Background: Cervical cancer is common among women worldwide. A multitude of risk factors aggravate the disease. This study was conducted to: (1) determine the prevalence and (2) make a comparative analysis of the socio-demographic and behavioural risk factors of cervical cancer and knowledge, attitude and practice between rural and urban women of North Bengal, India. Study Design: Community-based cross-sectional study. Methods: A survey (first in North Bengal) was conducted among 133 women in a rural area (Kawakhali) and 88 women in an urban slum (Shaktigarh) using predesigned semi-structured questionnaires. The respondents were informed of the causes (including HPV), signs and symptoms, prevention of cervical cancer and treatment, and the procedure of the PAP test and HPV vaccination. Results: The prevalence of risk factors like multiparity, early age of marriage, use of cloth during menstruation, use of condom and OCP, early age of first intercourse was 37.2%, 82%, 83.3%, 5.4%, 15.8% and 65.6% respectively. Awareness about the cause, signs and symptoms, prevention of cervical cancer, PAP test and HPV vaccination was 3.6%, 6.3%, 3.6%, 9.5% and 14.5% respectively. Chi-square testing revealed that in the study population, significant differential at 5% exists between rural and urban residents with respect to number of children, use of cloth/sanitary napkins, family history of cancer and awareness regarding causes of cervical cancer. Regarding KAP, again using chi-square tests, surprisingly, level of education is found to be significant for each element of KAP in urban areas in contrast to complete absence of association between education and elements of KAP in rural areas. Conclusions: A large number of risk factors were present in both areas, the prevalence being higher in the rural areas. The level of awareness and role of education appears to be insignificant determinants in rural compared to urban areas. This pilot study needs to be followed up by large scale programmes to re-orient awareness campaigns, especially in rural areas.
The rural living improvement in Japan operates in considerations of socio-eoonomic circumstances of rural community as in Korea. After 1945 the program emphasized the improvement of living conditions such as poverty alienation improvement of house and toilet nutrition after war, From 1955, health programs including better cooking and nutrition, house modification and improved living conditions corresponding to the goal of the developed country were carried out. In 1965. the goal of the rural home economics was focused on the harmonized production and living, improvement of the levels of rural living, health and building rural community. From 1975, the goals of the program were to organize the farming in the better ways and improvement of rural women's role. In 1985, making agreeable living conditions was emphasized under the goal of vital rural society. From the period of Heysey(1989${\sim}$), for better living of rural people the government is emphasizing the programs including farm labor management, utilization of farm products, farm management and rural environments. Recognizing the important influencing resources of agents in extension services, on the job and education was implemented step by step from basic to planning to upgrade competencies. The government is trying to construct better with infrastructures, encouraging direct selling the value-added processed food from local farm products with rural people's real name and other countryside resources. Major programs in the 21st centuries are building better rural society with men and women together and considering elders as well as new farmers.
The objective of this study was to investigate the perception of walking environment and use of neighborhood facilities of rural female elderly, who are the most susceptible to ambulatory problems. The study showed that parks, senior centers and hospitals were among the most frequently used neighborhood facilities by rural female elderly, while bus stations and senior centers were recognized as the closest facilities. Frequency of use was higher for paid sports facilities rather than parks. Hospitals and health centers were facilities that were desired to be in close proximity. Social support, self-efficacy, and attitude were the factors that affected walking environment. Street trees, accessibility to parks, and street lights were factors that showed a positive relationship with total time of walking activity while perceived crime rate and slopes were perceived as environmental challenges for groups that walked under 150 minutes per week. One factor that negatively affected walking was the lack of sidewalks on streets. Providing parks and walking trails within neighborhood, pleasant walking environments, and safe sidewalks would contribute to improved perception of neighborhood and walking of older rural women.
Background: Breast cancer is the most common cancer among women worldwide. A very important factor in the timely treatment and prevention of progression is high breast cancer awareness. Rural women are at risk of latte stage breast cancer due to poor education and lack of access to medical facilities. Materials and Methods: This cross-sectional-descriptive study was conducted on 266 women (out of 300) aged over 18 in rural areas of Zabol, Southeastern Iran during July 2015 to October 2015. The data collection tool was a researcher-made questionnaire that measured participant knowledge of breast cancer in four aspects (general awareness, risk factors, mammography, and symptoms). SPSS 22 was used for statistical analysis. Results: Out of 266 participants, age information was available for 261. The age range was between 19 and 62, with a mean of $27{\pm}2.1years$. Most participants (154, 57.9%) had an average overall awareness of breast cancer. In the general awareness dimension, most participants (130, 48.9%) had poor scores. Most (166, 62.4%) also had average awareness about risk factors and many (137, 51.5%) had good awareness about mammography. Most participants did not know that changes in breast shape (232, 88.2%), dimpling of breast skin (192, 72.3%) and nipple discharge (183, 69.6%) are the main symptoms of breast cancer. ANOVA statistical analysis showed a significant relationship between awareness level and participant education and occupation (P<0.05). Conclusions: This study indicated average awareness of participants about breast cancer. Since rural women have lower levels of education, it is recommended that educational courses with contents about breast cancer, its risk factors, and symptoms be held for these women.
