at least one of the given scenarios, all stated that their unwillingness was due to fear of becoming infected with HIV or other infectious agents. In 1994, the percentage of known HIV positive individuals admitted to the suburban hospital was approximately five times less than that of the metropolitan hospital whose house staff was interviewed (P < 0.001). CONCLUSIONS: Patients perceived to be at high risk for HIV were less likely to receive MMR than those at low risk. The reluctance of house staff to perform MMR in a suburban community hospital with a low incidence of HIV+ patients is similar to that of house staff in a large metropolitan community with a much higher incidence of infected patients. This reluctance, which was largely due to fear of contracting HIV infections, is not influenced by frequent contact with patients infected with HIV but is based on perceived rather than actual risks of contracting HIV. To increase the willingness of physicians, other medical personnel, and the lay public to perform MMR on victims of cardiac and respiratory arrests, the negligible risk of contracting infectious diseases while performing MMR should be emphasized. Use of portable barrier masks while performing MMR and an increase in their availability would decrease the minimal risks even further, and is recommended by the authors.

Acquired Immunodeficiency Syndrome↗

PubMed1994

Eating attitudes in urban and suburban adolescents.

We administered the Eating Attitudes Test (EAT), Rosenberg Self-Esteem Scale, and Spielberger Trait Anxiety Inventory to two populations of high school students. The first group, 268 suburban females (mean age 16.2 years), completed their questionnaires in May 1988. The second population, 389 females and 281 males (mean age 16.0 years) in a city school with 92% black of Hispanic students, completed their questionnaires in February 1990 and were also measured for height and weight as part of a health screening. Scores of 21 or higher on the EAT-26 were achieved by 17.5% of the suburban females, 15.0% of the urban females, and 6.0% of the urban males. Significantly more suburban females (63%) considered themselves overweight, compared with both urban females (35%) and males (19%), yet only 14% of suburban females were calculated to be > 10% over ideal body weight, compared with 45% of urban females and 39% of urban males. Contrary to expectations, self-esteem was higher and anxiety lower in the urban students than the suburban students; self-esteem and anxiety were each significantly correlated with higher EAT scores in both populations, but believing oneself overweight was correlated with higher EAT scores in only the suburban students. These data indicate that abnormal eating attitudes are present among both urban and suburban students but with important differences in their manifestations and implications.

Adolescent↗

PubMed2002

Parental use and misuse of antibiotics: are there differences in urban vs. suburban settings?

OBJECTIVE: To compare the frequencies with which suburban and urban parents give their children antibiotics without first consulting a physician. METHODS: This was a prospective, comparative survey of a suburban emergency department (ED) patient population in New Jersey with an annual patient census of 60,000 visits and an urban ED in Connecticut with 58,000 annual visits. A convenience sample of parents with children <18 years of age were enrolled. Patients who were critically ill and/or not oriented were excluded. Subjects provided written answers to a series of closed questions regarding their knowledge and use of antibiotics for their children over the previous 12 months. Categorical data were analyzed by chi-square and Fisher's exact test; continuous data were analyzed by t-tests. All tests were two-tailed with alpha set at 0.05. The primary endpoint, antibiotic "misuse," was defined as parental administration of antibiotics to a child during the previous 12 months without the consultation of a physician. RESULTS: Eight hundred one parents were enrolled; 424 at the suburban site. Parents in the suburban site were significantly different with regard to mean age (39 +/- 7.2 vs. 32 +/- 9.0, p < 0.001), percentage female sex (63% vs. 81%, p < 0.001), percentage white race (78% vs. 34%, p < 0.001), and percentage with private insurance (89% vs. 56%, p < 0.001). A higher percentage of parents at the suburban site had misused antibiotics (12.1% vs. 4.0%; p < 0.001). Using logistic regression, this significant difference in the rate of antibiotic misuse between the two groups remained after adjustment for demographic variables and insurance status of the parents (p < 0.001). Parents at the suburban site were significantly less likely to have been previously discharged with their child from an office or ED setting without antibiotics only to go soon afterwards to another health facility in order to obtain such medications (5% vs. 48%; p < 0.001). CONCLUSIONS: Parents in the suburban setting were more likely to have misused antibiotics for their children. On the other hand, parents in the urban setting were more likely to have been discharged by a physician at one health facility and gone to another physician's office or ED in order to obtain antibiotics for their children.

