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At least 19 recordsLinked to original sources

Blood pressure and rural--urban migration in Iran.

To find the possible association between rural-urban migration and elevation of blood pressure a cross-sectional study was carried out with 379 subjects 40--59 years of age in rural areas of East Azarbaijan, northwest Iran. Another cross-sectional study was carried out in Teheran City in which 403 migrants from the same rural areas and also 357 non-migrant urban residents of the same age group from both sexes were examined. Comparison of the three groups showed that, in all age and sex groups, migrants had higher systolic and diastolic blood pressure than did the people in the rural areas of origin. The blood pressure levels of migrants and non-migrants in the city were not much different from each other. The effect of other variables on the levels of blood pressure was investigated. Age, sex and body build (as measured by ponderal index) were also associated with blood pressure. None of these factors however explained the differences in blood pressure levels between rural-urban migrants and people in the rural areas of origin.

Adult↗

Migration, blood pressure pattern, and hypertension: the Yi Migrant Study.

Rural-urban migration provides an ideal opportunity to examine the effects of environment and genes on blood pressure. The effect of migration on the Yi people of China was studied. The Yi people live in a remote mountain area in southwestern China. In 1989, blood pressure was measured in 14,505 persons (8,241 Yi farmers, 2,575 urban Yi migrants, and 3,689 Han urban residents) aged 15-89 years. Different patterns were seen for men and women. Among the men, Yi farmers had the lowest mean blood pressure, the least rise in blood pressure with age (systolic blood pressure, 0.13 mmHg/year; diastolic blood pressure, 0.23 mmHg/year), and the lowest prevalence of hypertension (0.66%). In contrast, both Yi migrant men and Han men had higher levels of mean blood pressure, rise in blood pressure with age (Yi migrants: systolic pressure, 0.33 mmHg/year; diastolic pressure, 0.33 mmHg/year; Han: systolic pressure, 0.36 mmHg/year; diastolic pressure, 0.23 mmHg/year), and prevalence of hypertension (Yi migrants, 4.25%; Han, 4.91%). Among the women, however, mean systolic pressure was higher in Yi farmers than in Yi migrants or in Han. Diastolic pressure was similar among the three groups. However, the Yi farmer women's age-related rise in blood pressure (systolic pressure, 0.06 mmHg/year; diastolic pressure, 0.14 mmHg/year) and their prevalence of hypertension (0.33%) were lower than those in the other two groups. Yi migrant women had an intermediate rise in blood pressure with age (systolic pressure, 0.37 mmHg/year; diastolic pressure, 0.23 mmHg/year) and prevalence of hypertension (2.40%). Han women had the greatest rise in blood pressure with age (systolic pressure, 0.56 mmHg/year; diastolic pressure, 0.36 mmHg/year) and the highest prevalence of hypertension (4.76%). For both men and women, the above differences were only partially explained by age, body mass index, heart rate, smoking, and alcohol use. This study, using standardized methods, demonstrates an important effect of migration on rise in blood pressure with age and on the prevalence of hypertension.

Adolescent↗

A hypothesis for the pathogenesis of essential hypertension: the initiating factors.

A longitudinal study of rural-urban migration from a low blood pressure community was completed in 1985. It is suggested that the rapid increase in blood pressure observed with acculturation in this study constitutes a new dynamic model for the early phase of human essential hypertension. Analysis of data derived from this study indicates that increases in dietary sodium, weight gain and sympathetic tone (possibly reflecting acute environmental stress) are important determinants of the early blood pressure rise. It is proposed that a defence reaction occurs in response to environmental stress which maintains or increases cardiorenal sympathetic outflow, thereby overriding the negative feedback inhibition of sympathetic activity which otherwise occurs when dietary sodium is suddenly increased. The antinatriuretic response results in an early volume-dependent rise in blood pressure. We also propose that variation in individual blood pressure responses to migration may be explained not only by quantum differences in the two environmental factors, but also by a genetically-determined failure of adaptation to the combined effects of these stimuli on renal tubular reabsorption of sodium.

Feeding Behavior↗

Inpatient adolescent psychiatry in a teaching hospital in Nigeria.

The sociodemographic and clinical characteristics of 84 adolescents admitted to the psychiatric unit of a teaching hospital in Nigeria were studied. Their ages ranged from 12-20 years (mean 17). The pattern of psychiatric disorders in this population reflected the pattern in the adult population. Major psychoses comprising schizophrenia (44%), organic brain syndrome (23%), and affective disorders (16%) predominated. Infections and drug abuse are preventable causes of organic brain syndrome. Male adolescents were as likely to be hospitalized for a major psychiatric disorder as female adolescents. The peak period for psychopathology is late adolescence. The contributions of such factors as rural-urban migration, birth order, family size, polygamy and genetics to the etiology of major mental disorders in this population require further investigations. Understanding the prevalence and pattern of presentation of mental disorders in all age groups is essential for effective mental health planning.

Adolescent↗

A world of cities: dream or nightmare?

