scholarly journals Income differentials on regional labour markets in Southwest Germany

2009 ◽  
Vol 56 (3) ◽  
pp. 379-396
Author(s):  
Alice Guyot ◽  
Stefan Berwing ◽  
Maria Lauxen-Ulbrich

The aim of our paper is to identify explanatory variables for income disparities between women and men across different regional types. Using data from the BA Employment Panel (BEP) descriptive statistics show that the gender pay gap grows wider from core regions to periphery. The main explanatory variables for the income differentials are vocational education in the men's case and size of enterprise in the women's case. Whereas in the case of women the importance of vocational status increases and the importance of size of enterprise decreases from rural areas to urban areas.

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110299
Author(s):  
Sri Irianti ◽  
Puguh Prasetyoputra

One of the targets in the Sustainable Development Goals (SDGs), which is Target 6.2, aims to achieve access to adequate and equitable sanitation. The Government of Indonesia targets universal access to improved sanitation in 2019. However, almost two out of five households in Indonesia are without access to improved sanitation. Moreover, access to improved sanitation is lower in rural areas than that in urban areas. Studies examining the drivers of the disparity in Indonesia are also limited. Therefore, this study was aimed at assessing the characteristics associated with the rural–urban disparity in access to improved sanitation facilities among households in Indonesia. We employed data from the 2016 Indonesian National Socio-Economic Survey (SUSENAS) comprising 290,848 households. The analysis was twofold. First, we fitted multivariate probit regression models using average marginal effects as the measure of association. We then conducted a detailed non-linear decomposition of the rural–urban disparity attributable to all the explanatory variables. The multivariate regression analysis suggested that households living in rural areas were 11.35% (95% confidence interval = [10.97, 11.72]) less likely to have access to improved sanitation facilities than those residing in urban areas. The decomposition analysis suggested that 48.78% are attributable to spatial, demographic, housing, and socio-economic factors, which meant that almost half of the inequalities could be reduced by equalizing these factors. The results provide a decomposition of factors amenable to curtail urban–rural inequalities. Hence, equity-oriented approaches to increasing access to improved sanitation should be prioritized to achieve universal access in 2030 in line with SDG Target 6.2.


2003 ◽  
Vol 33 (1) ◽  
pp. 99-117 ◽  
Author(s):  
Denise C. Herz ◽  
Rebecca Murray

Since 1987, the Arrestee Drug Abuse Monitoring Program (ADAM—formerly known as the Drug Use Forecasting Program) has documented the prevalence and type of arrestee drug use across the nation. Unfortunately, this research is limited to urban or metropolitan areas, possibly because of presumed low levels of both crime and drugs in rural areas. The purpose of this paper is to present the importance of researching arrestee drug use in rural areas using data collected from the Rural ADAM Pilot Program. Specifically, this study examines the prevalence and type of arrestee drug use in four rural Nebraska counties and compares these results to those found in Omaha, Nebraska, which is a current ADAM site. Results indicated that arrestee drug use is similar to that in urban areas and the type of arrestee drug use varies across rural counties as well as between rural and urban areas. Most importantly, rural arrestee methamphetamine use appeared to exceed Omaha arrestee use in one rural area. These findings have substantial implications for planning at the local, state, and federal levels.


Author(s):  
Suresh Solomon. G ◽  
Nancy Jasmine Goldina

In India there exists a lot of Rural areas in which the educational performance of the rural school students are inferior when compared it to the performance of the urban areas due to the lack of facilities, environment, income, employment opportunities and exposure. Equality is one among the basic principle of our country, so it’s a mere responsibility of any research study to perform a detailed analysis towards the performance of rural school students by focusing on to the factors to be monitored and improved so that the Rural areas also raise to the equilant level of competition with the Urban areas. For this goal Data mining plays a vital role in order to handle the data in proper way for analysis and prediction of performances for the improvement of rural school student’s education domain results. This paper presents a survey on Data Mining strategies used for prediction and performance analysis of rural school students education improvements. KEYWORDS—Data Mining, Rural, Urban, Prediction, Performance


2020 ◽  
Author(s):  
Marcelo Ferreira da Costa Gomes ◽  
Cláudia Torres Codeço ◽  
Leonardo Soares Bastos ◽  
Raquel Martins Lana

Abstract Background: To achieve the goal of malaria elimination, it is important to determine the role of human mobility of maintain parasite transmission. The Alto Jurua basin (Brazil) has one of the largest prevalence of malaria vivax and malaria falciparum in the Amazon. The goal of this work was to estimate the contribution of human commutation on the persistence of malaria in this region using data from a origin-destination survey.Methods: Data from the origin-destination survey was used to describe the intensity and motivation for commutation between rural settlements and urban areas in two municipalities, Mancio Lima and Rodrigues Alves. The relativetime-person spent in each locality per household was estimated. A logistic model was fitted to estimate the effect of commuting on the probability of getting malaria for a householder from a zone of residence commuting to another zone.Results: Our main results suggest that this population is not very mobile. 96% of household reported spending more than 90% of the annual person-hour at localities within the same zone of residence. Study and work are the most prevalent motivations for commuting, 40.5% and 29.5% respectively. Spending person-hours in urban Rodrigues Alves conferred relative protection to the residents of urban Mancio Lima. On the other hand, spending time in urban Rodrigues Alves conferred protection against malaria for those living in urban Mancio Lima. The opposite effect occurs for those spending time in the rural areas of both municipalities.Conclusion: In the alto Jurua region, the place one lives is a stronger determinant of malaria risk than the place ones commute. These municipalities of a hotspot of Plasmodium transmission, thus understanding the main fluxes is essential to planning control strategies because the probability of getting malaria is dependent on the intensity of transmission of both, the area of origin and the area to which the displacement take place. The natural conditions for the circulation of pathogens such as the Plasmodium spp, combined with the pattern of mobility of humans in the Amazon, make clear the need of disease control perspective change. It is essential that intersectoral public policies be the basis for health mitigation actions.


CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S115-S115
Author(s):  
C. Alexiu ◽  
S. Jelinski ◽  
A. Chuck ◽  
B.H. Rowe

Introduction: Diabetes mellitus (DM) is a major chronic disease. Prevalence of diabetes was 9% globally in 2014 and 9.3% in Canada and 7.2% in Alberta in 2015. Complications of the disease are numerous and frequent. Hypoglycemia is one complication of diabetes treatment. The objective of this study was to quantify and characterize presentations by adults to Alberta emergency departments (EDs) for hypoglycemia associated with type 1 (T1DM) or type 2 (T2DM) diabetes. Methods: A retrospective cohort study was conducted using data for Alberta for a five-year period (fiscal years 2010/11-2014/15). Data were sourced from an administrative database: National Ambulatory Care Reporting System (NACRS). Records of interest were those with an ICD-10-CA diagnosis of DM-associated hypoglycemia (i.e., E10.63, E11.63, E13.63, or E14.63). A descriptive analysis was conducted. Results: Data extraction yielded 7,835 presentations by 5,884 patients. The majority of presentations were by males (56.2%) and median patient age was 62. These episodes constituted 0.08% of presentations to Alberta EDs and they occurred at an event rate of 0.67 episodes per 100 patient-years (95% CI: 0.66-0.69). The annual rate of presentations decreased by 11.8% during the five-year period. Most presentations (63.4%) involved transportation to the ED via ambulance. Relative to LOS for ED presentations for all reasons, average length-of-stay (LOS) was 3.2x longer and 1.4x longer for discharged and admitted patients, respectively. For 27.5% of presentations, an X-ray was obtained. Most hypoglycemic episodes (65.2%) were considered to be of moderate severity while 34.3% were considered to be severe. None were mild because all involved access to an ED. The condition mainly (absolute terms) afflicted people with T2DM and urban areas; however, it disproportionately afflicted people with T1DM and rural areas. Conclusion: For a condition that is largely preventable with effective blood glucose management, DM-associated hypoglycemia incurs significant healthcare resource use. People with DM would be better served with more effective and safer euglycemic agents.


2016 ◽  
Vol 19 (2) ◽  
pp. 71-74 ◽  
Author(s):  
A Nariman ◽  
MR Sobhan ◽  
M Savaei ◽  
E Aref-Eshghi ◽  
R Nourinejad ◽  
...  

AbstractGenetic service for couples plays an increasingly important role in diagnosis and risk management. This study investigated the status of consanguinity and the medical genetic history (effectiveness and coverage of medical genetic services) in couples residing in a city in southern Iran. We questioned couples who were referred to Behbahan Marital Counseling Center, Behbahan, Iran, during the period from January to November 2014, to obtain information on consanguinity, disease history, and previous referral to a medical genetics center. For the collected data was obtained descriptive statistics with STATA 11.0 software. A total of 500 couples were questioned. Mean age was 24.8 ± 5.2 years. Almost one quarter (23.4%) of the couples were consanguineous. Consanguinity was almost twice as common in rural areas as in urban areas (33.9 vs. 19.2%, p = 0.001). Only a few couples (~3.0%) had ever been referred for genetic counseling. The main reason for previous genetic counseling was consanguinity (85.7%). The majority of the participants (96.3%) had never been tested for any genetic conditions. Our findings suggest that only a small proportion of couples in Khuzestan Province, Iran (Behbahan City) were receiving adequate genetics care. This may reflect the limited accessibility of such services, and inadequate awareness and education among the care providers.


Author(s):  
Yongjian Xu ◽  
Anupam Garrib ◽  
Zhongliang Zhou ◽  
Duolao Wang ◽  
Jianmin Gao ◽  
...  

High out-of-pocket (OOP) payments for chronic disease care often contribute directly to household poverty. Although previous studies have explored the determinants of impoverishment in China, few published studies have compared levels of impoverishment before and after the New Health Care Reform (NHCR) in households with members with chronic diseases (hereafter referred to as chronic households). Our study explored this using data from the fourth and fifth National Health Service Surveys conducted in Shaanxi Province. In total, 1938 households in 2008 and 7700 households in 2013 were included in the analysis. Rates of impoverishment were measured using a method proposed by the World Health Organization. Multilevel logistic modeling was used to explore the influence of the NHCR on household impoverishment. Our study found that the influence of NHCR on impoverishment varied by residential location. After the reform, in rural areas, there was a significant decline in impoverishment, although the impoverishment rate remained high. There was little change in urban areas. In addition, impoverishment in the poorest households did not decline after the NHCR. Our findings are important for policy makers in particular for evaluating reform effectiveness, informing directions for health policy improvement, and highlighting achievements in the efforts to alleviate the economic burden of households that have members with chronic diseases.


