Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Urbanization”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 775 records · Page 43Linked to original sources
PubMed2004

The UNESCO biosphere reserve concept as a tool for urban sustainability: the CUBES Cape Town case study.

The Cape Town Case Study (CTCS) was a multi-institutional collaborative project initiated by CUBES, a knowledge networking initiative of UNESCO's Ecological Sciences Division and the Earth Institute at Columbia University. Cape Town was selected as a CUBES site on the basis of its high biological and cultural significance, together with its demonstrated leadership in promoting urban sustainability. The CTCS was conducted by the Cape Town Urban Biosphere Group, a cross-disciplinary group of specialists drawn from national, provincial, municipal, and civil society institutions, mandated to examine the potential value of the UNESCO Biosphere Reserve concept as a tool for environmental management, social inclusion, and poverty alleviation in Cape Town. This article provides a contextualization of the CTCS and its collaborative process. It also reviews the biosphere reserve concept relative to urban sustainability objectives and proposes a more functional application of that concept in an urban context. A detailed analysis of key initiatives at the interface of conservation and poverty alleviation is provided in table format. Drawing on an examination of successful sustainability initiatives in Cape Town, specific recommendations are made for future application of the biosphere reserve concept in an urban context, as well as a model by which urban areas might affiliate with the UNESCO World Network of Biosphere Reserves, and criteria for such affiliation.

City Planning↗
PubMed2000

[Community -based comprehensive prevention and control of hypertension in China (CCPACH Study)-prevalence and epidemiological characteristics in urban and rural area].

OBJECTIVE: To understand the epidemiological features and prevalence of essential hypertension in the rural communities. METHODS: A community-based survey on essential hypertension was carried out in urban and rural areas involving 280,000 population. RESULTS: The prevalence rate of hypertension in age 35 years and over was 31.7% and 32.9% in urban and rural respectively; the average age of the patients' in urbans was significantly higher than in rural areas. Among non-hypertensive cases, more than 50% of the population having risk factors of hypertension in both urban and rural areas. Rates of treatment and control awareness of hypertension were 56.3%, 26.8% and 4.4% respectively in urban; comparing to 40.3%, 17.5% and 2.6% respectively, in the rural areas. More than half of the diagnosed patients before survey did not take antihypertensive medicine for treatment in both areas. The proportions the classification of hypertension were similar in both areas with majority of them, mild and isolated systolic hypertension. CONCLUSIONS: It was demonstrated that there is an urgent need to carry out comprehensive prevention and control for hypertension in urban and rural area.

Adult↗
PubMed2003

Integrated urban water planning: big picture planning is good for the wallet and the environment.

The demands on governments and local authorities are changing in response to community expectations for environmentally sustainable outcomes. To reverse declining water quality in rivers and ensure sustainable use in the 21st century, the State Government in New South Wales has introduced a package of Water Reforms. The introduction of integrated water, sewerage and drainage planning is one of the Water Reform initiatives. Traditionally, government and local authorities have managed their water supply, sewerage and stormwater drainage systems as separate entities. Integrated urban water planning is a structured planning process to evaluate concurrently the opportunities to improve the management of water, sewerage and drainage services within an urban area in ways which are consistent with broader catchment and river management objectives. The New South Wales Department of Land & Water Conservation (DLWC) has developed an integrated urban water planning process through a number of recent pilot studies. The process links urban water management objectives to overall catchment and river management objectives. DLWC is currently developing a set of guidelines for integrated urban water plans. DLWC has developed the Integrated Urban Water Planning methodology through three pilot studies in the New South Wales towns of Finley, Goulburn and Bombala. The pilot studies have shown that an integrated approach to water, sewerage and stormwater planning can identify opportunities that are not apparent when separate strategies are developed for each service. The result is better-integrated, more sustainable solutions, and substantial cost savings for local communities.

Cities↗
PubMed2004

[Research advance in ecosystem service of urban green space].

