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Characteristics of condom use and associated problems: experience in Bangladesh.

Data from the 1983 Bangladesh Condom User Survey (BCUS) are analyzed for patterns of condom use and various problems directly influencing their effectiveness. The survey was undertaken to explain an apparent gap between reports of the number of condoms distributed in certain areas compared with prevalence of users as reported in contraceptive prevalence surveys. These data are analyzed from behavioral and management perspectives to identify various factors influencing utilization, with potential implications for understanding and improving family planning and AIDS/STD prevention service systems. Patterns of use are related to differences in source of supply through public, free or private-priced systems, differences in urban or semi-rural place of residence, and differences in perceptions of men or women. The problem with condom use most often identified by the respondents was breakage.

Adult↗

[Determining fertility behavior using path analysis].

In order to examine factors influencing the perception of ideal family size in Poland, "the present paper discusses path models, which explain a central reproductive behaviour category i.e. the actual number of children....[The author finds that] the image of the ideal family size directly influences the existing number of children. Path coefficients show that the increase of the ideal number of children by one standard deviation is associated with the increase of actual family size by approximately one third standard deviation of this explanatory variable." Other variables considered include parental influence, rural or urban residence, educational status, age at marriage, religion, and quality of life. (SUMMARY IN ENG)

Behavior↗

Characterization and distribution of polycyclic aromatic hydrocarbon in surface water and sediment from Qiantang River, China.

The spatial and temporal distribution of polycyclic aromatic hydrocarbons (PAHs) has been investigated in Qiantang River, an important drinking water resource in Yangzi River Delta, China. A total of 218 samples, including 180 water and 38 sediment samples were collected in January, April, July and October, 2005. The concentrations of total PAHs in water ranged from 70.3 to 1844.4ng/L with the mean value of 283.3ng/L, which were predominated by two- and three-ring PAHs. The concentration of total 15 PAHs in sediment ranges from 91.3 to 614.4ng/g dry weight with the mean value of 313.1ng/g dry weight, and three- and four-ring PAHs were dominant species. The ratios of AN/(AN+Phen) and Flur/(Flur+Pye) were calculated to evaluate the possible sources of PAHs. These ratios reflected a pattern of petrogenic input of PAHs in Qiantang River. The contents of PAHs in city zones were much higher than those in rural areas. It may be concluded that the urbanization and industrialization are causing some negative effect on the drinking water resource. As a drinking water resource, there existed certain potential health risks to drinking water consumers and organism in Qiantang River Basin.

China↗

Urban-rural migration in Australia: a process view of the turnaround.

"This paper summarizes the evidence for the existence of a trend toward population deconcentration in Australia at the macro and meso (national and state) levels. It seeks to relate processes of population dynamics identified at macro, meso and micro levels to several hypotheses which have been put forward to explain the turnaround. A preliminary explanatory model which links causal mechanisms operating at different levels of the spatial and urban hierarchy is outlined."

Australia↗

Analysis of the household distribution of trachoma in a Gambian village using a Monte Carlo simulation procedure.

Studies on the household distribution of trachoma have reached conflicting conclusions. This paper describes a cross-sectional survey of endemic trachoma in a Gambian village. Cases of active trachoma were mapped, and the compound and household distribution of the disease analysed by a Monte Carlo simulation procedure which takes into account differences in the size and age distribution within individual households. Significant clustering of active trachoma cases both by village compound (p less than 0.0001) and bedroom (less than 0.05) were detected supporting the concept that intra-familial transmission of trachoma is important. There was no evidence of spatial clustering of rooms with higher than expected prevalence of trachoma. Clustering of disease in space or time provides important evidence of infectious aetiology and route of transmission. The methods discussed here are generally applicable in the study of other infectious diseases.

Adolescent↗

Bayesian ranking of sites for engineering safety improvements: decision parameter, treatability concept, statistical criterion, and spatial dependence.

In recent years, there has been a renewed interest in applying statistical ranking criteria to identify sites on a road network, which potentially present high traffic crash risks or are over-represented in certain type of crashes, for further engineering evaluation and safety improvement. This requires that good estimates of ranks of crash risks be obtained at individual intersections or road segments, or some analysis zones. The nature of this site ranking problem in roadway safety is related to two well-established statistical problems known as the small area (or domain) estimation problem and the disease mapping problem. The former arises in the context of providing estimates using sample survey data for a small geographical area or a small socio-demographic group in a large area, while the latter stems from estimating rare disease incidences for typically small geographical areas. The statistical problem is such that direct estimates of certain parameters associated with a site (or a group of sites) with adequate precision cannot be produced, due to a small available sample size, the rareness of the event of interest, and/or a small exposed population or sub-population in question. Model based approaches have offered several advantages to these estimation problems, including increased precision by "borrowing strengths" across the various sites based on available auxiliary variables, including their relative locations in space. Within the model based approach, generalized linear mixed models (GLMM) have played key roles in addressing these problems for many years. The objective of the study, on which this paper is based, was to explore some of the issues raised in recent roadway safety studies regarding ranking methodologies in light of the recent statistical development in space-time GLMM. First, general ranking approaches are reviewed, which include naïve or raw crash-risk ranking, scan based ranking, and model based ranking. Through simulations, the limitation of using the naïve approach in ranking is illustrated. Second, following the model based approach, the choice of decision parameters and consideration of treatability are discussed. Third, several statistical ranking criteria that have been used in biomedical, health, and other scientific studies are presented from a Bayesian perspective. Their applications in roadway safety are then demonstrated using two data sets: one for individual urban intersections and one for rural two-lane roads at the county level. As part of the demonstration, it is shown how multivariate spatial GLMM can be used to model traffic crashes of several injury severity types simultaneously and how the model can be used within a Bayesian framework to rank sites by crash cost per vehicle-mile traveled (instead of by crash frequency rate). Finally, the significant impact of spatial effects on the overall model goodness-of-fit and site ranking performances are discussed for the two data sets examined. The paper is concluded with a discussion on possible directions in which the study can be extended.