Adult↗

PubMed2001

Injection-related risk behaviors in young urban and suburban injection drug users in Chicago (1997-1999).

We compared injection-related risk practices between urban and suburban injection drug users (IDUs) in a large cross-sectional sample of young IDUs. From 1997 to 1999, we recruited 700 active IDUs aged 18 to 30 years in Chicago and its suburbs. A suburban residence was reported by 38% of participants. Participants were interviewed at four urban locations and screened for HIV and hepatitis C virus antibodies. Receptive sharing of syringes and other paraphernalia by urban and suburban IDUs in the preceding 6 months was compared using univariable and multivariable models. Sharing injection paraphernalia in the total sample was high, with 50% of participants reporting receptive syringe sharing and 70% reporting sharing cotton, cookers, and/or rinse water. After adjusting for demographic characteristics, injection settings, frequency, and duration of injection as well as ease of acquiring new syringes, suburban IDUs were significantly more likely than urban IDUs to share syringes (adjusted odds ratio = 1.7; 95% confidence interval: 1.1-2.5); however, the likelihood of sharing cotton, cookers, or rinse water was roughly equal. Despite overall higher risk profiles among suburban IDUs, HIV and hepatitis C prevalence levels were significantly lower than among urban participants. Current high levels of injection risk behaviors in suburban groups represent a potential for rapid dissemination of infection.

Adolescent↗

PubMed2001

Comparison of heavy metal concentrations in tissues of red foxes from adjacent urban, suburban, and rural areas.

The red fox (Vulpes vulpes) is a representative of the canid family with wide distribution in the Northern Hemisphere and Australia. The increasing utilization of urbanized habitats by red foxes prompted us to test whether this species may be used to monitor the presence of anthropogenic pollutants in cities or suburbs. For that purpose, we compared the concentrations of heavy metals (Cd, Pb, Cu, Zn) in foxes from urban, suburban, and rural areas within the municipality of Zürich (Switzerland). The kidney and liver of suburban and rural foxes contained the highest Cd concentrations, whereas urban foxes contained the highest Pb levels. In the kidney of suburban foxes, Cd concentrations increased from a median value of 0.73 mg/kg in juvenile animals to 1.82 mg/kg in adults. Similarly, the liver of suburban foxes contained increasing Cd levels from a median of 0.21 mg/kg in juvenile animals to 0.94 mg/kg in adults. An age-dependent storage of Cd was also found in foxes from the rural surroundings, but no such accumulation occurred in urban foxes from the city center, where even adult animals contained very low Cd levels. Conversely, foxes from the urban center were characterized by elevated Pb concentrations during the first 2 years of life, but this transient Pb accumulation was absent in suburban or rural animals. The liver of juvenile foxes contained a median Pb concentration of 0.99 mg/kg in the city compared to only 0.47 and 0.37 mg/kg in the suburban and rural area, respectively. Thus, we found that animals from separate environmental compartments contain different patterns of tissue residues, implying that red foxes may serve as a bioindicator species to detect certain toxic hazards in urbanized habitats.

Animals↗

PubMed1990

Black suburbanization in the mid-1980s: trends and differentials.

"The 1980 U.S. Census revealed a marked acceleration in the suburbanization of blacks during the 1970s. This paper provides a preliminary answer to whether that acceleration continued in the 1980s by examining the 1985 American Housing Survey (National and Metropolitan Samples). These data sets permit racial and socioeconomic status comparisons in overall suburbanization level and in the propensity of recent movers to choose suburban destinations. Blacks continue to exhibit low levels of suburbanization relative to whites, and only a small percentage of blacks originating in central cities move to suburban areas. However, once in the suburbs, blacks tend to remain there at the same rate as whites. Intrametropolitan racial segregation remains strong, although it shows signs of decreasing." This paper was originally presented at the 1990 Annual Meeting of the Population Association of America (see Population Index, Vol. 56, No. 3, Fall 1990, p. 431).

Black or African American↗

PubMed1999

Dental lead levels in residents from industrial and suburban areas of Kuwait.