With the progress of civilization cities, many of which originally developed in Mesopotamia and Egypt, spread northwards into Europe to proliferate there and, later, in the New World. The industrial Revolution, a predominantly British phenomenon, was the original stimulus to Western urbanization, a process that continues to this day. City living has many advantages, but also many drawbacks including increased mortality and urban stress; psychiatry has had to concern itself with many of its difficulties. Rural-urban migration is also currently taking place in Asia, Latin America and Africa; in these continents the problems of urbanization, exacerbated by indigenous factors, have proved to be considerable. Some remedies for overurbanization are considered, as is also city development in the future.

Ethnicity↗

[Chagasic infection in blood donors from hospitals in endemic regions of Chile (1982-1987). Epidemiological impact of the problem].

Chagas' disease, produced by Trypanosoma cruzi and transmitted by hematophagous triatomine bugs, exists in the Western Hemisphere from the south-western United States to central Chile and Argentina. It exists in rural and periurban sections of the northern half of Chile, with a prevalence of 16.9%. Constant rural-urban migrations have contributed to its spreading to urban sections. In order to investigate the impact of these migrations on the population susceptible of being blood donors and the probable increasing of the risk of T. cruzi transmission by blood transfusion, epidemiological surveys were carried out in donors from 22 hospitals located in the northern half of Chile. By means of an indirect hemagglutination test for Chagas' disease 16,841 blood donors were examined, arising a 2.7% of positivity, percentage that permitted to estimate that 126,477 potential blood donors infected with T. cruzi should be in the urban sections studied. These facts strengthen the need that serology for Chagas' disease must be routinely performed in endemic regions of the country, to adopt or reinforce the pertinent preventive measures.

Adolescent↗

Pathways to infection: AIDS vulnerability among the Navajo.

Though the development of AIDS cases among Native Americans has paralleled the early stages of the epidemic in the United States, there are socio/cultural distinctions among many U.S. tribes that could lead to transmission differences. Patterns of sexual behavior, IV drug use, suicidality, use of disinhibitors, and the rural-urban migration found among some members of the Navajo Nation are reviewed, along with recommendations for education/prevention program development. The efficacy of anthropological techniques of rapport building and information gathering about sensitive information is also discussed.

Acquired Immunodeficiency Syndrome↗

[Pragmatic data and observations related to the epidemiology of Chagas disease].

Chagas' disease or American trypanosomiasis is a parasitic zoonosis which constitutes and important public health problem in most of the Latin American countries. According to the development of socio-political events in the world, it is possible at present to speak of rural-periurban Chagas' disease and urban Chagas' disease. Rural-periurban Chagas' disease. In its endemo-enzootic condition it is distributed in vast areas from Mexico in the north and Argentina and Chile in the south. It is calculated that the population at risk is about 90 million persons, not less than 16-18 million are Trypanosoma cruzi infected and approximately 38% of these present or have presented pathology caused by the parasite. Organs most frequently affected: heart, esophagus and colon. The corresponding biological vectors are hematophagus triatomid bugs, with greater than 100 species synantropic (st) or sylvatic (sv), existing between parallels 41 N. and 46 S., but only about 36, which have been found infected, have some relationship with man because their adaptation to human dwelling. The human parasitose is less extended due to the fact that the vectors of the region are predominantly sv. The known reservoirs are more than 180 species of terrestrial mammals: domestic, st and sv. Man is possibly the most important. Some available relevant epidemiological information is summarized as follows: Additionally, some autochthonous cases of T. cruzi human infection have been registered in the United States, Trinidad-Tobago, Guyana and Belize. Moreover, infected vectors and/or sv reservoirs have been observed in almost a dozen of Caribbean countries. Urban Chagas' disease. As a consequence of possible better salaries and many other motivations, in the last decades there have been significant and constant migrations from rural to urban areas in many Latin American countries. This situation has facilitated the dissemination of T. cruzi infection through infected reservoirs--mostly humans--and/or passively transported infected vectors. In most of the cases these rural-urban migrations occur in chagasic endemic areas within a same country or in neighbouring ones; in others, the migration can involve countries where Chagas' disease does not exist, transmission being via blood transfusion or placental. According to some estimates, with a mean rate of 1.5% chagasic infected blood donors the minimum risk of T. cruzi transmission is nearly 12.5-25.0% when the volumen of transfused blood is 500 ml.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

[Changes in the patterns of food consumption in Latin America].

Food consumption patterns have suffered important although not generalized changes in recent years. A series of factors favor these changes, such as variations in family income, rural-urban migration, increase of tertiary activities related to foods, and exposure to commercial propaganda. All of these factors, when compared among them, do not have the same impact or validity. Thus, while the first two induce changes in the food pattern, the last two guide the consumer to certain food products. Modernization of the food pattern in Latin America and the Caribbean has been inspired by the USA food pattern of the previous decade, which from the nutritional and economic points of view, does not prove to be desirable. The average USA diet is rich in both saturated and mono- and polyunsaturated fats, as well as in refined sugar and all types of additives. It is poor in carbohydrates, particular in those of the complex type; most of its protein is of animal origin. It may also be rich in salt and poor in fiber, as it is made up by well-diversified industrialized foods in their presentation, manufactured and marketed by a highly industrialized production-distribution capitalized structure. The adopted model is not in correspondence with out countries' natural resources; it produces a displacement of the consumption patterns based on autochthonous and/or traditional components, and induces an increase in food imports. Since Latin American countries are of poor economic resources, and the model renders expensive products, these are absorbed by the socioeconomic group able to pay for them and/or--intermittently--as a high-cost product by calorie delivered, by the poor groups who are most in need, a situation which would imply serious damage on the quality and quantity of their diet. Changes in food habits and in food consumption patterns are related to a certain socio-demographic process which cannot be stopped. Consequently, this process should be carefully analyzed and understood in order to contribute to channel it in the best possible manner and to protect the food and nutritional situation of the consumer. The expert in nutrition should therefore play an important role in those tasks of public benefit, fundamentally in the areas of regulation and normalization of the quality of new foods, as well as in the diffusion of information and education, at all levels, of the consumer.

