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PubMed1995

Teachers' value orientations in urban and rural school settings.

The purpose of this research was to describe physical educators' value orientations for curricular decision making in urban and rural teaching settings. The revised Value Orientation Inventory (Ennis & Chen, 1993) was used to collect data from 495 physical educators in urban and rural districts. Data were analyzed descriptively using a full-design and a nested MANOVA model. Results indicated that teachers in urban school districts placed a higher priority on self-actualization and social responsibility than did teachers in rural school districts. Conversely, teachers in rural school districts placed a higher priority on disciplinary mastery and learning process than did their colleagues in urban schools. The discussion focused on differences in school contexts in urban and rural schools. Teachers appeared to shape their curriculum to reflect the opportunities and constraints within their school settings.

Adult↗
PubMedDate not supplied

A comparative study of body composition of urban and rural Japanese boys 12 to 14 years old.

Whole body counting of potassium-40 and anthropometric measurements were done on 88 urban and rural Japanese boys 12 to 14 years of age. The log-normal distribution provided a good fit to the observed data of potassium content in both groups. The urban and rural boys did not differ significantly in age, weight, body and sitting height, chest and abdomen circumferences, antero-posterior diameter of chest and abdomen, and grip strength. On the other hand, the mean potassium content, K/body weight, K/fat-free mass and estimated upper-arm muscle circumference were significantly greater in rural boys. Skinfold thickness and percentage fat were significantly greater in urban boys. In a regression analysis estimating whole body potassium from anthropometric variables, body weight and skinfold thickness were the most significant variables, accounting for 85.2% of the total variation. Estimation errors were smaller in the rural than in the urban group. Factor analysis was used to identify the factors which could explain the items measuring body composition and strength. Factor 1, in which potassium content and grip strength are the most important items, was designated as the 'Muscular Factor', and Factor 2, in which skinfold thickness and upper-arm circumference are the most significant items, was designated as the 'Fatness Factor'. The factor scores of rural subjects were scattered in a considerably narrower range than those of urban subjects.

Abdomen↗
PubMed2003

B vitamins and plasma homocysteine concentrations in an urban and rural area of Costa Rica.

OBJECTIVE: We studied the association between total plasma homocysteine (tHcy) concentrations and folate, B(12), and B(6) status in the urban and rural areas of Costa Rica. SUBJECTS AND METHODS: We determined plasma tHcy concentrations and assessed dietary folate, B(12) and B(6) intake by a food frequency questionnaire in 462 subjects selected by stratified random sampling in the urban and rural areas of Puriscal, Costa Rica. Plasma folate and vitamin B(12) concentrations were measured in women. RESULTS: THcy concentrations were higher (p < 0.01) in the rural compared with the urban area: 12.0 micro mol/L vs. 8.9 micro mol/L in men, and women 7.3 micro mol/L vs. 5.5 micro mol/L in women, respectively. The prevalence of hyperhomocysteinemia (greater than 15.0 micro mol/L) was twice as high in rural compared with urban men (19.8% vs. 10.8%, p = 0.06) and women (6.6% vs. 3.4%, p = 0.26). Most study subjects (98%) had folate intakes that were less than the recommended 400 micro g/day. In women, 31% of those living in the urban area and 40% of those in the rural area had plasma folate concentrations of less than 6.8 nmol/L, an indicator of folate deficiency. In women, age-adjusted mean tHcy concentrations ( micro mol/L) were higher in the lowest compared with highest quintiles for dietary vitamin B(6) (9.9 vs. 5.4, p < 0.05), B(12) (9.2 vs. 4.9, p < 0.01), and folate (7.0 vs. 5.7, p = 0.87). Similar results were found for plasma B(12) (9.9 vs. 5.4, p < 0.01) and folate (10.5 vs. 5.0, p < 0.0001). CONCLUSIONS: Residents of the rural area in Puriscal, Costa Rica have higher plasma concentrations of tHcy and lower intake of B vitamins, particularly in women. Because these characteristics are associated with high risk of cardiovascular disease, the efficacy of food fortification program in rural areas should be carefully addressed.

Adult↗
PubMed1996

Urban ozone plumes and population distribution by income and race: a case study of New York and Philadelphia.

