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Gu K, Jing Y, Tang J, Jia X, Zhang X, Wang B. Hypertension risk pathways in urban built environment: the case of Yuhui District, Bengbu City, China. Front Public Health 2024; 12:1443416. [PMID: 39360260 PMCID: PMC11445170 DOI: 10.3389/fpubh.2024.1443416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2024] [Accepted: 08/30/2024] [Indexed: 10/04/2024] Open
Abstract
Introduction The rapid development of urbanization has brought about changes in residents' living environment and behavior, leading to health challenges such as hypertension. An improvement in the built-up environment in the community could contribute to the construction of a healthy city, promote the active life of the residents, and prevent and relieve hypertension. However, there is little research on the relationship between the built environment of the community and hypertension. This cross-sectional study aims to evaluate the relationship between communities' built environment, health behavior, and hypertension grade of residents in Yuhui District of Bengbu City. Methods This study is based on data from the 2022 Health Survey of Residents in 21 communities. To investigate the impact of the community's built environment on residents' hypertension and the underlying mechanisms, regression and structural equation modeling were employed. Results and discussion The results show that the built environment of urban communities has a significant impact on the residents' hypertension. The presence of high densities of supermarkets, convenience stores, parks and plazas, but low densities of clinics and hospitals, has been identified as a significant risk factor for the development of high blood pressure among the residents. Nevertheless, the adoption of healthy behaviors, including regular walking, physical activity, and a diet rich in fruit and vegetables, can play an important role in reducing the risk of hypertension. The findings of this study show that enhancements to the built environment in urban neighborhoods could contribute to a reduction in the prevalence of hypertension among residents. Furthermore, the implementation of efficacious health interventions in urban settings would facilitate the alteration of residents' health behaviors and enhance their overall health status.
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Affiliation(s)
- Kangkang Gu
- School of Architecture and Planning, Anhui Jianzhu University, Hefei, Anhui, China
- Anhui Institute of Land Spatial Planning and Ecology, Hefei, Anhui, China
| | - Yao Jing
- School of Architecture and Planning, Anhui Jianzhu University, Hefei, Anhui, China
| | - Jingjing Tang
- School of Architecture and Planning, Anhui Jianzhu University, Hefei, Anhui, China
| | - Xianjie Jia
- Department of Epidemiology and Statistics, School of Public Health, Bengbu Medical College, Bengbu, Anhui, China
| | - Xinmu Zhang
- School of Architecture and Planning, Anhui Jianzhu University, Hefei, Anhui, China
| | - Beichen Wang
- School of Architecture and Planning, Anhui Jianzhu University, Hefei, Anhui, China
- Anhui Institute of Land Spatial Planning and Ecology, Hefei, Anhui, China
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Mumu SJ, Stanaway FF, Merom D. Rural-to-urban migration, socio-economic status and cardiovascular diseases risk factors among Bangladeshi adults: A nationwide population based survey. Front Public Health 2023; 11:860927. [PMID: 37089482 PMCID: PMC10116049 DOI: 10.3389/fpubh.2023.860927] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 03/13/2023] [Indexed: 04/25/2023] Open
Abstract
Background Rural-to-urban migration is one of the key drivers of urbanization in Bangladesh and may impact on cardiovascular diseases (CVD) risk due to lifestyle changes. This study examined whether CVD risk factors were associated with migration to and duration of urban life, considering socio-economic indicators. Methods A total of 27,792 participants (18-59 years) from the 2006 Bangladesh cross-sectional Urban Health Survey were included in the analyses of whom 14,167 (M: 7,278; W: 6,889) were non-migrant urban residents and 13,625 (M: 6,413; W: 7,212) were rural-to-urban migrants. Gender-specific prevalence of CVD risk factors were estimated for urban and migrant groups. Multivariate logistic regression models were used to test the association between each CVD risk by education and wealth within each study group and their possible effect modification. An analysis on the rural-to-urban migrant subgroup only was conducted to examine the association between each CVD risk factor and length of urban stay adjusted for demographic and socio-economic indicators. Results Compared to urban residents, migrants had significantly lower prevalence of overweight/obesity for both genders. Hypertension was higher among urban women while alcohol/illicit drug use was higher among urban men. Mental health disorders were higher among migrants than urban residents for both genders and no difference were noted for diabetes or cigarette smoking prevalence. In both study groups and genders, the risk of overweight/obesity, hypertension and diabetes increased with increasing education and wealth whereas for mental health disorders, alcohol/illicit drug use, cigarette and bidi smoking the reverse was found. Differences in BMI between migrant and urban women were attenuated with increased education levels (p = 0.014 for interaction). Consistent increasing pattern of risk was observed with longer duration of urban stay; in migrant men for obesity (OR = 1.67), smoking (OR = 1.67) and alcohol/illicit drug use (OR = 2.86), and for obesity and mental health disorder among migrant women. Conclusions Migrants had high proportion of CVD risk factors which were influenced by education, wealth and duration of urban stay.
