Factors Associated with Delivery Assistance: Does Differentials Exist between Rural and Urban Areas in Bangladesh?

10.5580/1466 ◽  
2009 ◽  
Vol 7 (2) ◽  
Author(s):  
Simone A. Tomaz ◽  
Justine I. Davies ◽  
Lisa K. Micklesfield ◽  
Alisha N. Wade ◽  
Kathleen Kahn ◽  
...  

Little is known about physical activity (PA) levels and correlates in adults from rural settings in South Africa, where a rapid increase in the number of older people and marked disparities in wealth are evident, particularly between those living in rural and urban areas. This paper describes levels of self-reported PA in rural South African men and women and examines factors associated with meeting PA guidelines. Global Physical Activity Questionnaire (GPAQ) data from the Health and Aging in Africa: Longitudinal studies of INDEPTH communities (HAALSI) survey of 5059 adults aged over 40 years were assessed. Logistic regression analyses were used to assess socio-demographic, functional and cognitive capacity, and chronic disease measures associated with PA. In addition, 75.4% (n = 3421) of the participants with valid GPAQ data (n = 4538 of 5059) met the PA guidelines. Factors associated with not the meeting PA guidelines were being male, over the age of 80 years, being in a higher wealth category, obesity, and poorer functional capacity. These findings highlight worthwhile targets for future interventions to maintain or improve PA levels in this population and suggest that intervening earlier within this age range (from 40 years) may be crucial to prevent the ‘spiral of decline’ that characterizes the frailty syndrome.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Huong Thu Nguyen ◽  
Bo Eriksson ◽  
Max Petzold ◽  
Göran Bondjers ◽  
Toan Khanh Tran ◽  
...  

2021 ◽  
Vol 14 ◽  
pp. 117863882110470
Author(s):  
Quraish Sserwanja ◽  
Kassim Kamara ◽  
Linet M Mutisya ◽  
Milton W Musaba ◽  
Shirin Ziaei

Background: Undernutrition accounts for at least 50% of the annual global under-five mortality burden. Although disparities in the childhood stunting between urban and rural areas in Sierra Leone have been documented, information on factors associated with these differences is lacking. We aimed to determine rural-urban correlates of stunting among children under the age of 5 in Sierra Leone. Methods: We analyzed data from 2019 Sierra Leone demographic and health survey (SLDHS) focusing on under-five children. We conducted multivariable logistic regression to examine rural-urban factors associated with childhood stunting. Results: Prevalence of stunting was 31.6% (95% CI 29.8-33.2) in rural areas and 24.0% (95% CI 21.6-26.1) in urban areas. Within the rural areas, children of stunted mothers (aOR = 2.37; 95% CI 1.07-5.24, P < .05), younger mothers aged 15 to 19 years (aOR = 2.08; 95% CI 1.17-3.69, P < .05), uneducated mothers (aOR = 1.87; 95% CI 1.28-2.71, P < .01), as well as older children (24-59 months) (aOR = 1.83; 95% CI 1.48-2.27, P < .001), and boys (aOR = 1.37; 95% CI 1.12-1.66, P < .01) were more likely to be stunted compared to those of non-stunted, older, post-primary education mothers and those who were less than 24 months and girls respectively. While urban children whose fathers had lower education (aOR = 1.94; 95% CI 1.10-3.42, P < .05), whose mothers were more parous (para 2-4) (aOR = 1.74; 95% CI 1.03-2.95, P < .05), and boys (aOR = 1.48; 95% CI 1.06-2.08, P < .05) were more likely to be stunted compared to their counterparts with fathers that had tertiary education, mothers of low parity and girls, respectively. Conclusions: Stunting is more prevalent in the rural areas compared to the urban areas. Sex of the child was the only significant factor in both rural and urban areas. Our study findings suggest that programs designed to reduce stunting should aim for integrated yet context specific interventions in rural and urban areas.