The present study describes lead concentrations in whole incisor teeth (non-carious) of 216 Kuwaiti resident's aged 3-74, collected from industrial and suburban areas of Kuwait. The mean concentration of lead in all age groups (3-74) showed a significant correlation between both the sexes. Statistical analysis showed a significant correlation between lead levels of males compared with industrial and suburban areas. A similar correlation was also noted in the case of females supporting that industrial residents were more exposed to lead levels than those in suburban areas. A further significant correlation was noted between males and females of industrial and suburban areas which showed that males accumulate more lead concentration than females. A significant correlation was not observed when each age group was compared with that of the respective sexes representing industrial and suburban areas. However, a significant correlation was noted when lead levels in each age group was compared with that of the other age groups except in age groups ranging 35-42. The mean lead levels of 216 teeth were in the range 2.21-2.50 micrograms/g which is less than the range indicated by other investigators in the recent past.

Adolescent↗

PubMed1994

Daily stressors and coping responses: a comparison of rural and suburban children.

Although research has examined problems of stress and health among rural families, little is known about coping phenomena directly from the perspective of rural children. This study compared two groups of children, one rural and the other suburban, in their reports of daily stressors and coping efforts as actually experienced. Using semistructured diaries over a period of six weeks, 21 rural children and 23 suburban children reported daily sources of stress, coping efforts, and coping resources. Rural children were more compliant in completing diaries. They reported more internal, cognitive-intrapsychic source of stress, whereas suburban children listed more external environmental sources. Suburban boys reported submission as the most common coping response, and rural boys listed organized activities and problem-solving approaches. Other interesting differences between the rural and suburban children, and gender differences among both groups emerged.

Adaptation, Psychological↗

PubMed1991

Variations on two themes: racial and ethnic patterns in the attainment of suburban residence.

To investigate racial and ethnic diversity in suburbanization, we draw on two complementary theoretical traditions, which we label "assimilation" and "stratification." Our analytic model is multilevel, and includes variables characterizing individuals, households, and metropolitan contexts. We use it to analyze the determinants of suburban versus central-city residence for 11 racial/ethnic groups. The analysis reveals that family status, socioeconomic, and assimilation variables influence the suburbanization process rather consistently. We take this finding as evidence in favor of the assimilation model. These effects display group variations, however, in a manner predicted by the stratification model. There are also suburbanization differences among metropolitan areas, particularly related to the relative economic status of cities and their suburbs, and between the northeast/north central regions and the south/west. Finally, we conclude that suburbanization is variable across the groups in a way that is not captured by broad categories such as "Asian" or "Hispanic."

Acculturation↗

PubMed2003

Cockroach allergen exposure and sensitization in suburban middle-class children with asthma.

BACKGROUND: Exposure to cockroach allergen is prevalent in inner-city homes and is associated with an increased risk of cockroach sensitization. OBJECTIVE: We sought to determine the prevalence of cockroach allergen exposure in suburban middle-class homes and to study its relationship to cockroach sensitization. METHODS: Children with asthma, 6 to 17 years of age, were recruited from 3 pediatric practices located in counties surrounding Baltimore city and from 1 practice located within Baltimore city limits. Participants underwent skin prick testing and completed baseline questionnaires. In addition, their homes were inspected, and settled dust samples were collected for allergen analysis. RESULTS: Forty-one percent of the total study population (n = 339) had kitchen Bla g 1 levels of greater than 1 U/g. Forty-nine percent were white, 53% had annual incomes of greater than US dollars 50000, and 48% of mothers had college degrees. Seventy-seven percent of the study population resided in a suburban or rural location, and 30% of kitchens in these homes had Bla g 1 levels of greater than 1 U/g. Among the suburban-rural subgroup, 21% were sensitized to cockroach compared with 35% of the city group. In multivariate analysis, exposure to kitchen Bla g 1 levels of greater than 1 U/g was associated with cockroach sensitization for both the total study population (odds ratio, 2.29; 95% CI, 1.28-4.11) and the suburban-rural subgroup (odds ratio, 2.37; 95% CI, 1.23-4.57). CONCLUSIONS: Cockroach allergen exposure might be more common in suburban middle-class homes of asthmatic children than previously thought. Moreover, the data suggest that low-level cockroach exposure is a risk factor for cockroach sensitization.