Who lives in the downwind areas of urban ozone plumes? Location theory suggests that the poor should disaproportionately populate the downwind area, while the rich are most likely to live outside urban ozone plumes. Dynamically, we would expect that the downwind area would become poorer over time because the rich would "vote with their feet" under the serious impacts of urban ozone plumes. However, the importance of urban ozone pollution could be discounted due to the public's risk perception. According to risk and air quality perception literature, one would expect that the public would likely perceive ozone air pollution as a relatively low risk, compared with other environmental risks and social concerns. Therefore, actual population distribution might not follow what location theory suggests. Who actually does live in the downwind areas of urban ozone plumes? The results from a case study of New York and Philadelphia show that the ozone downwind areas are currently populated by a considerably larger proportion of upper income households and whites than the source areas. Furthermore, the population dynamics data do not provide any evidence for the "vote with their feet" hypothesis. While these findings deviate from the hypotheses prescribed by location theory, they are consistent with what we could expect from theories of risk perception.

Air Pollutants↗
PubMed2004

Spatial variability of PM2.5 in urban areas in the United States.

Data from the U.S. Environmental Protection Agency's Aerometric Information Retrieval System (now known as the Air Quality System) database for 1999 and 2000 have been used to characterize the spatial variability of concentrations of particulate matter with aerodynamic diameter < or = 2.5 microg (PM2.5) in 27 urban areas across the United States. Different measures were used to quantify the degree of uniformity of PM2.5 concentrations in the urban areas characterized. It was observed that PM2.5 concentrations varied to differing degrees in the urban areas examined. Analyses of several urban areas in the Southeast indicated high correlations between site pairs and spatial uniformity in concentration fields. Considerable spatial variation was found in other regions, especially in the West. Even within urban areas in which all site pairs were highly correlated, a variable degree of heterogeneity in PM2.5 concentrations was found. Thus, even though concentrations at pairs of sites were highly correlated, their concentrations were not necessarily the same. These findings indicate that the potential for exposure misclassification errors in time-series epidemiologic studies exists.

Air Pollutants↗
PubMed2006

Use of remotely sensed data for analysis of land-use change in a highly urbanized district of mega city, Istanbul.

The study forms an example on monitoring and understanding urban dynamics by using remotely sensed data. The selected region is a rapidly urbanizing district of the mega city Istanbul, Gaziosmanpasa, whose population has almost doubled between years 1990 and 2000. The significance of this district besides its urban sprawl is that 61% of its land lies within the boundaries of an important drinking water reservoir watershed of the mega city, the Alibeykoy Reservoir. The land-use/cover changes that has occurred in the years of 1987 and 2001 are analyzed by utilizing a variety of data sources including satellite images (Landsat TM image of September 1987 and Landsat ETM+ image of May 2001), aerial photographs, orthophoto maps, standard 1:25000 scale topographic maps, and various thematic maps together with ground survey. Land-use changes are analyzed on the basis of protection zones of the reservoir watershed and the conversion of bare land and forests to settlements are clearly observed despite the national regulation on watershed protection. The decline of forests within the protection zones was from 69% to 63.6% whereas the increase in settlements was from 0.8% to 3.9%. The associated impact of establishing new residential sites with insufficient infrastructure is then linked with the water quality of the reservoir that has already reached to Class III characteristics regarding the recently revised national legislation stating that any class exceeding Class II cannot be used as a drinking water supply that in turn, had consequences on regulating the water services such as upgrading the existing water treatment plant. The paper aims to help the managers, decision-makers and urban planners by informing them of the past and current land-use/cover changes, to influence the cessation of illegal urbanization through suitable decision-making and environmental policy that adhere to sustainable resource use.

Cities↗
PubMed2001

Rural-urban differences in substance use and treatment utilization among prisoners.