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Affiliation(s)
- Shirin Jahan Mumu
- School of Health Sciences, Western Sydney University, Sydney, NSW, Australia
- School of Health Sciences, Torrens University Australia, Sydney, NSW, Australia
- *Correspondence: Shirin Jahan Mumu
| | - Fiona F. Stanaway
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Dafna Merom
- School of Health Sciences, Western Sydney University, Sydney, NSW, Australia
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Lifestyle risk factors and metabolic markers of cardiovascular diseases in Bangladeshi rural-to-urban male migrants compared with their non-migrant siblings: A sibling-pair comparative study. PLoS One 2022; 17:e0274388. [PMID: 36166448 PMCID: PMC9514650 DOI: 10.1371/journal.pone.0274388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 08/25/2022] [Indexed: 11/30/2022] Open
Abstract
Background The increasing prevalence of cardiovascular diseases (CVDs) in developing countries like Bangladesh has been linked to progressive urbanisation. Comparisons of rural and urban populations often find a higher prevalence of CVD risk factors in the urban population, but rural-to-urban migrants might have different CVD risk profiles than either rural or urban residents. This study aimed to describe differences in CVD risk factors between migrants and non-migrants siblings and to determine whether acculturation factors were associated with CVD risk factors among migrants. Methods Using a sibling-pair comparative study, 164 male migrant who migrated from Pirganj rural areas to Dhaka City and their rural siblings (total N = 328) were assessed by interview, anthropometric measurement, blood pressure and blood samples. Comparisons were made using linear or logistic mixed effects models. Findings Physical inactivity, inadequate intake of fruit and vegetables and possible existence of a mental health disorder had 3.3 (1.73; 6.16), 4.3 (2.32; 7.92) and 2.9 (1.37; 6.27) times higher odds among migrants than their rural siblings, respectively. Migrants watched television on average 20 minutes (95% CI 6.17–35.08 min/day) more per day than the rural sibling group whereas PUFA intake, fruit and vegetable and fish intake of the migrants were -5.3 gm/day (-6.91; -3.70), -21.6 serving/week (-28.20; -15.09), -14.1 serving/week (-18.32; -9.87), respectively, lower than that of the rural siblings. No significant difference was observed for other variables. After adjusting, the risk of physical inactivity, inadequate fruit and vegetable intake, a mental health disorder and low HDL were significantly higher in migrants than in rural siblings and tended to be higher for each increasing tertile of urban life exposure. Conclusion The findings suggest that migration from rural-to-urban environment increases CVD risk which exacerbate with time spent in urban area due to acculturation. This study gives new insights into the increased CVD risk related with migration and urbanization in Bangladesh.