In this paper, the concept and connotation of urban green space and ecosystem service were expatiated, and the research advance in ecosystem service of urban green space was reviewed. The studies of ecosystem service of urban green space in overseas were focused on improving the quality of urban environment, maintaining biodiversity, providing amenity values, and ecosystem management; while in China, they were focused on the structure and function of urban green space, green quantity and quality, green equivalent, indicator system evaluation, value assessment, and application of CITYgreen model. The shortages and prospects of the researches on ecosystem service of urban green space were put forward.

Biodiversity↗
PubMed2005

Persistent pollutants urban rivers sediment survey: implications for pollution control.

The impacts of diffuse urban sources of pollution on watercourses are quantified. A survey of nine urban streams in Scotland for persistent pollutants in stream sediments is described, together with sediments from SUDS ponds. Determinands reported are: PAHs, total hydrocarbons, and toxic metals (As, Zn, Ni, Pb, Cu, Cr, Cd). Results highlight hydrocarbons as a major urban pollutant, and show significant sediment contamination by toxic metals. The metals that occurred in the highest concentrations varied across the nine streams, but Pb, Cr, Ni, Zn and Cu most frequently present exceeded sediment quality standards. The pattern of contamination by PAHs suggested that pyrolytic sources were more ubiquitous and present in greater quantities than oil spill sources in these urban catchments. Exceptions were the sites below industrial estates. The findings indicate that four levels of activity will be needed to control urban diffuse sources of pollution: reductions in quantities of toxic pollutants used by manufacturers in the motor and construction industries; housekeeping measures to minimise storage and handling risks for oil and chemicals; public engagement to minimise polluting activities such as dumping oil and chemicals, and private car use; use of SUDS technology, including retro-fits in the worst affected urban areas.

Cities↗
PubMed2005

Who gets into medical school? Comparison of students from rural and urban backgrounds.

OBJECTIVE: Being of rural origin is one of the few predictors of whether medical students choose either family or rural practice as a career. This study investigates what proportion of applicants are of rural origin, what their grades are, and whether they are accepted. DESIGN: Mailed survey using the postal codes of Ontario medical school applicants' residences when they attended secondary school to link them to communities. Applicants of rural origin were defined as having attended secondary school while residing in communities with core populations of fewer than 10 000 people. SETTING: Province of Ontario, its six medical schools, and its 1 500 000 rural citizens (13% of the total population). PARTICIPANTS: All 4948 applicants to Ontario medical schools in 2002 and 2003 who had gone to high school in Ontario. MAIN OUTCOME MEASURES: Proportion of rural applicants among all applicants in the given years. Mean grade point averages (GPA) and Medical College Admission Test (MCAT) scores attained by applicants of both urban and rural origin. Proportion of rural students among all students admitted to medical schools. RESULTS: While 13% of the Ontario population is rural, only 7.3% of Ontario applicants to medical school were of rural origin (P < .001). On average, the GPAs of applicants of rural and urban origin were identical at 3.42 (P = .995 not significant [NS]). The MCAT scores averaged 8.9 for applicants of rural origin and 9.0 for applicants of urban origin (P = .36 NS). Applicants of rural origin were admitted to medical school as frequently as applicants of urban origin (1:5.6 vs 1:4.7, P = .139 NS). CONCLUSION: Although students of rural origin in Ontario apply to medical school less frequently than students of urban origin do, those that do apply have similar grades to those of urban applicants and are equally likely to be accepted.

Data Collection↗
PubMed2006

[Application of entropy weight and fuzzy synthetic evaluation in urban ecological security assessment].

