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.
Background: Breast cancer accounted for almost 25% of all cancers in women globally in 2012. Although breast cancer is the most prevalent cancer in India, there is no organised national breast cancer screening programme. Local studies on the burden of breast cancer are essential to develop effective context-specific strategies for an early detection breast cancer programme, considering the cultural and ethnic heterogeneity in India. This study examined the knowledge, attitudes, and practices about breast cancer in rural women in Central India. Materials and Methods: This community-based cross sectional study was conducted in Wardha district, located in Maharashtra state in Central India in 2013. The sample included 1000 women (609 rural, 391 urban) aged 13-50 years, selected as representative from each of the eight development blocks in the district, using stratified cluster sampling. Trained social workers interviewed women and collected demographic and socio-economic data. The instrument also assessed respondents' knowledge about breast cancer and its symptoms, risks, methods of screening, diagnosis and treatment, as well as their attitudes towards breast cancer and selfreported practices of breast cancer screening. Chi-square and t-test were applied to assess differences in the levels of knowledge, attitude, and practice (the outcome variables) between urban and rural respondents. Multivariable linear regression was conducted to analyse the relationship between socio-demographic factors and the outcome variables. Results: While about two-thirds of rural and urban women were aware of breast cancer, less than 7% in rural and urban areas had heard about breast self-examination. Knowledge about breast cancer, its symptoms, risk factors, diagnostic modalities, and treatment was similarly poor in both rural and urban women. Urban women demonstrated more positive attitudes towards breast cancer screening practices than their rural counterparts. Better knowledge of breast cancer symptoms, risk factors, diagnosis, and treatment correlated significantly with older age, higher levels of education, and being office workers or in business. Conclusions: Women in rural Central India have poor knowledge about breast cancer, its symptoms and risk factors. Breast self-examination is hardly practiced, though the willingness to learn is high. Positive attitudes towards screening provide an opportunity to promote breast self-examination.
Vegetation and riverine structures were compared among urban and several semi-natural rivers by applying direct gradient analysis and ordination method. Urban rivers showed different species composition from the semi-natural ones. Species composition of semi-natural rivers depended on the geographical positions, such as the upstream, midstream, and downstream and on micro-topographies, such as the waterside, flooding bed, and embankment. Semi-natural rivers showed gentle change in micro-topography, whereas urban one did not so. Our restoration plan to improve the ecological quality of the degraded urban river by imitating semi-natural river was prepared based on those data.
Vegetation and riverine structures were compared among urban and several semi-natural rivers by applying direct gradient analysis and ordination method. Urban rivers showed different species composition from the semi-natural ones. Species composition of semi-natural rivers depended on the geographical positions, such as the upstream, midstream, and downstream and on micro-topographies, such as the waterside, flooding bed, and embankment. Semi-natural rivers showed gentle change in micro-topography, whereas urban one did not so. Our restoration plan to improve the ecological quality of the degraded urban river by imitating semi-natural river was prepared based on those data.
This paper reveals the influence of urban and social contexts on the early building layout of Japan Women's College (JWC), one of the first women's colleges in Japan. According to the unpublished plans, the main building and other major structures, at the first stage, formed a three-sided quadrangle with site-wide organization, which was similar to contemporary National colleges. This impressive design, however, disappeared in the final plan. Although the school is the largest in student number and in campus ground size compared to other contemporary private colleges at its establishment, the subdivided land acquired in the private land market forced JWC to give up the organic composition of buildings. Under the framework of donation-based finance, it needed to start construction quickly for further support from the public, which prevented the school from acquiring enough time to adjust land ownership. These constitute the major differences with national schools. The founder's emphasis on the physical exercises, which reflected the public interest in physical strength of mothers in the time of wars, gave preference to securing sufficient open space over the order of buildings.
Objectives: To examine the regional mortality differences in The Republic of Korea according to geographic location. Methods: All 232 administrative districts of the Republic of Korea in 1998 were studied according to their geographic locations by dividing each district into three categories; "metropolis," "urban," and "rural". Crude mortality rates for doth sexes from total deaths as well as the three major causes of death in Korea (cardiovascular disease, cancer, and external causes) were calculated with raw data from the "1998 report on the causes of death statistics" and resident registration data. Standardized mortality ratios (SMR) were calculated using the indirect standardization method. Poisson regression analyses were performed to examine the effects of geographic locations on the risk of death. To correct for the socioeconomic differences of each region, the percentage of old ($\geq$ 65 years old) population, the number of privately owned cars per 100 population, and per capita manufacturing production industries were included in the model. Results: Most SMRs were the lowest in the metropolis and the highest in the rural areas. These differences were more prominent in men and in deaths from external causes. In deaths from cancer in women, the rural region showed the lowest SMR. In Poisson regression analysis after correcting for regional socioeconomic differences, the risk of death from all causes significantly increased in both urban (OR=1.111) and rural (OR=1.100) regions, except for rural women, compared to the metropolis region. In men, the rural region showed higher risk (OR=1.180) than the urban region (OR=1.l51). For cardiovascular disease and cancer, significant differences were not found between geographic locations, except in urban women for cardiovascular disease (OR=1.151) and in rural women for cancer (OR=0.887), compared to metropolis women. In deaths from external causes, the risk ratios significantly increased in both urban and rural regions and an increasing tendency from the metropolis to the rural region was clearly observed in both sexes. Conclusions: Regional mortality differences according to geographic location exist in The Republic of Korea and further research and policy approaches to reduce these differences are needed. to reduce these differences are needed.