Surveys of incarcerated offenders and arrestees consistently report high rates of both alcohol and drug use in this population. This drug-crime connection has highlighted the need to learn more not only about drug treatment effectiveness, but also about drug treatment utilization. While studies have begun to examine drug treatment utilization, most of these studies have been based on urban substance abusers. Little is known about the extent to which urban and rural substance abusers may be different in terms of treatment utilization. This study, therefore, examines differences between urban and rural drug use patterns and treatment utilization among chronic drug abusers to determine whether, and in what ways, rurality may affect substance abuse and treatment seeking. The study examines these issues in a group of chronic drug users who were incarcerated at the time of the study. Findings show significant differences in drug use and treatment utilization of urban and rural offenders. Chronic drug abusers from rural and very rural areas have significantly higher rates of lifetime drug use, as well as higher rates of drug use in the 30 days prior to their current incarceration than chronic drug abusers from urban areas. Nonetheless, being from a very rural area decreased the likelihood of having ever been in treatment after controlling for the number of years using and race. While problem recognition appears to explain much of the effect of very rural residence on treatment utilization for alcohol abuse, the effects of being from a very rural area on seeking treatment for drug abuse remain statistically significant even after controlling for several other variables. The findings point to the importance of providing culturally appropriate education to very rural communities on the benefits of substance abuse treatment and of providing substance abuse treatment within the criminal justice system.

Adult↗
PubMed2002

Arrestees' perceived needs for substance-specific treatment: exploring urban-rural differences.

An interview study among a group of arrestees in seven county jails was conducted in the state of Ohio between June 1999 and September 2001, examining the prevalence of alcohol and drug dependence within the group and assessing the need for substance-abuse treatment. Four of the county jails where interviews were conducted are in urban areas, and three are in rural areas. The present study focused on demographic variables, situation-related factors, current drug dependence diagnoses, past treatment experience, and jail location-rural or urban. It sought to assess whether these factors predicted arrestees' perceived needs for substance-specific treatment (for alcohol, marijuana, cocaine, and/or opiate addiction); and, further, whether any predictors of a perceived need for treatment would be identical for arrestees housed in rural jails and those housed in urban jails. The results show that some of the factors assessed do exert differential effects on rural and urban arrestees' perceived needs for substance-specific treatment. Future treatment policy within the criminal justice system should perhaps take into account inmates' individual characteristics and the rural or urban location of the jail initiating their processing. It may be possible, by paying attention to these variables, to enhance inmates' motivation to enter treatment programs, leading ultimately to drug-use cessation.

Adult↗
PubMed2005

"I know what love means." Gender-based violence in the lives of urban adolescents.

OBJECTIVES: In focus groups designed to probe violence and fighting, urban youth emphasized the impact of gender-based violence in their lives. We used this opportunity to qualitatively explore how gender-based violence affects the lives of urban adolescents. METHODS: Thirteen structured focus group interviews were held with youth from three high-violence settings: a large, urban high school, a training center for disadvantaged youth, and a school for adjudicated youth. Participants were 120 urban, predominant African American youth and young adults ages 14-22. Seven focus groups were conducted with females and six with males. RESULTS: Participants did not talk about violence without discussing the gender-based violence they experienced in a number of social roles: as witnesses to family violence, as victims of intimate partner and dating violence, or as peer observers of harassing and violent behavior. Male participants felt that other males used violence as a way of maintaining a sense of power over their partners. Participants of both genders struggled to identify the boundaries between playing, harassment, and abuse. Female participants suggested that females sometimes wanted males to hit them, interpreting this violence as a sign of commitment. Similarly, females struggled to determine if gender-based violence could be a reflection of love. CONCLUSIONS: Gender-based violence is a significant issue in the lives of urban adolescents. Youth experienced gender-based violence in a number of contexts and roles, and many had concluded that such violence was sometimes acceptable. Prevention strategies should start early and address the spectrum of youths' experiences.

Adolescent↗
PubMed2000

Healthy ageing in urban and rural Britain: a comparison of exercise and diet.