Ecological security is one of the foundations of regional security, and the basis of sustainable development. Urban ecological security refers to the ecological support and main ecological issues of a city, which do not threaten its survival and development. To develop the research method on the ecological security of urban social-economic-natural complex ecosystem, an assessment indicator system of urban ecological security was set up based on Pressure - State - Response Model, which included 3 key factors and 33 concrete items. The five most developed cities of China were taken as the cases to assess their ecological security situation by using entropy weight and fuzzy synthetic evaluation method. The results showed that the urban ecological security of Suzhou and Beijing was at relatively safe level, while that of Shenzhen, Shanghai and Guangzhou was critical safe in the year of 2003. The urban ecosystem of Shenzhen was under heavy press, while that of Suzhou behaved best both in system status and system response. Comparing with other assessment methods, this evaluation method was easier and more reasonable. The results were basically consistent to the fact of these cities, suggesting that the urban ecological security indicator system and the entropy weight and fuzzy synthetic evaluation approach were feasible to some extent.

Ecology↗
PubMed1985

Rural-urban mobility in Thailand: a decision-making approach.

This paper has analyzed a theoretical model of mobility decision-making. The model relies entirely on individual-level factors rather than macro-level factors as determinants of migration decision-making. The individual-level variables included in the model are: recent mobility history, urban social contacts, information about urban areas, evaluations of different locations, migration plans, and actual movements in the period subsequent to an initial interview. The empirical results indicate that with some exceptions there are relatively strong links of the type suggested in the model among these variables. The model was evaluated separately for two groups of villages for movement to Bangkok and for movement to Northeast Thai towns. Thus, four submodels were estimated, providing an opportunity to observe how robust the model is with respect to varying destinations and origins. Although certain differences are found among the four submodels, the overwhelming feature is their similarity. Where differences do exist, they generally reflect differences in the effectiveness of prior mobility as a predictor of other variables in the process. Clearly, a villager's previous history of movement is a key factor affecting subsequent movement and the entire decision-making process. The primary effect of having friends and relatives in a particular urban center is to increase the amount of information a villager has about that urban center. Information has a significant effect on evaluations and plans. Except in one submodel, evaluations have a significant effect on plans; and the existence of plans--which to some extent represent a culmination of social contacts, information, and evaluations--is the only factor other than previous mobility which has a significant direct effect on subsequent movement. Thai policy makers are searching for ways to stimulate the growth of regional urban growth centers and reduce the growth of Bangkok. From the standpoint of intervention, a key variable in this process would appear to be information. Not only is information level related to evaluations of an urban area and mobility plans, but, compared to other variables in the model, it appears to be relatively amenable to modification by inputs deriving from a source external to the village itself. It appears difficult to modify evaluations or migration plans directly, though both could be indirectly influenced by informational inputs. Movement history would be difficult, if not impossible, to manipulate; while villagers could be sponsored for short trips to town, this is not likely to produce much long-range effect.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗
PubMed2006

Specific coping strategies of Africans during urbanization: comparing cardiovascular responses and perception of health data.

Specific coping mechanisms of Africans during urbanization were compared to and correlated with cardiovascular responses and perception of health data. Subjects included men (N=286) and women (N=360). The COPE questionnaire classified subjects as active (AC) or passive (PC) copers and the General Health Questionnaire measured subjective perception of health. The Finapres recorded blood pressure continuously before and during application of a handgrip test. Analyses adjusting for age, body mass index and resting cardiovascular data revealed that AC rural subjects showed predominantly cardiac responses and PC rural subjects predominantly vascular responses. All urbanized African men and women showed higher resting blood pressure, vascular responsiveness and hypertension prevalences than their rural counterparts. All rural AC subjects, especially women, and all urban PC subjects, especially men, reported a poorer perception of health. In conclusion, subjects with a PC style showed a predominantly vascular response in rural and urban areas whereas subjects with an AC style seem to shift from a predominant cardiac output response to a predominant vascular resistance response when moving from a rural to an urban area.

Adaptation, Psychological↗
PubMed2026

Environmental coupling between metal resistance genes and bacterial communities in Beijing urban green-space soils.