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Analysis of Spatial Distribution of CVD and Multiple Environmental Factors in Urban Residents. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:9799054. [PMID: 35341172 PMCID: PMC8942627 DOI: 10.1155/2022/9799054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 01/20/2022] [Indexed: 11/17/2022]
Abstract
Cardiovascular disease (CVD) poses a serious threat to urban health with the development of urbanization. There are multifaceted and comprehensive influencing factors for CVD, so clarifying the spatial distribution characteristics of CVD and multiple environmental influencing factors is conducive to improving the active health intervention of urban environment and promoting the sustainable development of cities The spatial distribution characteristics of CVD deaths in a certain district, Bengbu City, Huaihe River Basin, China, in 2019 were explored, and the correlation between multiple environmental factors and CVD mortality was investigated in this study, to reveal the action mechanism of multiple environmental factors affecting the risk of mortality. Relevant studies have shown that (1) CVD deaths are characterized as follows: male deaths are more than females; the mortality is higher in those of higher age; most of them are unemployed; cardiocerebral infarction is the main cause of death; and the deaths are mainly distributed in the central city and near the old urban area. (2) The increased CVD mortality can be attributed to the increased density of restaurants and cigarette and wine shops around the residential area, the increased traffic volume, the dense residential and spatial forms, the low green space coverage, and the distance from rivers. Therefore, appropriate urban planning and policies can improve the active health interventions in cities and reduce CVD mortality.
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Pheiffer CF. Internal migration, urban living, and non-communicable disease risk in South Africa. Soc Sci Med 2021; 274:113785. [PMID: 33684701 DOI: 10.1016/j.socscimed.2021.113785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 01/04/2021] [Accepted: 02/16/2021] [Indexed: 10/22/2022]
Abstract
This paper offers theoretical and substantive contributions to migration-health scholarship by employing rich panel data with biomarkers to estimate the effect of migration and urban living on non-communicable disease risk in South Africa. Internal migration and urbanization continue to be pervasive demographic and socio-economic phenomena that structure daily life in low- and middle- income countries (LMICs). Yet, how these processes affect illness and disease in low-resource settings is still not well understood. Five waves (2008-2017) of South Africa's National Income Dynamics Study data and fixed-effects modeling are used to estimate the relationship between urban residence, migration, and health. Results indicate that the migration-health relationship differs by gender: urban living for men is associated with lower blood pressure. While urban residence appears to convey a health advantage when men reside in urban compared with rural places, there is no evidence of an urban health advantage among women. Migration does, however, negatively affect women's health through higher blood pressure (BP). These findings highlight the need for further interrogation of the ways in which processes and health consequences of migration and urban living are structured by gender in LMICs. Given the importance of urbanization and the prevalence of migration in LMICs, the gendered determinants of blood pressure may be key to understanding rising hypertension incidence in contexts like South Africa.
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Tankumpuan T, Asano R, Koirala B, Dennison-Himmelfarb C, Sindhu S, Davidson PM. Heart failure and social determinants of health in Thailand: An integrative review. Heliyon 2019; 5:e01658. [PMID: 31193015 PMCID: PMC6513778 DOI: 10.1016/j.heliyon.2019.e01658] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Revised: 12/10/2018] [Accepted: 05/01/2019] [Indexed: 12/26/2022] Open
Abstract
Background Heart failure is a highly burdensome syndrome and is rapidly increasing in prevalence in low and middle-income countries and outcomes are influenced at the level of the patient, provider and health system. Understanding heart failure beyond a biomedical perspective and the relationship between health outcomes and social determinants of health is critical for informing policy development and improving health outcomes. Aim To identify the social determinants of health for improving health outcomes for individuals with heart failure in Thailand. Method This integrative review included studies published between January 1, 2008, and March 31, 2016 in both the Thai and English language identified through searching Scopus, PubMed, and CINAHL. Results Six experimental, eight descriptive and two qualitative studies were identified met the inclusion and exclusion criteria. The majority of study participants were elderly, female, had low-education and income levels, were participating in a universal coverage scheme and living in a rural setting. All interventions were delivered at the level of the individual, focusing on education to improve knowledge, self-care, and functional status. Findings showed an improvement in health outcomes which were moderated by social determinants of health such as gender and income. Conclusion As the burden of heart failure increases in Thailand and other emerging economies, developing culturally appropriate, affordable and acceptable models of intervention considering social determinants of health is necessary.