OBJECTIVE: to compare exercise levels, and dietary intake of fruit and vegetables in representative samples of healthy elderly people living in rural and urban areas. DESIGN: two-wave (screening followed by face-to-face interview) cross-sectional survey. SETTING: rural Cambridgeshire and urban Nottingham, UK. PARTICIPANTS: 2041 respondents (1021 in Cambridgeshire; 1020 in Nottingham) sampled from general practitioner lists. MAIN OUTCOME MEASURES: self-rated reports of health, exercise and food frequency. RESULTS: within these samples of healthy elderly people, those living in rural Cambridgeshire were significantly more likely to consume fresh fruit [odds ratio (OR) = 1.81, 95% confidence interval (CI) = 1.52-2.16, P < 0.001] and green vegetables (OR = 3.70, 95% CI = 3.07-4.45, P < 0.001) daily in both the summer and winter months. While overall levels of activity were similar for both groups, the structure of activities differed, with the urban sample reporting significantly greater time spent walking. CONCLUSIONS: against current World Health Organisation recommendations for fruit and vegetable consumption, respondents in rural areas reported a substantially 'healthier' diet than their urban peers. On the other hand, urban elderly people may enjoy greater cardiovascular protection from greater time spent walking.

Aged↗
PubMed1977

Nutrient intake and serum lipids in urban and rural Puerto Rican men.

Dietary intake information was collected on 2,426 rural and 5,828 urban men free of coronary heart disease in the Pureto Rico Heart Health Program. Serum cholesterol and triglyceride, body weights, and related parameters were measured during a detailed cardiovascular examination. There were statistically significant differences between rural and urban values with respect to lipids, relative weight, and intake of many nutrients. Rural subjects had lower lipids and relative weights. Serum cholesterol was associated with relative weight in both rural and urban areas. In the urban areas, serum cholesterol was associated with intake of total fat, saturated fatty acids, polyunsaturated fatty acids, total carbohydrate, and starch (all measured as percent of calories). It was also related to percent carbohydrate from starch and dietary cholesterol intake, even after relative weight was taken into account. The associations were of a low order, although statistically significant. The association of fasting triglycerides with some of the carbohydrate variables was statistically significant after relative weight was taken into account in the urban area. Overall, diet and relative weight can account for at most 6% of the variability in serum cholesterol observed, with at most 2.5% of the variability due diet alone.

Age Factors↗
PubMed2006

Impact of urban atmospheric pollution on coronary disease.

Recent epidemiological findings have suggested that urban atmospheric pollution may have adverse effects on the cardiovascular system as well as on the respiratory system. We carried out an exhaustive search of published studies investigating links between coronary heart disease and urban atmospheric pollution. The review was conducted on cited articles published between 1994 and 2005 and whose main objective was to measure the risk of ischaemic heart diseases related to urban pollution. Of the 236 references identified, 46 epidemiological studies were selected for analysis on the basis of pre-defined criteria. The studies were analysed according to short-term effects (time series and case-crossover designs) and long-term effects (case-control and cohort studies). A link between coronary heart disease and at least one of the pollutants studied (PM10, O3, NOx, CO, SO2) emerged in 40 publications. Particulate matter, nitrogen oxides, and carbon monoxide were the pollutants most often linked with coronary heart disease. The association was inconstant for O3. Although the mean mortality or morbidity risk related to urban atmospheric pollution is low compared with that associated with other better-known risk factors, its impact on health is nevertheless major because of the large number of people who are exposed. This exhaustive review supports the possibility that urban pollution is indeed an environmental cardiovascular risk factor and should be considered as such by the cardiologists.

Air Pollution↗
PubMed2000

Treating patients with colorectal cancer in rural and urban areas: a qualitative study of the patients' perspective.

OBJECTIVES: The aim of the present study was to explore the perspectives of patients receiving treatment for colorectal cancer and compare priorities and attitudes in rural and urban areas. METHOD: A qualitative study was carried out involving four focus groups in the Aberdeen and Northern Centre for Haematology, Oncology and Radiotherapy. The sample comprised 22 patients at various stages of treatment for colorectal cancer and 10 of their relatives from different locations of Northeast Scotland and Shetland. The main themes generated by participants were identified, and similarities and differences between urban and rural patients were noted within these themes. RESULTS: Components of care that were important to rural and urban patients were speed of referral to specialists for treatment and issues of communication including test results and delivery of bad news. Tensions were perceived at the interface of primary and secondary care and these were blamed for delays in referral and communication breakdowns. For some, the referral process comprised a series of barriers to be overcome, and there were additional hurdles for remote patients referred initially to local (non-specialist) hospitals. Rural patients appeared to be less demanding than their urban counterparts when evaluating their care, and this was extended to the acceptance of some clear transport problems. CONCLUSIONS: For patients, the most important components of cancer care were similar, whether rural or urban residents. The main differences for rural patients were lower expectations of care and more hurdles before reaching specialist care. These differences might explain the trend to more advanced disease at diagnosis in rural patients if they lead to significant delays. GPs have major influences on this and all the patients' priorities.