Urban green spaces are intensively managed ecosystems exposed to chronic, multisource, low-intensity anthropogenic inputs. These inputs may alter soil microbial communities and influence the distribution of metal resistance genes (MRGs). However, MRG distributions and their relationships with environmental conditions and bacterial communities remain unclear under the complex, non-extreme pollution conditions typical of these ecosystems. We investigated Beijing urban green spaces as a representative system using metagenomic sequencing and metagenome-assembled genome (MAG) analysis. We characterized soil MRG composition, its environmental associations, and the distribution of potential hosts. MRG composition differed significantly among ecological conservation (EC), transitional urban (TU), and central urban (CU) zones. These differences were closely associated with soil physicochemical properties and bacterial community structure. Available phosphorus (AP) was significantly associated with variation in both bacterial community structure and MRG composition. MAG-based analysis identified distinct potential-host compositions across the three functional zones. Proteobacteria were more frequently represented among dereplicated MAGs from EC soils, whereas Actinobacteria were more frequent in TU and CU soils. Heavy metal concentrations correlated with MRG composition. However, variation partitioning analysis did not identify an independent contribution from heavy metals after accounting for soil physicochemical properties and bacterial community structure. These findings indicate that urban green-space soil monitoring should incorporate environmental conditions and microbial community characteristics rather than rely solely on total metal concentrations.

Soil Microbiology↗
PubMed1999

Molecular epidemiological approaches to the study of the genotoxic effects of urban air pollution.

Direct epidemiological observations suggest that exposure to high levels of urban air pollution may result in increased risk of lung cancer, sufficient to account for a few (approximately 1-3) percent of total lung cancer incidence. Extrapolation from occupational exposure and risk data suggests that among potential carcinogens present in polluted urban air, polycyclic aromatic hydrocarbons (PAHs) may make a major contribution to air pollution-associated lung cancer risks. The use of biomarkers of genotoxocity in large-scale population studies may help to reduce the uncertainty involved in the assessment of such risks, especially those associated with relatively low pollution levels such as nowadays found in many Western cities. Increases in biomarkers of exposure to urban air PAHs as well as biomarkers of early effects have been detected in situations of relatively high levels of air pollution (e. g., ambient PAH concentrations of the order of a few tens of micrograms per cubic meter). Evidence has also been found about the modulation genetic damage accumulation in different individuals by polymorphisms in genes involved in the activation or detoxification of PAHs, especially of polymorphisms GSTM1 and CYP1A1 genes. However, the inconsistencies in the currently reported effects of genetic polymorphisms suggest that additional factors may also be important in the modulation of individual susceptibility to the accumulation of PAH-derived genetic damage. Biomarkers studies in populations exposed to relatively low ambient PAH concentrations (below 20 microg/m(3)) have not demonstrated clear dose-related effects (e.g., on DNA adduct levels), possibly because of the existence of multiple sources and routes of human exposure to PAHs in addition to inhalation of urban air (including, for example, home heating, environmental tobacco smoke and diet), and the consequent difficulty of adequately and specifically assessing atmospheric air-related exposure. This makes it imperative that molecular epidemiology studies be designed in such a way as to allow adequate assessment of exposure to urban air PAHs at the individual level and over short-, medium- and long-term time periods which correspond to the expression times of different biomarkers.

Air Pollutants↗
PubMed1995

Early marriage among rural and urban females of south India.

Data on 2972 marriages in rural areas and 1180 marriages in urban areas of North Arcot Ambedkar district of South India, during 1982-88, were analysed. The mean age at marriage of females was 18.6 in the rural and 19.6 in the urban area. The proportion of females married before attaining the legal age of 18 years was higher among the rural community (36.8%) than in the urban community (28.9%). Univariate analysis revealed an association between early age at marriage and the socioeconomic variables religion, caste, consanguinity, marital distance, spousal age difference, education and occupation of both bride and bridegroom, and socioeconomic status of the family. Multivariate analysis showed an independent relationship of marital distance and bridegroom's occupation with early age at marriage of females in the rural area alone and the bridegroom's education in the urban area alone. Consanguinity, spousal age difference and bride's education were found to be independently related with early age at marriage of females in both rural and urban areas.