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Affiliation(s)
| | - Reiko Asano
- The Johns Hopkins University School of Nursing, United States
| | - Binu Koirala
- The Johns Hopkins University School of Nursing, United States
| | | | | | - Patricia M Davidson
- The Johns Hopkins University School of Nursing, United States.,University of Technology Sydney, Australia
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Tymejczyk O, McNairy ML, Petion JS, Rivera VR, Dorélien A, Peck M, Seo G, Walsh KF, Fitzgerald DW, Peck RN, Joshi A, Pape JW, Nash D. Hypertension prevalence and risk factors among residents of four slum communities: population-representative findings from Port-au-Prince, Haiti. J Hypertens 2019; 37:685-695. [PMID: 30817448 PMCID: PMC7680636 DOI: 10.1097/hjh.0000000000001966] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVES The aim of this study was to estimate the prevalence of hypertension and its risk factors among adults in four slum communities in Port-au-Prince. METHODS Cluster area random sampling was used to select adults for a health and demographic survey, including anthropometric measurements. Hypertension was defined as SBP at least 140 mmHg and/or DBP at least 90 mmHg, or current hypertension treatment, and was age-standardized to WHO world population. Correlates of hypertension were tested using sex-stratified logistic regression. RESULTS Overall, 20.3% of adults had hypertension (28.5% age-standardized), including 22.3% of men and 18.9% of women. Three percent of participants reported current hypertension treatment, and 49.5% of them had their hypertension controlled. Overweight/obesity (BMI ≥25) was the most common risk factor (20.6% among men, 48.5% among women), while smoking was less common (11.8 and 3.9%, respectively). Increasing age and hypertension prevalence in immediate surroundings were associated with greater odds of hypertension. Among men, having in-migrated in the 3 years prior (versus ≥3 years) was also associated with hypertension [adjusted odds ratio (aOR)=3.32, 95% confidence interval (95% CI): 1.79-6.17], as was overweight and obesity (aOR = 1.90, 95% CI: 1.09-3.33, and aOR = 5.73, 95% CI: 2.49-13.19, respectively) and nonreceipt of needed medical care in the preceding 6 months (aOR = 2.82, 95% CI: 1.35-5.88) among women. CONCLUSION Hypertension prevalence was high across the age spectrum, in addition to substantial levels of overweight/obesity and unmet healthcare needs. It is important to better understand the possible effects of intraurban migration and environmental risk factors on hypertension and ensure that the benefits of increasingly cost-effective prevention and treatment programmes extend to slum residents.
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Affiliation(s)
- Olga Tymejczyk
- Institute of Implementation Science in Population Health
- Graduate School of Public Health and Health Policy, City University of New York
| | - Margaret L McNairy
- Center for Global Health
- Department of Medicine, Weill Cornell Medical College, New York, New York, USA
| | - Jacky S Petion
- Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti
| | - Vanessa R Rivera
- Center for Global Health
- Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti
| | - Audrey Dorélien
- Humphrey School of Public Affairs, University of Minnesota, Minneapolis, Minnesota
| | - Mireille Peck
- Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti
| | | | - Kathleen F Walsh
- Center for Global Health
- Department of Medicine, Weill Cornell Medical College, New York, New York, USA
- Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti
| | - Daniel W Fitzgerald
- Center for Global Health
- Department of Medicine, Weill Cornell Medical College, New York, New York, USA
- Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti
| | - Robert N Peck
- Department of Medicine, Weill Cornell Medical College, New York, New York, USA
- Department of Pediatrics, Weill Cornell Medical College, New York, New York, USA
- Departments of Medicine and Pediatrics, Weill Bugando School of Medicine
- Mwanza Interventions Trial Unit, Mwanza, Tanzania
| | - Ashish Joshi
- Institute of Implementation Science in Population Health
- Graduate School of Public Health and Health Policy, City University of New York
| | - Jean W Pape
- Center for Global Health
- Department of Medicine, Weill Cornell Medical College, New York, New York, USA
- Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti
| | - Denis Nash
- Institute of Implementation Science in Population Health
- Graduate School of Public Health and Health Policy, City University of New York