Aged↗
PubMed1994

Trends, priorities and policy directions in the control of vector-borne diseases in urban environments.

The habitats available in urban environments tend to be rather lacking in diversity compared to those in the countryside, and relatively few species are able to exploit them. Those that can, however, often find themselves relatively well provided with food and places to live, and relatively free of competitors and predators. This applies not only to such well-known species as the house-sparrow, but also to most of the important mosquito vectors of human disease in urban areas. Human city dwellers thus tend to be exposed to a different spectrum of disease than their rural counterparts. This review describes how the physical and social changes associated with urbanization have altered the transmission of vector-borne disease. It concentrates on the important mosquito-borne infections: malaria, dengue and filariasis. Dengue virus vectors breed in relatively clean water in man-made containers, while urban filariasis vectors breed in highly polluted water, and these mosquitoes have now been spread by man's activities to almost every tropical city. With important exceptions, anopheline malaria vectors have not generally succeeded in adapting to urban life, but malaria can still be a problem where there are rural pockets in the middle of town. Each of these problems requires control using different technologies and timing. The following policy implications are stressed. The areas of responsibility between different sectors of the local services (health, water supply, sanitation), and between these and the public, need to be clearly defined. Due to the biological complexities of vector-borne disease, decentralized primary health care systems are generally incapable of ensuring that control efforts are adequately targeted in time and space. Community support is essential but specialized technical skills are also required.

Animals↗
PubMed2004

Differences in physical activity levels between urban and rural school children in Cyprus.

This study attempted to examine differences in physical activity levels between urban and rural primary school children. The sample consisted of 256 Greek-Cypriot children and their parents from two schools representing urban areas and three schools representing rural areas. Children's activity levels were assessed for 4 weekdays in the winter and for 4 weekdays in the summer using a pedometer (DW-200; Yamax, Tokyo, Japan). Daily step counts were used to describe children's activity levels. Parents completed a questionnaire assessing environmental variables in both seasons. Two-way ANOVAs indicated that urban school children were significantly more active in winter than rural school children (means = 13,583 +/- 4,313 versus 12 436 +/- 3610, P < 0.001) and that rural school children were significantly more active in the summer (means = 16,450 +/- 5134 versus 14,531 +/- 4,901, P < 0.001). Parents of children in rural schools reported more space available in the garden and in the neighbourhoods, and safer neighbourhoods than parents of children in urban schools, whereas children in urban schools had more exercise equipment available at home and were transported more frequently to places where they could be physically active. Results of this study suggest that intervention programmes to promote physical activity need to consider seasonal and geographical location differences in physical activity levels.

Child↗
PubMed1984

Serum lipoprotein concentrations in relation to ethnic composition and urbanization in men and women of Trinidad, West Indies.

A total population survey of serum lipoprotein concentrations was undertaken in an urban community in Port-of-Spain, Trinidad, and the results compared with rural survey on the same island and a study of healthy adults in Bristol, England. Lipoproteins were separated with identical techniques and lipid determinations made in a common laboratory. In Trinidad, response rates for men and women were 93 and 88% respectively in the urban survey, and 89% in the smaller rural study. Mean concentration of HDL cholesterol was significantly lower and LDL cholesterol significantly higher in urban men than rural men. No urban-rural differences were found in women. In urban men under 55 years, HDL and LDL cholesterol concentrations were similar in Port-of-Spain and Bristol while VLDL triglyceride was relatively high in Trinidad. Distinct ethnic differences in lipoprotein concentrations were found in Trinidad. Indian men and women tended to have a low HDL cholesterol relative to other ethnic groups, while African men and women were characterized by relatively low concentrations of LDL cholesterol and VLDL triglyceride. The reduction in HDL cholesterol of Indian men appeared to be due mainly to a relatively low HDL3 concentration. The results are consistent with reported regional, sex and ethnic differences in CHD incidence in Trinidad, and accord with statistics which show cardiovascular disease to have emerged as the major cause of death in this community.