Adolescent↗
PubMed2003

Impact of urbanization and land-use change on climate.

The most important anthropogenic influences on climate are the emission of greenhouse gases and changes in land use, such as urbanization and agriculture. But it has been difficult to separate these two influences because both tend to increase the daily mean surface temperature. The impact of urbanization has been estimated by comparing observations in cities with those in surrounding rural areas, but the results differ significantly depending on whether population data or satellite measurements of night light are used to classify urban and rural areas. Here we use the difference between trends in observed surface temperatures in the continental United States and the corresponding trends in a reconstruction of surface temperatures determined from a reanalysis of global weather over the past 50 years, which is insensitive to surface observations, to estimate the impact of land-use changes on surface warming. Our results suggest that half of the observed decrease in diurnal temperature range is due to urban and other land-use changes. Moreover, our estimate of 0.27 degrees C mean surface warming per century due to land-use changes is at least twice as high as previous estimates based on urbanization alone.

Agriculture↗
PubMed2006

Personal exposures and indoor, residential outdoor, and urban background levels of fine particle trace elements in the general population.

Personal exposures and indoor, residential outdoor, and urban background levels of PM(2.5) and PM(1) were measured simultaneously in Göteborg, Sweden. A total of 270 24 hour samples from 30 subjects were analyzed for elemental concentrations using X-ray fluorescence (XRF) spectroscopy. Personal exposures to PM(2.5) were significantly higher for Cl, Ca, Ti, and Fe compared with the other locations. For most elements, residential outdoor levels were significantly higher than urban background levels. Correlations between personal exposure and stationary measurements were moderate to high for Zn, Br, and Pb (r(s)= 0.47-0.81), while Ca and Cu showed low correlations. The penetration indoors from outdoors was 0.7, as calculated from S and Pb ratios. For the pairs of parallel PM(1) and PM(2.5) measurements, only Ca and Fe levels were significantly lower for PM(1) at all sites. Significant correlations were found between urban background mass concentrations and personal exposure levels for elements attributed to combustion processes (S, V, and Pb) and resuspended dust (Ti, Fe, and Zn), indicating that both sources could be relevant to health effects related to urban background mass. Air mass origin strongly affected the measured urban background concentrations of some elements (S, Cl, V, Ni, Br, and Pb). These findings were also seen for personal exposure (S, Cl, V, and Pb) and indoor levels (S, Cl, V, Ni, and Pb). No differences were seen for crustal elements. Air mass origin should be taken into account in the description and interpretation of time series studies of air pollution and health.

Air Movements↗
PubMed2004

Overcoming the hurdles to providing urban health care in the 21st century.

The delivery of health care services to urban populations in the United States is a system of rapidly increasing complexity. With the emergence of superspecialized physicians, a scientific approach to disease management has received great emphasis. Those providing health care at the population level may also apply this evidence-based approach. Analysis of the process of health care delivery in its entirety is complicated, confusing, and may be fraught with bias. In this article, a powerful instrument for providing a scientific approach to urban health care health policy development is introduced. This tool allows for analysis and assessment of hurdles to health care delivery to urban populations by dividing the process into elements of "administration," "provision," and "utilization" (APU). This APU triangle model, while intuitive, also allows a more definitive analysis by parts than would be possible to make of the whole. Using this model, the authors explore some of the hurdles faced by each element as well as some potential solutions. Although this model is presented in the context of urban hurdles to health care, it is equally applicable to rural environments or other service-delivery systems. In conclusion, this article discusses the emergence of the role of the public health department as the facilitator and manager between sectors of the community not traditionally connected in a collaborative health care model. Thus, the urban public health department coordinates efforts to surmount the hurdles and provides the venue for analysis, development, and employment of successful strategies.

Cities↗
PubMed2004

The role of U.S. public hospitals in urban health.