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Liangruenrom N, Suttikasem K, Craike M, Bennie JA, Biddle SJH, Pedisic Z. Physical activity and sedentary behaviour research in Thailand: a systematic scoping review. BMC Public Health 2018; 18:733. [PMID: 29898706 PMCID: PMC6001063 DOI: 10.1186/s12889-018-5643-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 05/31/2018] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The number of deaths per year attributed to non-communicable diseases is increasing in low- and middle-income countries, including Thailand. To facilitate the development of evidence-based public health programs and policies in Thailand, research on physical activity (PA) and sedentary behaviour (SB) is needed. The aims of this scoping review were to: (i) map all available evidence on PA and SB in Thailand; (ii) identify research gaps; and (iii) suggest directions for future research. METHODS A systematic literature search was conducted through 10 bibliographic databases. Additional articles were identified through secondary searches of reference lists, websites of relevant Thai health organisations, Google, and Google Scholar. Studies written in Thai or English were screened independently by two authors and included if they presented quantitative or qualitative data relevant to public health research on PA and/or SB. RESULTS Out of 25,007 screened articles, a total of 564 studies were included in the review. Most studies included PA only (80%), 6.7% included SB only, and 13.3% included both PA and SB. The most common research focus was correlates (58.9%), followed by outcomes of PA/SB (22.2%), prevalence of PA/SB (12.4%), and instrument validation (3.2%). Most PA/SB research was cross-sectional (69.3%), while interventions (19.7%) and longitudinal studies (2.8%) were less represented. Most studies (94%) used self-reports of PA/SB, and few (2.5%) used device-based measures. Both sexes were examined in most studies (82.5%). Adults were the main target population group (51.1%), followed by older adults (26.9%), adolescents (15.7%), and children (6.3%). Clinical populations were investigated in the context of PA/SB in a relatively large number of studies (15.3%), most frequently those with cardiovascular disease, diabetes, and hypertension (22%, 21%, and 21% respectively). CONCLUSIONS The number of Thai papers on PA published per year has been increasing, indicating a growing interest in this research area. More studies using population-representative samples are needed, particularly among children and adolescents, and investigating SB as a health risk factor. To provide stronger evidence on determinants and outcomes of PA/SB, longitudinal studies using standardised measures of PA and SB are required.
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Affiliation(s)
- Nucharapon Liangruenrom
- Institute for Health and Sport, Victoria University, PO Box 14428, Melbourne, VIC, 8001, Australia
- Institute for Population and Social Research, Mahidol University, Phutthamonthon Sai 4 Road, Salaya, Phutthamonthon, Nakhon Pathom, 73170, Thailand
| | - Kanyapat Suttikasem
- Institute for Population and Social Research, Mahidol University, Phutthamonthon Sai 4 Road, Salaya, Phutthamonthon, Nakhon Pathom, 73170, Thailand
| | - Melinda Craike
- Institute for Health and Sport, Victoria University, PO Box 14428, Melbourne, VIC, 8001, Australia
| | - Jason A Bennie
- Institute for Resilient Regions, University of Southern Queensland, Education City, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Stuart J H Biddle
- Institute for Resilient Regions, University of Southern Queensland, Education City, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Zeljko Pedisic
- Institute for Health and Sport, Victoria University, PO Box 14428, Melbourne, VIC, 8001, Australia.
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Armstrong ADC, Ladeia AMT, Marques J, Armstrong DMFDO, Silva AMLD, Morais Junior JCD, Barral A, Correia LCL, Barral-Netto M, Lima JAC. Urbanization is Associated with Increased Trends in Cardiovascular Mortality Among Indigenous Populations: the PAI Study. Arq Bras Cardiol 2018; 110:240-245. [PMID: 29466492 PMCID: PMC5898773 DOI: 10.5935/abc.20180026] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 09/22/2017] [Indexed: 12/19/2022] Open
Abstract
Background The cardiovascular risk burden among diverse indigenous populations is not
totally known and may be influenced by lifestyle changes related to the
urbanization process. Objectives To investigate the cardiovascular (CV) mortality profile of indigenous
populations during a rapid urbanization process largely influenced by
governmental infrastructure interventions in Northeast Brazil. Methods We assessed the mortality of indigenous populations (≥ 30 y/o) from
2007 to 2011 in Northeast Brazil (Bahia and Pernambuco states).