Adolescent↗

PubMed1995

Comparison of cocaine and opiate exposures between young urban and suburban children.

OBJECTIVE: To determine the prevalence of cocaine and opiate metabolites in the urine of young urban and suburban children. DESIGN: Survey. SETTING: Urban and suburban emergency departments and private pediatric practices. PATIENTS: A convenience sample of 1469 children between 1 and 60 months of age who required a urinalysis for investigation of the chief complaint. INTERVENTION: None. MAIN OUTCOME MEASURES: Urine was screened for benzoylecogonine and opiates using an enzyme-multiplied immunoassay technique and a fluorescence-polarization immunoassay, both with a sensitivity of 50 ng/mL. RESULTS: Benzoylecogonine was identified in the urine of 45 children (3.1%) (95% CI, 2.2% to 3.9%) and opiates in the urine of 38 children (2.6%) (95% CI, 1.8% to 3.4%). No difference was observed between urban and suburban health care facilities in the percentage of patients whose urine tested positive for benzoylecgonine (29 of 1011 vs 16 of 458, P = .6) or opiates (28 of 1011 vs 10 of 458, P = .6). CONCLUSION: Exposure to illicit drugs, as reflected by urinary metabolites, is similar for urban and suburban children.

Child, Preschool↗

PubMed2002

Trend of blood lead levels in children in an industrial complex and its suburban area in Ulsan, Korea.

OBJECTIVES: To study the difference in blood lead level of children living in an industrial complex and those in a suburban area in Ulsan, Korea, and to investigate the trend by age and year. METHODS: The study subjects consisted of 620 children living in an industrial complex and 298 children living in a suburban area of Ulsan, Korea. We analyzed their blood lead levels, using an atomic absorption spectrometer with a graphite furnace, bi-annually from 1997 to 2001. RESULTS: The geometric mean levels of blood lead in children living in the industrial complex were 5.10 microg/dl, 5.36 microg/dl, and 5.41 microg/dl in the years 1997, 1999, and 2001, respectively, whereas those of children living in the suburban area were 3.81 microg/dl, 4.75 microg/dl, and 4.93 microg/dl, respectively. There was an increasing trend in the blood lead levels of children, and the differences in the levels of children living in the industrial complex and in the suburban area decreased year by year. CONCLUSIONS: These results suggest that the amount of exposure to lead in children is increasing from year to year in Ulsan, Korea.

Child↗

PubMed2000

Characteristics of indoor and outdoor airborne fungi at suburban and urban homes in two seasons.

Literature has suggested association between damp environments, microbial exposure, and higher prevalence of respiratory symptoms and diseases. The study began by evaluating the airborne fungal concentrations at urban and suburban areas of a typical metropolitan city in southern Taiwan for the estimation of related health risks. A group of representative homes, based on the housing characteristics questionnaires completed earlier, were selected from two parts of the city; urban and suburban. Burkard sampler (BURKARD, Rickmansworth, England) was used to collect airborne fungi onto agar plates with malt-extract. After incubation and identification, concentrations of airborne fungi were calculated as CFU/m3. The geometric mean (GM) concentration for indoors was 8946 (4372-18,306) CFU/m3 in winter and 4381 (1605-11,956) in summer. For outdoors, it was 11,464 (5767-22,788) CFU/m3 in winter and 4689 (1895-11,603) in summer. In summer, the total fungal concentration, both indoors and outdoors of suburban homes, were significantly higher than those of urban homes. The dominant fungi contributing to such a difference were indoor Cladosporium spp. and outdoor Penicillium spp. (P < 0.01). The indoor/outdoor ratio (I/O) was similar in two areas except for Penicillium spp. in winter and Aspergillus spp. in summer; both higher in the suburban area. Significantly higher levels of airborne fungi were observed in this region than those seen in northern Taiwan or other parts of the world. Future investigations are needed to further examine the effects of these exposures on the related health problems.

Air Microbiology↗

PubMedDate not supplied

Effects of air pollution on children's pulmonary function in urban and suburban areas of Wuhan, People's Republic of China.