2020 ◽  
pp. 115-121
Author(s):  
Adegbite Motunrade Betty

Gender-Based Violence (GBV) is the resultant of gender-related power inequalities at both public and private spheres. GBV occurrence in rural and urban areas of Ibadan is the focus of this study. The study evaluated the attitude and factors associated with GBV occurrence among rural and urban households in Ibadan, Nigeria. Data were collected from 200 respondents in Ibadan using interview schedule and structured questionnaire. Descriptive (frequency counts and percentages) and inferential statistics (PPMC and Regression analysis) were used to analyse the data collected. Many of the respondents (53.3%) had a favourable attitude against GBV. Household size (β = 0.204), attitude against GBV (β = -0.394), family influence (β = 0.287), superiority complex (β = 0.633) and substance abuse (β = 0.347) were factors associated with the rate of GBV occurrence. Despite the favourable attitude of people against GBV, the menace is still prevalent in the society. The general public needs enlightenment on the jeopardy associated with GBV. It is therefore recommended that suitable strategies like social media advocacy and entertainment education be put in place to enlighten the populace on the magnitudes of GBV occurrence so as to abate it among inhabitants.


2015 ◽  
Vol 24 (4) ◽  
pp. 475-481 ◽  
Author(s):  
Juliana Macedo Raimundo ◽  
Andresa Guimarães ◽  
Larissa Martins de Brito Moraes ◽  
Lucélia Azevedo Santos ◽  
Leandro Lopes Nepomuceno ◽  
...  

Abstract This study investigated occurrences of anti-Neospora caninum and anti-Toxoplasma gondii IgG antibodies by means of the enzyme-linked immunosorbent assay (ELISA) and indirect immunofluorescence assay (IFAT), along with risk factors associated with toxoplasmosis and neosporosis, in 204 dogs from urban and rural areas of the municipality of Araguaína, state of Tocantins, Brazil. One hundred and thirty samples (63.7%) were positive for T. gondii using ELISA: 57.1% and 70.7% in the urban and rural areas, respectively. The seropositivity frequency for T. gondii observed through IFAT was 57.4%, distributed between rural and urban areas as 62.6% and 52.4%, respectively. The factors associated with canine toxoplasmosis were age and breed (p<0.05). In relation to N. caninum, 88 samples (43.1%) were positive, according to ELISA, distributed as 42.9% in urban areas and 43.3% in rural areas. Anti - N. caninum antibodies were detected through IFAT in 62 dogs (30.4%), distributed as 31.3% and 29.5% between rural and urban areas, respectively. Age and breed were associated with neosporosis occurrence (p<0.05) by IFAT. This study provides the first detection of IgG antibodies for canine toxoplasmosis and neosporosis in the state of Tocantins and highlights the importance of dogs in the epidemiological chain of these diseases.


2015 ◽  
Vol 56 ◽  
pp. 16-22 ◽  
Author(s):  
Michele Staton-Tindall ◽  
Kathi L.H. Harp ◽  
Erin Winston ◽  
J. Matthew Webster ◽  
Kevin Pangburn

2021 ◽  
Vol 37 (9) ◽  
Author(s):  
Ana Cristina van Stralen ◽  
Cristiana Leite Carvalho ◽  
Sábado Nicolau Girardi ◽  
Celia Regina Pierantoni ◽  
Ilka Afonso Reis ◽  
...  

This study aimed to identify differences in the scope of practice of primary care physicians and find the main factors associated with expanded practice in rural and urban areas of Brazil. Data from an online survey with 2,277 primary care physicians, conducted between January and March 2016, were used. Differences regarding activities and procedures performed by physicians per area were verified using Kruskal-Wallis/Dunn’s post hoc and chi-square tests. Multivariate linear regression analyses were done using a bootstrap technique to identify the main factors associated with an expanded scope of practice. Regardless of the location, the results showed that the practices of the primary care physicians are below their competences. Rural physicians performed a higher number of procedures and activities compared with their peers from intermediate and urban municipalities. Within the overall sample, the variables related to a broader scope of practice included: male gender, work in rural municipalities, participation in training and continuing education programs and consultation of clinical protocols, articles and books. This study contributes with evidence that the medical scope of practice varies according to location. Recognizing and understanding the differences and associated factors for an expanded scope of practice is necessary to determine the skills and resources required for practice in rural and urban areas, collaborating in proposals of strategies to improve quality and access of health care services.


Sign in / Sign up

Export Citation Format

Share Document