Cardiovascular mortality was considered if the cause of death was in the
ICD-10 CV disease group or if registered as sudden death. The indigenous
populations were then divided into two groups according to the degree of
urbanization based on anthropological criteria:9,10
Group 1 - less urbanized tribes (Funi-ô, Pankararu, Kiriri, and
Pankararé); and Group 2 - more urbanized tribes (Tuxá,
Truká, and Tumbalalá). Mortality rates of highly urbanized
cities (Petrolina and Juazeiro) in the proximity of indigenous areas were
also evaluated. The analysis explored trends in the percentage of CV
mortality for each studied population. Statistical significance was
established for p value < 0.05. Results There were 1,333 indigenous deaths in tribes of Bahia and Pernambuco
(2007-2011): 281 in Group 1 (1.8% of the 2012 group population) and 73 in
Group 2 (3.7% of the 2012 group population), CV mortality of 24% and 37%,
respectively (p = 0.02). In 2007-2009, there were 133 deaths in Group 1 and
44 in Group 2, CV mortality of 23% and 34%, respectively. In 2009-2010,
there were 148 deaths in Group 1 and 29 in Group 2, CV mortality of 25% and
41%, respectively. Conclusions Urbanization appears to influence increases in CV mortality of indigenous
peoples living in traditional tribes. Lifestyle and environmental changes
due to urbanization added to suboptimal health care may increase CV risk in
this population.
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Affiliation(s)
| | | | | | | | | | | | - Aldina Barral
- Centro de Pesquisas Gonçalo Moniz, Centro de Pesquisas Gonçalo Moniz da Fundação Oswaldo Cruz, Salvador, BA, Brazil
| | | | - Manoel Barral-Netto
- Centro de Pesquisas Gonçalo Moniz, Centro de Pesquisas Gonçalo Moniz da Fundação Oswaldo Cruz, Salvador, BA, Brazil
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Fournet F, Rican S, Vaillant Z, Roudot A, Meunier-Nikiema A, Kassié D, Dabiré RK, Salem G. The Influence of Urbanization Modes on the Spatial Circulation of Flaviviruses within Ouagadougou (Burkina Faso). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:E1226. [PMID: 27973402 PMCID: PMC5201367 DOI: 10.3390/ijerph13121226] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 11/30/2016] [Accepted: 12/07/2016] [Indexed: 11/16/2022]
Abstract
Dengue is an emerging infectious disease of global significance. Although this virus has been reported for a long time, its significance within the burden of diseases in West Africa is not obvious, especially in Burkina Faso. Our objective was to evaluate flavivirus presence in Ouagadougou (Burkina Faso) and the link between anti-flavivirus antibody seroprevalence and urbanization modes. A population-based cross-sectional survey was conducted and 3015 children were enrolled from Ouagadougou districts with different types and degrees of urbanization (with/without equipment and high/low building density). Flavivirus (FLAV) IgM MAC-ELISA and FLAV indirect IgG ELISA were performed. Associations between FLAV IgG presence (sign of past infection) and various independent variables were assessed using the chi-square test and a multivariate logistic regression analysis. The apparent prevalence of past flavivirus infections among the enrolled children was 22.7% (95% CI: 22.4-26.7) (n = 685). Eleven children (0.4%; 95% CI: 0.61-2.14) were positive for FLAV IgM, indicating active transmission. Factors associated with flavivirus infection were identified among the enrolled children (age, sex), householders (educational level, asset index) and in the environment (building density, water access, waste management and house appearance); however, they showed great variability according to the city districts. The water access modality did not significantly influence FLAV IgG positivity. Conversely, apparently good practices of waste management had unexpected consequences (increased risk related to municipal dumpsters). Given the scale of ongoing urbanization and the spread of arboviral diseases, close collaboration between health and city stakeholders is needed.
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Affiliation(s)
- Florence Fournet
- Unité Mixte de Recherche Maladies Infectieuses et Vecteurs: Ecologie, Génétique, Evolution et Contrôle (MIVEGEC), Institut de Recherche pour le Développement, Montpellier 34394, France.
- Institut de Recherche en Sciences de la Santé/Centre Muraz, Bobo-Dioulasso BP 545, Burkina Faso.
| | - Stéphane Rican
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
| | - Zoé Vaillant
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
| | - Anna Roudot
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
| | | | - Daouda Kassié
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
- Unité Recherche Animal et Gestion Intégrée des Risques (AGIRS), Centre de Coopération Internationale en Recherche Agronomique pour le Développement, Montpellier 34398, France.
| | - Roch K Dabiré
- Institut de Recherche en Sciences de la Santé/Centre Muraz, Bobo-Dioulasso BP 545, Burkina Faso.
| | - Gérard Salem
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
- Unité Mixte de Recherche Centre Population et Développement (CEPED), Institut de Recherche pour le Développement, Paris 75006, France.