Accidents, Traffic↗

Measurements of nitrogen dioxide concentrations at rural sites in the United Kingdom using diffusion tubes.

Nitrogen dioxide concentrations have been measured at rural sites in the United Kingdom and have revealed a marked spatial variation. The annual mean NO2 concentration varies from approximately 1 microg Nm-3 in Northern Ireland to approximately 7 microg Nm-3 in East Anglia. Though the temporal resolution of the diffusion tube method is limited by exposure periods of 2-4 weeks, it was possible to detect a marked seasonal variation in NO2 concentration at all sites, with higher values in the winter than in the summer. This is in contrast to the small seasonal variation previously observed at sites in London. Sulphur dioxide concentrations were measured daily using a bubbler method and, if expressed in terms of mass of sulphur and nitrogen, the SO2 and NO2 annual mean concentrations were similar. This is in contrast to an S/N ratio of greater than 3 in total UK emissions of SO2 and NOx. It seems likely that this difference is due to a combination of the different spatial distributions and heights of emissions of SO2 and NOx, the influence of local sources of NOx, and the smaller S/N ratio in Continental European emissions.

Journal Article↗

Recent trends in age-specific mortality in India.

"In this paper we have analyzed the data from the Sample Registration System [SRS] on mortality by age and sex [in India] since 1970. Some of the major conclusions emerging from this analysis are: (i) Mortality has declined more rapidly among infants, children under 15 years and women of reproductive ages....(ii) Among adults, mortality has declined more rapidly among females than among males, the differential gain being largest in the age span 25-49. But in ages under 15, there is no evidence to suggest a gender differential in mortality decline. (iii) Among children and women of reproductive ages, mortality has declined more rapidly in urban areas than in rural areas but the reverse is true in the case of adult men.... The paper also analyzes the trends in mortality in major states of India during 1970-86." The authors observe a significant shift in patterns between 1978 and 1979, and conclude that this may be limited to changes in SRS data collection techniques.

Asia↗

A geographic analysis of non-Russian minorities in Russia and its ethnic homelands.

"The paper...analyzes the characteristics of 27 million non-Russians who constituted 18 percent of the population of the Russian Federation and its 31 ethnic homelands in 1989. Utilizing data from all Soviet censuses (from 1926), it reviews long-term historical trends; growth patterns related to urban-rural differences, family size, regional contrasts in rates of natural increase, and specific ethnic traits; migration patterns; factors influencing language shifts to the Russian; effect of location inside or outside homeland; and the influences of transportation, cities, and economic development in individual homelands."

Communication↗

The role of population in understanding Honduran land use patterns.

Land use patterns are usually influenced by large variety of factors that act over a broad range of scales. Biophysical, climatic, and socioeconomic factors are important and need to be considered, when distribution of land use is to be understood. The main objective of this study is to test this hypothesis using a statistical analysis at 'supra-local' level. Regression analysis is used to describe land use patterns in Honduras, selected because of its rare combination in Latin America of high population growth and poor biophysical conditions. Furthermore, the aim of the analysis is to specifically highlight two aspects, the effect of spatial and temporal scale and the influence of population density: to determine the influence of spatial and temporal scale, six spatial resolutions at two points in time (1974 and 1993) were included. To determine the role of population density and population growth, this factor was singled out; an analysis of migration patterns was performed; and a measure for technological development was calculated. Multiple regression equations indicate the importance of soil-related, climatic and demographic factors for most of the land uses. Relations appear to be stable in space and time. Rural population density dominates as driver over the whole range of resolutions and for both years, especially for maize where it explains up to 80% of the variation. The strong constant relationship between population and agricultural area could be caused by a lack of technological development. An analysis of yield development confirms that for most annual crops yield increases lag behind area growth. Besides, the strong correlation could be explained by assuming rural population density to be a proxy for a range of other factors, like labour costs, or accessibility that are the direct drivers of land use change. In any case, this study suggests that for a specific--relatively coarse--window of temporal and spatial scale, land use patterns can be described with very simple relationships, with a strong contribution of population density. More local studies are needed to test the hypothesis that rural population density is a proxy for other variables.

Agriculture↗

Forecasting the AIDS epidemic in Puerto Rico.