Adult↗
PubMed1992

Serum lipids and their correlates in Chinese urban and rural populations of Beijing and Guangzhou. PRC-USA Cardiovascular and Cardiopulmonary Epidemiology Research Group.

In 1983 and 1984, surveys were conducted in four Chinese population samples, urban and rural for both Beijing and Guangzhou, as part of PRC-USA collaborative research in cardiovascular and cardiopulmonary epidemiology. Serum total cholesterol (TC), HDL-cholesterol (HDL-C), and triglycerides (TG) were measured in 4280 men and 4695 women aged 35-54 years, in laboratories standardized by the US Centers for Disease Control. Age-adjusted mean serum TC was higher in urban than rural samples and generally higher in Beijing than Guangzhou, ranging from 155 mg/dL for Guangzhou rural women to 187 mg/dl for Guangzhou urban women. Group mean values of HDL-C varied from 48 to 59 mg/dl, higher in Beijing than Guangzhou, and higher in women than men. TC/HDL-C ratio ranged from 3.05 to 3.82. Serum TG values were higher for Beijing than Guangzhou; the lowest group mean values of 78 mg/dl and 75 mg/dl were in rural Guangzhou men and women. Mean body mass index (BMI) was uniformly low, ranging from 20 kg/m2 for rural Guangzhou to 24 kg/m2 for urban Beijing. Multiple regression analyses showed that BMI was positively and independently related to serum TC, LDL-C, TG, and TC/HDL-C, and inversely related to HDL-C. Smoking was positively related in both sexes to TG and TC/HDL-C, and inversely related to HDL-C. Smoking was also positively related to TC and LDL-C in men. In men, alcohol was positively related to TC and HDL-C, and was inversely related to TG and TC/HDL-C. Heavy manual work was inversely related to TC, LDL-C, and TC/HDL-C in men, but not related to lipids in women. Thus, for these Chinese population samples, despite their lower serum TC and BMI, the correlates of serum lipids are similar to those in western populations. These variables accounted for only part of the observed urban-rural and north-south differences in serum lipids among these Chinese population samples. The significance of the relatively low serum TC and TG and high HDL-C in relation to low cardiovascular disease in Chinese populations is the object of further investigation in follow-up studies.

Adult↗
PubMed2002

Rural-to-urban migration and cardiovascular disease risk factors in young Guatemalan adults.

BACKGROUND: Migration to cities may increase cardiovascular disease risk factors in developing countries. We examined rural and urban individuals who were born in the same villages and shared similar childhood experiences. METHODS: Blood lipids and glucose, blood pressure, anthropometry, body composition, physical activity, and food, tobacco and alcohol consumption were examined in 161 men and 193 women, 19-29 years old, living in their village of birth (76 commuted to work in Guatemala City), and in 76 men and 43 women living in the city. RESULTS: Rural and urban women had similar prevalence of overweight (28%), elevated body fat (29.8 +/- 6.1%) and low physical activity (83%). Compared to rural men, more urban men were sedentary (79 versus 27%), and they had higher body fat (15.3 +/- 5.3% versus 13.3 +/- 5.7%), serum cholesterol (4.27 +/- 0.75 versus 3.90 +/- 0.70 mmol/l [165 +/- 29 versus 151 +/- 27 mg/dl]), low density lipoprotein [LDL]-cholesterol (2.66 +/- 0.72 versus 2.30 +/- 0.62 mmol/l [103 +/- 28 versus 89 +/- 24 mg/dl]) and total cholesterol/high density lipoprotein [HDL]-cholesterol ratio (4.6 +/- 1.0 versus 4.1 +/- 0.9). Commuters showed intermediate values. Women had higher serum cholesterol (4.43 +/- 0.80 mmol/l [171 +/- 31 mg/dl]) than men in rural and urban areas. Urban residents ate/drank more saturated fats, red meat and sweetened beverages, and less legumes. CONCLUSIONS: High proportions of young Guatemalan women were overweight and sedentary. Migration to a city increased sedentarism and undesirable eating habits among men and women; men became fatter and their lipid profile worsened. Public health actions must address the prevention of emerging chronic diseases in countries still burdened by undernutrition and infections.

Adult↗