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Angkurawaranon C, Wisetborisut A, Rerkasem K, Seubsman SA, Sleigh A, Doyle P, Nitsch D. Early life urban exposure as a risk factor for developing obesity and impaired fasting glucose in later adulthood: results from two cohorts in Thailand. BMC Public Health 2015; 15:902. [PMID: 26376960 PMCID: PMC4572635 DOI: 10.1186/s12889-015-2220-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Accepted: 09/03/2015] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Obesity and obesity related conditions, driven by processes such as urbanization and globalization, are contributing to pronounced cardiovascular morbidity and mortality in developing countries. There is limited evidence on the influence of living in an urban environment in early life on obesity and obesity related conditions later in life in developing countries such as Thailand. METHODS We used data from two cohort studies conducted in Thailand, the Thai Cohort Study (TCS) and the Chiang Mai University (CMU) Health Worker Study, to investigate the association between early life urban (vs rural) exposure and the later development of obesity. We additionally explored the association between early life urban exposure and impaired fasting glucose in adulthood using data from the CMU Health Worker Study. RESULTS Among 48,490 adults from the TCS, 9.1 % developed obesity within 4 years of follow-up. Among 1,804 initially non-obese adults from CMU Health worker study, 13.6 % developed obesity within 5 years of follow-up. Early life urban exposure was associated with increased risk of developing obesity in adulthood in both cohorts. Adjusting for age and sex, those who spent their early lives in urban areas were 1.21 times more likely to develop obesity in the TCS (OR 1.21, 95 % CI 1.12 to 1.31) and 1.65 times more likely in the CMU Health Worker study (OR 1.65, 95 % CI 1.23 to 2.20). These associations remained significant despite adjustment for later life urban exposure and current household income. No evidence for an association was found for impaired fasting glucose. CONCLUSIONS Early life urban exposure was associated with increased risk of developing obesity in adulthood. These findings support public health intervention programs to prevent obesity starting from early ages.
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Affiliation(s)
- Chaisiri Angkurawaranon
- Department of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK.
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
| | - Anawat Wisetborisut
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
| | - Kittipan Rerkasem
- Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
| | - Sam-Ang Seubsman
- Faculty of Human Ecology, Sukhothai Thammathirat Open University, Nonthaburi, Thailand.
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.
| | - Adrian Sleigh
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.
| | - Pat Doyle
- Department of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK.
| | - Dorothea Nitsch
- Department of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK.
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Living in an urban environment and non-communicable disease risk in Thailand: Does timing matter? Health Place 2015; 33:37-47. [PMID: 25747932 DOI: 10.1016/j.healthplace.2015.02.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Revised: 02/05/2015] [Accepted: 02/09/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND This paper uses a life-course approach to explore whether the timing and/or duration of urban (vs rural) exposure was associated with risk factors for NCDs. METHODS A cross-sectional survey was conducted among health care workers in two hospitals in Thailand. Two measures of urbanicity were considered: early-life urban exposure and the proportion of urban life years. We explored four behavioral NCD risk factors, two physiological risk factors and four biological risk factors. RESULTS Both measures of urbanicity were each independently associated with increases in all behavioral and physiological risk factors. For some biological risk factors, people spending their early life in an urban area may be more susceptible to the effect of increasing proportion of urban life years than those growing up in rural areas. CONCLUSION Urbanicity was associated with increases in behavioral and physiological risk factors. However, these associations may not translate directly into increases in biological risk factors. It is likely that these biological risk factors were results of a complex interaction between both long term accumulation of exposure and early life exposures.
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Zhao J, Tu EJC, Song G, Sleigh A, Richou C. Évolution de la mortalité au cours de la transition du socialisme planifié au capitalisme d’État à Shanghai. POPULATION 2015. [DOI: 10.3917/popu.1504.0831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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