The purpose of this study is to model and predict the diffusion of the AIDS epidemic in Puerto Rico. Specifically we aim at identifying primary influences in the geographical distribution of the population affected with AIDS to produce a reasonable projection of the time and space paths that will be followed by the epidemic. The study is based on AIDS incidence data from 1982 through 1992. The epidemic is analyzed statistically through multivariate regression and the potential model to produce a probability surface in which risk behavior and intra-municipality mobility are significant risk factors. The growth forecast is produced using the logistic function fitted to the past growth using an iterative non-linear optimization method. A simulation technique is then employed to forecast the spatial development of the epidemic from 1993 through 1997. The results indicate a clear hierarchical tendency at the beginning of the epidemic, later a wave-like diffusion pattern is also observed. While the absolute number of new cases is expected to remain higher in the more urbanized areas, the relative growth of AIDS cases is likely to become much higher in the rural municipalities. The forecasting procedure employed here is applicable to populations with diverse epidemiological profiles.

Acquired Immunodeficiency Syndrome↗

Infant and child mortality in rural Egypt.

This research examines determinants of infant and child mortality in rural Egypt, primarily the effects of household economic status and the availability of health services. Certain features of the health service environment affect survival in the neonatal period. In early childhood, survival chances improve markedly as income increases and if the household depends almost exclusively on employment income. In infancy and in early childhood, mortality is strongly associated with region of residence and maternal demographic characteristics, and is weakly associated with parental schooling.

Child, Preschool↗

Deaths in infancy and early childhood in a well-vaccinated, rural, West African population.

A survey of deaths in children under the age of 7 years was made over a 1-year period in a rural area of The Gambia with few facilities for curative medicine but with a good record of infant immunizations. One hundred and eighty-four deaths were investigated. Only 12% of deaths occurred in a hospital or health centre but an attempt was made to establish a cause of death by interviewing the family of each dead child and by examining any health records that were available. The infant mortality rate was 142 per 1000 live births and the child mortality rate (death in children aged 1-4 years) 43 per 1000 per year. Acute respiratory infections, malaria and chronic diarrhoea with marasmus were the most frequent causes of death after the 1st month of life. Few children died of diseases that could have been prevented by routine immunizations. An effective immunization programme has probably had some effect on deaths in infancy and early childhood but it will be necessary to find ways of preventing deaths from malaria, acute respiratory infections and chronic diarrhoea/marasmus at the primary health care level if infant and childhood mortality are to be reduced further in rural areas of The Gambia.

Age Factors↗

Balancing global city with global village.

The discourse on habitat and human settlements is increasingly dominated by that of the global, mega-city. If the aim of those of us in the human settlements field are to improve our understanding of and action on habitat and human settlements, this, often exclusive, focus is a mistake. Our habitat is better understood and acted upon as a network of interwoven settlements and surrounding countryside, large and small, themselves interwoven within our larger ecosystem. In this network the habitat of our smaller settlements (smaller cities, towns, villages) and rural areas and our global village also plays a critical role. The assumption can be challenged that urbanization and the mega-city are the critical issues of habitat and human settlements. Evidence suggests that with some rurbanization there is also counter urbanization, the ruralization of cities, and, perhaps most important, a growing urbanization as city-country interactions intensify. Habitat for all and habitat for a healthy, sustainable planet demands our openness to these new concepts and realities. It demands an integrated, balanced, approach which helps a wide range of living settlement nodes, large and small, to nurture each other. Global City and Global Village must go hand in hand. Our planetary and human health depends on it.

Demography↗

Width and center-axis location of the radioactive plume that passed over Dolon and nearby villages on the occasion of the first USSR A-bomb test in 1949.

In relation to the efforts to reconstruct the radiation dose in Dolon village, which was affected by the first USSR atomic bomb test in 1949 at the Semipalatinsk nuclear test site, the width and the center-axis location of the radioactive plume were investigated based on the soil contamination data around Dolon and the nearby villages. Assuming that the radioactive plume passed over along a straight line from the ground zero point to this area, the spatial distributions of soil contamination were plotted as a function of the perpendicular distance from the supposed center-axis of the plume. In total 83 and 52 soil contamination data were available for 137Cs and 239,240Pu, respectively. The plotted distribution formed a peak-like shape both for 137Cs and 239,240Pu. A Gaussian function drawn so as to envelop the points plotted for 239,240Pu indicated that the central part of the radioactive plume passed over the residential area of Dolon with a sigma value of 1.5 km. Additional soil contamination data around Dolon and other villages are necessary for more detailed discussion.

Air Pollutants, Radioactive↗

Redistribution of the elderly population in Poland: regional and rural-urban dimensions.

"The present paper looks into spatial patterns of the elderly population and the recent configurations of elderly migration in Poland....Compared with other countries in Europe, the ageing of the population of Poland is neither very advanced nor particularly rapid. However, spatial concentration of the elderly population, as well as specific patterns of its redistribution, generate a number of policy issues on the regional and local level. Such problems range from the provision of specialized services to the maintenance of housing and the utilization of farmland."

Adult↗