Public hospitals in the United States play a key role in urban health. In many metropolitan communities, public hospitals maintain the health care safety net. Most urban public hospitals have evolved to not only provide care for the indigent but also to serve their communities in other ways, including serving as major providers for tertiary services such as trauma and those that support homeland security; serving as the foundation for primary care services; continuing to train a significant number of physician, nurses, and other medical personnel; and providing laboratories for clinical medical research. Federal budget cuts such as those in the Balanced Budget Act of 1997, recent state budget deficits, competition for Medicaid Managed Care, and the growth in the number of uninsured have led to a decline in revenues among urban public hospitals. To be better stewards of scarce resources, public hospitals have moved to reduce inpatient demand by adopting prevention strategies that are aimed at addressing the determinants of health, the complex interactions among social and economic factors, the physical environment, and individual behavior. These factors contribute to health status and offer opportunities to intervene and improve community health. Urban public hospitals, to be successful in the next stage of their evolution, need to learn to manage the "in-betweens"--partnering with governmental and nongovernmental entities to identify and work together on common health and safety issues. If public hospitals engage the community successfully, building trust and establishing new capability and capacity, urban public hospitals will survive, evolve, and continue their tradition of service.

Cities↗
PubMed1993

Linking patients to hospitals. Defining urban hospital service populations.

Small area analysis is a widely used approach for identifying variations in the delivery of health services across geographically defined populations. There is growing consensus that, to a significant degree, these variations reflect the practice style of different physicians at area hospitals. However, to date, small area analysis has not been appropriate for studying the practice style of physicians at individual urban hospitals. This occurs, at least in part, because urban residents have easy geographic access to several hospitals, and no clear method of assigning small geographic areas to a single hospital is available. This study addresses this issue by taking a new approach to defining urban hospital service areas. As gate keepers to hospitals, physicians tend to admit their patients to one or two institutions. Therefore, urban hospital service areas are defined by ignoring geographic boundaries and linking patients to a single hospital on the basis of the admitting patterns of the physicians the patient contacts. The sensitivity of the assignment rules is tested; the results of the proposed technique are compared with those using a traditional geographic approach. The findings of the study reported here suggest that this is a feasible method, which yields stable sensitivity results and is generalizable to a variety of urban settings.

Adult↗
PubMed2006

Urbanicity during upbringing and bipolar affective disorders in Denmark.

BACKGROUND: It has been suggested that known or suspected risk factors for schizophrenia may also be of importance for other psychoses, but the empirical evidence regarding this is limited. Urbanicity of place of birth and during upbringing has been shown to be related to the risk of schizophrenia. Few studies of urbanicity in relation to bipolar affective disorder exist. OBJECTIVE: To investigate the potential association between urbanicity at birth and during upbringing and the risk of bipolar affective disorder. METHOD: Using data from the Danish Civil Registration System, we established a population-based cohort of 2.04 million people born in Denmark during 1956-1986, which included information on place of residence during upbringing. Bipolar affective disorder in cohort members was identified by linkage with the Danish Psychiatric Central Register. RESULTS: Overall, 2232 people developed bipolar affective disorder during 1971-2001. We found evidence of an increased risk associated with residence in the provincial city; individuals, who at the 15th birthday lived in the provincial city, had a risk of 1.23 (1.08-1.41). This increased risk was explained solely by an increased risk associated with residence in Aarhus; at the 15th birthday, people residing in Aarhus - the largest of the three Danish provincial cities - had a 1.83 (1.56-2.14) increased risk of bipolar affective disorder (p < 0.001). Urbanicity during upbringing (p = 0.13) had no significant effects on the risk of bipolar affective disorder. CONCLUSIONS: We found no evidence of a dose-response relationship between urbanicity at birth (and during upbringing) and the risk of bipolar affective disorders in Denmark, but found some evidence that the diagnostic practices used in Aarhus differed from the rest of Denmark.

Adolescent↗