The present study examined whether enjoyable couple activity and common dyadic coping as daily positive couple interactions have direct or indirect effects on marital satisfaction through the mediation of sexual intimacy among urban Chinese women in the early years of marriage. The subjects were 182 urban women born under the one-child policy, who live in Heilongjiang, Anhui and Beijing provinces of China, and have been married up to six years. Data were collected using a self-administered questionnaire. We conducted a hierarchical multiple regression analysis in SPSS software and tested the significance of the mediation effects using bootstrapping method in Mplus software. The results of the study are as follows. First, both enjoyable couple activity and common dyadic coping had positive direct impacts on urban Chinese women's marital satisfaction and positive indirect impacts on marital satisfaction via sexual intimacy. Second, enjoyable couple activity was the strongest predictor of marital satisfaction, followed by common dyadic coping and sexual intimacy. The path model explained 48% of the variance in marital satisfaction. The results suggest that enjoyable couple activity, common dyadic coping, and sexual intimacy should be considered in the design of interventions to enhance urban Chinese women's marital satisfaction in the early years of marriage.
This study which applies to the 403 healthy people who don't have particular diseases recently(193 urban aged. 210 rural aged) among male and female aged over 60 years old living in Daegu(city) and Gyungbook(agricultural village) is fulfilled from November 1st to December 31st by interview using the questioned paper which researcher developed, and reached to these tallowing conclusions. 1. Every aged men independent of the place residence answered positively yes but aged women had weak assurance of their health. Especially $38.6\%$ of rural aged women said yes and $51.4\%$ of rural aged women said no. 2. In the sleep and well-regulated life, urban and rural aged generally marked on the sound sleep. Compared with male and female, men answered they had better sleep and regulated life than women. 3. The percentage of the urban and rural aged's judgement on their activity was high and the percentage of the rural aged was lower than the percentage of the urban aged. 4. While $62.6\%$ of urban aged answered they were active. $38.6\%$ of rural female aged answered yes, This shows that the rural female aged regard their health is not good. 5. Compared with same generation. urban aged ranked lower than urban aged in the confidence of physical strength. Especially rural need women answered $42.1\%$ of them were weaker than the same generation. This shows that rural aged women don't have confidence in general physical activities. 6. Taking exercises three times a week which can influence on health cue to sixties and seventies aged ranked $26.1\%$, rarely do is $18.8\%$ and never do is$28.8\%$. Urban and rural aged do not exercise on the purpose of health. 7. The reason of exercise was to advance the physical strength and quality of motion$(34.9\%)$ to get rid of stress$(13.4\%)$ and to prevention of adult illness$(27.8\%)$, prevention of fatness$(15.3\%)$. Aged have a correct understanding that exercise can promote health and protect from the diseases of adult people because the items about the diseases of adult people was marked high. 8. Among the subject of total investigation, 209 persons answered. It showed necessary to recognize that the exercise is still important essential part between adult illness and health care. 9. The $67.7\%$ of urban aged men answered yes in the question of undergoing a physical examination but the rate of not undergoing a physical examination was high in rural aged and urban aged women. According to this, there were the difference of consciousness about health between urban and rural aged. and men and women. 10. Among the people who haying undergone the physical examination, $80.3\%$ of the aged went back to the hospital again because of the result. 11. In the case of stroke, most aged answered the would be placed under medical care. but $53.9\%$ of rural aged women answered they would rely on Chinese medicine. According to this. aged preferred Chinese medicine in some particular diseases. 2. The $58.1\%$ of whole object of this study answered that stroke would be recovered.
Riboflavin, Ascorbin Acid & Vitamin D status of 74 elderly Korean (35 men and 39 women)from urban households in Incheon were evaluated by blood analysis. Mean EGR-AC value of men was 1.05 while that of women was 1.03. Marginal deficiency of riboflavin(EGR-AC 1.15-1.35) was shown in 33.3% of men and 20% of women. Average plasma ascorbic acid contents of subjects were very low and men had significantly lower amount than women(0.23mg/㎗ vs 0.44mg/㎗). The percentages of subjects who had plasma ascorbic acid less than 0.4mg/㎗ were 88.9% of men and 45% of women. Mena serum Calcium, Inorganic phosphate contents and mean serum ALP activity of men were 9.97mg/㎗, 3.28mg/㎗ and 61.85 Unit/L respectively and those of women were 9.78mg/㎗, 3.49mg/㎗ and 67.80Unit/L respectively. From these results, Vitamin D status of subjects was considered to be normal.
Background: Mammography screening is a method for reducing breast cancer mortality in women over 40 years old. A participation rate of at least 70% is a prerequisite for screening programs. This study aimed at determining the participation rate of women in breast cancer screening in Iran. Materials and Methods: The study population in this prospective research consisted of 35 to 69 years old women in the villages and towns Kerman District, in 2013. The data were collected by a well-validated risk assessment questionnaire. The questionnaires were completed with the help of health workers and technicians in the health centers, who were trained on breast cancer screening program. Results: As a whole, 19,651 women were invited to complete the questionnaire, of whom 15,794 women (80.37%) completed it. In the urban region, of 3150 eligible women 2728 women (86.60%) participated in the study. The acceptance rates for mammography in rural and urban regions were 34.95% and 8.75%, respectively. Conclusions: Finally, 3.8% and 16.34% of 35 to 69 years old women in the urban regions were mammographed, respectively. Conclusion: The low participation of eligible women in breast cancer screening program alerts us against including the program in the health insurance package.
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