Purpose: The objective of this study was to evaluate the effects of a urinary incontinence management program for middle aged women living in a rural area. Method: The research design was a one-group pretest-posttest design. Forty eight women with urinary incontinence aged 40-64, who lived in a rural area were included in the study. The urinary incontinence management program was composed of urinary incontinence education, pelvic floor muscle exercise, behavior management using a voiding diary. The program had three weekly sessions. Knowledge about urinary incontinence, physical symptoms, self-efficacy, and urinary incontinence related quality of life were measured before and after the program. Results: After carrying the urinary incontinence management program, knowledge score improved significantly compared to before the program ($6.31{\pm}3.30$ vs $7.77{\pm}2.55$, p=.01). But the score for self-efficacy, and urinary incontinence related quality of life did not improve. Conclusion: The 3 week urinary incontinence program had an effect on knowledge related to urinary incontinence, but not self efficacy nor urinary incontinence related quality of life. Thus further study is required to better evaluate the effects of the urinary incontinence program.
Purpose: This study was done to examine factors affecting quality of life among community-dwelling elderly women who live in rural areas. Methods: The design of this research was cross-sectional descriptive study. The participants were 92 community-dwelling women aged 65 or older. Data were collected from November 1 to 15, 2013. ADL (Kart's Index), GDS-SF (Geriatric Depression Scale Short Form) and GQOL (Geriatric Quality of Life Scale) were used to measure variables. Data were collected using self-administered questionnaires and analyzed using descriptive statistics, Spearman's coefficient and stepwise multiple regression. Results: The participants' mean age was 77.5, and 85.9% had elementary school graduation or less education, and for 64.1%, their economic status was low. Spearman's rho coefficient analysis found that QOL was significantly associated with depression (r=-.72, p<.001), perceived health (r=.58, p<.001), regular exercise (r=.47, p<.001), education level (r=.29, p=.005), and ADL (r=-.21, p=.043). Multiple regression analysis showed that 65.9% of their QOL was explained by depression (${\beta}=-.72$), perceived health (${\beta}=.24$), ADL (${\beta}=-.16$), exercise (${\beta}=.22$) and number of diseases (${\beta}=.19$). Conclusion: These results indicate that older women who live rural areas need support for ADL, and prevention of depression to improve their quality of life.
The purpose of this study is to reveal the cultural meaning behind modern experiences of diversity through the history of clothing in Korea. To this end, this study examines aspects that dictate clothing culture acceptance experienced and practiced by women by analyzing the case of the Naju rural area in Jeollanam-do from the 1950s to 1980s. Modern clothing was accepted later in the 20 century in this village, and the Satgolnai traditional textile tradition was an important factor after 1950s. In addition, the continuity of the rural five-day market is different from practices in the city. Limitations in access to media such as TV, films, and magazines, and the functional meaning of clothing in rural areas contributed to limitations for women to get the opportunity to access modern clothing items that were popular in the city. Unlike in the city, the event that inspired the transition to full-scale modern clothing in this village was the Saemaul Undong Movement of the 1970s. Additionally, Mombbe (labor cloth) worn during the Japanese colonial period was continuously worn as daily clothes for Naju women even after the 1950s. Therefore, colonial modernity continued through clothing.
This study was conducted to provide basic data regarding the safety of Hwaseong for women. Data regarding sexual violence awareness and damages were collected from 514 women aged 20 to 65 living in Hwaseong. The results were then compared with national survey data from the Ministry of Gender Equality and Family in 2010 and 2013. Hwaseong is a wide city composed of an urban and urban-rural complex. Data were analyzed to identify regional differences between urban and urban-rural complexes and educational differences between below college graduates and above university graduates. The ratios of awareness of sexual violence behavior, laws, and services were somewhat lower than the 2013 national research ratios. Second, women in the urban-rural complex showed a higher awareness of sexual violence behaviors and higher level of sexual violence myths. Third, the tendencies of sexual violence damages were similar to the 2013 national research. Fourth, women with higher education showed a higher level of sexual violence myths and a higher ratio of sexual violence damage.
The purpose of this study is to develop and evaluate the program which aims at providing a better understanding of family role, establishing a desirable value of being good spouse and good parent, and good daughter/mother in-law and determine effects of the program on rural women in Gyeonggi do. Based on the strong & healthy family perspective, personality types theory, coping stress theory, anger control method, communication & conflict solution theory(eg; Minnesota Couple Communication Program), cognitive behavior theory, and relations enrichment theory, 6 session program was developed. The title of 6 sessions were 'Making happy family', 'Family communication', 'Coping parent-child relation stress', 'Coping conjugal personality difference', 'Becoming a good mother/daughter in-law', and 'Dissolving family conflict'. 188 women surveyed were asked to participate in the program held at 5 city located in Gyeonggi do from Jun. 22 to July, 15. 2005, with two days(3 session a day and 120 minutes per session based). The effectiveness of this program was evaluated by pre-test, post test through 188 rural women and it was analyzed by paired t-test and program evaluation questionnaire was also investigated. The major results were as follows: This program was effective in improving spouse relation satisfaction, child relation satisfaction, daughter/mother in-law relation satisfaction, their effort for making happy family, self-esteem, and depression tendency. Future research and practical implications were added.
Purpose: This study aimed to evaluate a urinary incontinence self-management program for middle-aged women in Korean rural communities. Methods: A one-group pretest and posttest design was used to examine changes in severity, knowledge, and attitudes following the intervention. Fifty-six women completed weekly 90-min group sessions for seven weeks. Descriptive statistics and paired t-tests were used to analyze data. Results: The total of International Consultation on Incontinence Questionnaire scores was significantly decreased after the intervention (pre-test: $4.55{\pm}3.88$, post-test: $3.21{\pm}3.00$, p<.001). Significant improvement was also noted on the mean knowledge scores (pre-est: $16.66{\pm}6.24$, post-test: $21.43{\pm}5.15,$ p<.001). Conclusions: This study suggests that the UI self-management program is useful in improving the symptom of UI for middle-aged women living in communities.
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