Developing Countries↗

The impact of origin community characteristics on rural-urban out-migration in a developing country.

It is widely believed that structural variables such as inequitable land distribution, lack of rural employment opportunities, and rural-urban wage and amenity gaps influence population movements in developing countries. Yet quantitative evidence is scant. In this paper a multilevel model is used to investigate the effects of individual-, household-, and areal-level factors on rural-urban out-migration in the Ecuadorian Sierra. Data from a detailed survey carried out in 1977-1978 and from government macro-areal statistics are used to investigate factors affecting the out-migration of youths aged 12-25. Preliminary conclusions are presented on the usefulness of multilevel models in studying migration and policy implications for Ecuador.

Adolescent↗

The domestic servant as family planning innovator: an Indian case study.

This paper reports on the relatively low fertility of female domestic servants in India. domestic servant have fewer numbers of ever-born and living children than women working in other occupations and women who are unemployed. This low fertility, which appears to be volitional, may have its roots in the incompatibility between the servant's reproductive and the productive roles, as well as in the changing values generated by continued exposure to a wealthier lifestyle. It is suggested that family planning messages aimed at and elicited by more "elite" classes may have a greater impact on fertility behavior than message from prompters with a socioeconomic background similar to the clients', which tend to concentrate on the harsher day-to-day realities of poverty.

Adolescent↗

Anticipated child loss to migration and sustained high fertility in an east Caribbean population.

Development today is commonly accompanied by rapid urbanization and, where possible, high rates of migration to industrialized countries. At the same time, the expected demographic transition has often not materialized despite decreases in death rates. Child-to-woman ratios in St. Vincent and the Grenadines are related to the educational attainment of women in a census district, the percentage of men engaged in agriculture, whether the district has direct access to the outside world through a port or airport, and, when the other variables are controlled, the stability of a district's population. Those districts with the greatest stability of population had the lowest child-to-woman ratios, suggesting that the anticipated loss of children to migration may be an important factor in maintaining high reproductive rates.

Adolescent↗

Vector-borne disease problems in rapid urbanization: new approaches to vector control.

Owing to population growth, poor levels of hygiene, and increasing urban poverty, the urban environment in many developing countries is rapidly deteriorating. Densely packed housing in shanty towns or slums and inadequate drinking-water supplies, garbage collection services, and surface-water drainage systems combine to create favourable habitats for the proliferation of vectors and reservoirs of communicable diseases. As a consequence, vector-borne diseases such as malaria, lymphatic filariasis and dengue are becoming major public health problems associated with rapid urbanization in many tropical countries. The problems in controlling these diseases and eliminating vectors and pests can be resolved by decision-makers and urban planners by moving away from the concept of "blanket" applications of pesticides towards integrated approaches. Sound environmental management practices and community education and participation form the mainstay of some of the most outstanding successes in this area. On the basis of these examples, it is argued that the municipal authorities need to apply a flexible methodology, which must be based on the possibilities of mobilizing community resources, with minimal reliance on routine pesticidal spraying. In this way, vector control becomes a by-product of human development in the city environment. This is now a true challenge.

Animals↗

The metropolitanization and suburbanization of the U.S. elderly population: 1970-1988.

This paper analyzes U.S. Census, Current Population Survey data from 1970 to 1988. It establishes that the young-old (age 65-74) and old-old (75 plus) populations are now more likely to live in metropolitan areas, especially within suburban areas, and are occupying residential locations that are less segregated from other age groups. As early as 1977 the majority of metropolitan elderly people lived in suburban areas, and by 1988 only just over one-quarter of the U.S. elderly population lived in nonmetropolitan areas.

Aged↗

[Randomization of a population for a clinical trial of immunization against the human immunodeficiency virus (HIV)].

Serum HIV antibodies has been investigated in different subpopulation from four different regions in Zäire by Elisa (Elavia Pasteur) and Western Blot. Seropositive prevalence differed from 2.4% (rural population) to 12.5% (urban population) according to the regions. When the group with 2.4% migrated to the area with 12.5% positives, after 8-12 months the number of seropositives in this group raised to 8%, showing an increase of 5.6% within one year. Such population is suitable for a large scale clinical trial (with anti-AIDS vaccine) to be performed on individuals with high risk of natural infection.

AIDS Serodiagnosis↗