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Results for “Suburbanization”

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At least 433 records · Page 24Linked to original sources
PubMed1992

Incidence and prevalence of Lyme disease in a suburban Westchester County community.

This study was designed to determine the incidence and prevalence of Lyme disease in a section of Chappaqua, NY, a residential community in which Lyme disease is epidemic, and to identify risk factors for this disease. On the basis of clinical history and baseline serologic testing, the overall prevalence of Lyme disease for 114 persons entering the study was 8.8%. The incidence during the 5-month study period of May through September 1989 was 2.6%; all three incident cases had erythema migrans (EM). Hours outdoors per week in play or exercise correlated with the occurrence of Lyme disease.

Adolescent↗
PubMed1991

Child labor in suburban areas of Calcutta, West Bengal.

Seven hundred and fifty nine children in different sectors were covered in this study, which was undertaken by observational techniques, questionnaires and physical examination. All children belonged to the age group of 6-14 years. Nearly 30% children had migrated from neighbouring districts and states. Almost 88% were Hindus and 12.2% were Muslims. Seventy one per cent children came from large families. In 40% families one child, and in 59.6% families more than one sibling had joined the labor force. About 83% fathers and 93.9% mothers were illiterate. A total of 55.8% did not attend schools; 45.3% had discontinued school due to poverty (69.9%), father's apathy (8.4%), children's own attitude (10.4%) and frequent absence and physical assaults by school teachers (5.0%). The main reason for taking up jobs was low per capita income (70.3%). Wages were exploitatively low: as little as Rs. 50/- per month in 20.8%, for work of an average 10-12 hours per day. Only 4% had systemic health check-ups. Different grades of malnutrition were observed in 55.7% male and 29.5% female working children. The ailments observed included anemia (60.4%), respiratory tract infection (31.8%), and gastrointestinal tract infection (33.6%). Nearly half (52.6%) children were addicted to bidi smoking, 3% to ganja and 39.3% to betel-nut. The evils of exploitation are increasing inspite of existing child laws.

Adolescent↗
PubMed1991

Adolescent dress, Part II: A qualitative study of suburban high school students.

Through observation and interviews of high school students, the role of dress in a nonpsychiatric population was explored in order to provide data complementary to the first phase of a larger research project. Adolescent dress was examined in relation to three dimensions of the self: the public, private, and secret self. Due to the age of subjects and the length of contact with the interviewer, results provided most information about the public self, particularly descriptions of social types--categories based on appearance and behavior. These types included a modal, or "average," type and more extreme types including "punks," "freaks," and "nerds." Extreme social types appeared to offer valuable reference points for "average" adolescents in the development of their individual identities.

Adolescent↗
PubMedDate not supplied

[Differences in the health and disease conditions in the rural and urban-suburban populations in Nuevo León state].

This work shows the results of two surveys taken in the state of Nuevo León, Mexico during 1985. The first survey, which covered morbidity and health service use, was taken from 759 households in urban/suburban Monterrey (a city of two million inhabitants and capital of the state of Nuevo León) and from 751 households from a stratified sample from the rest of the state. The second survey, which had to do with the different aspects of quality health services available, was given to 752 patients in 93 distinct health units in Monterrey and all over the state. The objectives of this publication are: 1) to describe the morbidity of the populations in question, as well as to describe the different aspects of the supply and demand of health services; 2) to compare the conditions of life reflected in the state of health between the rural and urban/suburban zones of Nuevo León. The results obtained show that those in the urban/suburban zones of Monterrey possess certain advantages over those in the rural areas in the state of Nuevo León such as: a higher level of schooling, lower emigration to the U.S.A., a lower fertility index, lower morbidity from severe illnesses and a lower death rate in children, wider coverage from health insurance, better communication between doctor and patient, more frequent use of health services, and greater participation in prevention programs. Rural area life has the following advantages: a lower number of cesarean sections, and a prolonged period of maternal suckling. In this work, we present the opinion that the primary health care currently centered in the urban zones, where the population is much greater, should not impair the required attention in the rural areas (areas that are more extensive and often unattended).

Age Factors↗
PubMed1989

Suburban AIDS.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMed1989

Improving Medicare payments to HMOs: urban core versus suburban ring.

This article considers improvements in the location adjustment now used in Medicare's payment formula to HMOs. Average Medicare expenditure increases with metropolitan area population size and is higher in the urban core of a metropolitan area than in the suburbs. Input prices rather than the health or poverty status of residents appear to be the major cause of these patterns. At present Medicare payment to HMOs varies by county and is proportionate to Medicare fee-for-service expenditures there. The article suggests modifying the current payment, which depends on the county unit, by having one payment rate for the core of each metropolitan area and another for the ring. In areas where HMO penetration is large, payment should be based on Medicare expenditures in areas with similar characteristics, such as population size and wages. Because these proposals are incremental, they are politically feasible.

Catchment Area, Health↗
PubMedDate not supplied

Non-returning patients: a survey of inactive patients in a suburban practice.

Maintaining an adequate patient volume is a new concern for primary care physicians. Retaining active patients may be as important as recruiting new patients. A mail survey was conducted using a random sample of patients not returning for care over a three-year period in a primary care office. Over half of the inactive patients were transient, never having established themselves with the practice. One third of regular attending inactive patients had changed physicians, whereas the others had simply not returned for care. Patients who had changed physicians were more likely users of emergency rooms or drop-in clinics, had more negative feelings while in physicians' offices, were less satisfied with their own present physicians, and had less positive attitudes toward physicians in general. Inactive patients who had not changed physicians were as satisfied with their own physicians and with physicians in general as the active patient control subjects, even though they used services infrequently, usually for acute care. Investigating transient patients and those who are inactive but remain with a practice would positively affect patient volume and would likely benefit these patients as well. Primary care physicians should survey their own inactive files before embarking on other marketing techniques.

Adult↗
PubMed1985

A classification of HTLV-III infection based on 75 cases seen in a suburban community.

Since 1981, 75 patients have been seen at our hospital with human T-cell lymphotropic virus type III (HTLV-III) infection. We have classified their clinical presentation into Groups 0 to 6. Groups 0 to 3 all have antibody to the Mr 41,000 protein of HTLV-III. Group 0 has no evident disease (9 patients), Group 1 has lymphadenopathy with or without exaggerated infection (16 patients), Group 2 has persistent lymphadenopathy with chronic hepatitis B surface antigenemia or profound hypergammaglobulinemia (7 patients), Group 3 has oral candidiasis with or without lymphadenopathy (7 patients). In Group 4 are acquired immunodeficiency syndrome (AIDS) adults or children (32 patients). Group 5 is a special classification for immunocompromised patients. Group 6 patients have lymphomas and Mr 41,000 protein antibody. Four children were classified separately. Three patients in Group 3 developed Group 4 disorders (AIDS). Four patients in Group 4 developed Group 6 disorders. HTLV-III infection spread in families (8 of 36), all from infected mothers to children. In 17 sexual partners, 6 were found to be infected. Five of 6 infected partners were homosexuals. We saw an inordinate number of transfusional AIDS (4 of 29) and 1 of 46 other disorders. Two infants also presented with severe intracranial defects, one with microcephaly and one with cranial calcifications and lucency. HTLV-III is spreading with alarming speed.

Acquired Immunodeficiency Syndrome↗