In May and June of 1988, the spirometric lung function of 604 children, who were aged 7-13 y and who were free of chronic respiratory conditions, was measured in the urban core and a suburb of Wuhan, China. During 1981-1988, ambient total suspended particulate (TSP) levels averaged 481 micrograms/m3 in the urban core and 167 micrograms/m3 in the suburb. In 1988, TSP levels, measured within 500 m of the children's homes, averaged 251 micrograms/m3 in the urban core and 110 micrograms/m3 in the suburb. Levels of sulfur dioxide and nitrogen oxides were also higher in the urban core. Proportions of families who burned coal and gas domestically were similar in both areas. In linear and logarithmic regression models, height was a stronger determinant of forced vital capacity and forced expiratory volume in 1 s than was age or weight. In linear models, the proportion of variance explained by height (R-squared) ranged from 0.54 for urban females' forced expiratory volume in 1 s to 0.77 for suburban males and females. Both forced vital capacity and forced expiratory volume in 1 s were consistently lower in urban than suburban children. The average forced vital capacity and forced expiratory volume in 1 s in children 132-144 cm tall were 6.7% and 3.8% lower, respectively, in the urban core than the suburb; suburban-urban differences increased with height. Suburban-urban differences in slopes of lung function growth curves were statistically significant for forced vital capacity but not for forced expiratory volume in 1 s. Rates of clinical upper respiratory irritation were also generally elevated in urban children. These results strongly suggest that urban ambient air pollution exposure in China contributes to retardation in the growth of children's lung function. Confirmatory longitudinal studies are in progress in Wuhan and three other Chinese cities.

Adolescent↗

PubMed2002

Addressing the unique challenges of inner-city practice: a direct observation study of inner-city, rural, and suburban family practices.

Previous research on geographic variations in health care contains limited information regarding inner-city medical practice compared with suburban and rural settings. Our main objective was to compare patient characteristics and the process of providing medical care among family practices in inner-city, suburban, and rural locations. A cross-sectional multimethod study was conducted emphasizing direct observation of outpatient visits by trained research nurses involving 4,454 consecutive patients presenting for outpatient care to 138 family physicians during 2 days of observation at 84 community family practices in northeast Ohio. Time use during office visits was assessed with the Davis Observation Code; satisfaction was measured with the Medical Outcomes Study nine-item Visit Rating Scale; delivery of preventive services was as recommended by the US Preventive Services Task Force; and patient-reported domains of primary care were assessed with the Components of Primary Care Instrument. Results show that inner-city patients had more chronic medical problems, more emotional problems, more problems evaluated per visit, higher rates of health habit counseling, and longer and more frequent office visits. Rural patients were older, more likely to be established with the same physician, and had higher rates of satisfaction and patient-reported physician knowledge of the patient. Suburban patients were younger, had fewer chronic medical problems, and took fewer medications chronically. Inner-city family physicians in northeast Ohio appear to see a more challenging patient population than their rural and suburban counterparts and have more complex outpatient office visits. These findings have implications for health system organization along with the reimbursement and recruitment of physicians in medically underserved inner-city areas.

Adult↗

PubMed2000

Windows 99: a source of suburban pediatric trauma.

BACKGROUND: Falls from windows in urban areas cause a significant number of pediatric injuries. Window falls have not been well described in the nonurban setting. We describe the epidemiology of window falls from residential homes among pediatric patients at a suburban Level I trauma center. METHODS: A review of patients admitted from January 1991 through November 1999 to a center serving a rapidly growing suburban area was performed. RESULTS: A total of 2,322 children, ages 0-14 years, were admitted during the study period. Falls comprised 41% of these admissions, and 11% of falls were from windows, greater than twice the national average. More than 39% of children who fell from windows were admitted directly to the intensive care unit. Overall mortality rate was 4%. Ages 0 to 4 years comprised the largest percentage (83%), and all children who died were in this age group. Children < or = 4 years were more likely to have an Abbreviated Injury Score > or = 2 (head injury) than those ages 10 to 14 years (p = 0.032). More than 31% of all children injured in window falls seen at the study institution between 1991 and 1999 were admitted in the last 2 years. CONCLUSION: Pediatric falls from windows in this suburban area appear to be increasing, with an incidence greater than the national average. Children at greatest risk are less than 4 years old. Further research in injury prevention at the national level aimed at suburban areas may be warranted.

Accidental Falls↗