2021 ◽  
Vol 10 (6) ◽  
pp. 417
Author(s):  
Lan Mu ◽  
Yusi Liu ◽  
Donglan Zhang ◽  
Yong Gao ◽  
Michelle Nuss ◽  
...  

Physician shortages are more pronounced in rural than in urban areas. The geography of medical school application and matriculation could provide insights into geographic differences in physician availability. Using data from the Association of American Medical Colleges (AAMC), we conducted geospatial analyses, and developed origin–destination (O–D) trajectories and conceptual graphs to understand the root cause of rural physician shortages. Geographic disparities exist at a significant level in medical school applications in the US. The total number of medical school applications increased by 38% from 2001 to 2015, but the number had decreased by 2% in completely rural counties. Most counties with no medical school applicants were in rural areas (88%). Rurality had a significant negative association with the application rate and explained 15.3% of the variation at the county level. The number of medical school applications in a county was disproportional to the population by rurality. Applicants from completely rural counties (2% of the US population) represented less than 1% of the total medical school applications. Our results can inform recruitment strategies for new medical school students, elucidate location decisions of new medical schools, provide recommendations to close the rural–urban gap in medical school applications, and reduce physician shortages in rural areas.


2021 ◽  
Author(s):  
Atsushi Miyawaki ◽  
Takahiro Tabuchi ◽  
Michael K Ong ◽  
Yusuke Tsugawa

BACKGROUND The use of telemedicine outpatient visits has increased dramatically during the COVID-19 pandemic in many countries. Although disparities in access to telemedicine by age and socioeconomic status (SES) have been well-documented, evidence is limited as to how these disparities changed during the COVID-19 pandemic. Moreover, the equity of patient access to telemedicine has been scarcely reported in Japan, despite the huge potential for telemedicine expansion. OBJECTIVE We aimed to investigate changes due to age and SES disparities in telemedicine use during the COVID-19 pandemic in Japan. METHODS Using data from a large internet survey conducted between August 25 and September 30, 2020, in Japan, we examined the associations of participant age and SES (educational attainment, urbanicity of residence, and income level) with their telemedicine use in the following two time periods during the pandemic: April 2020 and August-September 2020. RESULTS Of the 24,526 participants aged 18 to 79 years (50.8% [n=12,446] women), the proportion of individuals who reported using telemedicine increased from 2.0% (n=497) in April 2020 to 4.7% (n=1159) in August-September 2020. After adjusting for potential confounders, younger individuals were more likely to use telemedicine than older individuals in April 2020. Although this pattern persisted in August-September 2020, we also observed a substantial increase in telemedicine use among individuals aged 70 to 79 years (adjusted rates, 0.2% in April 2020 vs 3.8% in August-September 2020; <i>P</i>&lt;.001 after multiple comparisons). We found disparities in telemedicine use by SES in August-September 2020 that did not exist in April 2020. In August-September 2020, individuals with a university degree were more likely to use telemedicine than those with a high school diploma or less (adjusted rates, 6.6% vs 3.5%; <i>P</i>&lt;.001). Individuals living in urban areas exhibited higher rates of telemedicine use than those living in rural areas only in August-September 2020 (adjusted rates, 5.2% vs 3.8%; <i>P</i>&lt;.001). Disparities in telemedicine use by income level were not observed in either time period. CONCLUSIONS In general, younger individuals increased their use of telemedicine compared to older individuals during the pandemic, although individuals in their 70s also increased their use of telemedicine. Disparities in telemedicine use by educational attainment and urbanicity of residence widened during the COVID-19 pandemic.


The handloom industry, one of the largest traditional unorganised economic activities after agriculture, occupies an integral part of the rural livelihood. Growth and sustainability of this industry is based on the transfer of skill from one generation to the next as well as their ability to adapt to market requirements. As per the Third Handloom Census of India (2009-2010), about 2.38 million handloom units provided employment to 4.33 million persons of which, 3.63 million workers are in rural areas and .698 million workers in urban areas, respectively. In Assam, by providing livelihood to millions of weavers and craftsmen in rural areas, a vital role has been being played by this industry in the economic development of the rural masses. However, over the last couple of years, it has been noticed that the situation has changed and this age-old tradition of handloom weaving as an activity is in deep crisis. Considering such a critical juncture faced by both the industry and the weavers alike, this paper aims at exploring the present situation of the handloom industry in Assam. An attempt of in-depth primary study of 200 weavers in Barpeta district has been performed and descriptive statistics has been used to analyse the primary data. Results show that the continuation of this tradition in future is under question in the district. A very less percentage of weavers’ children are interested in continuing their hereditary occupation of weaving in future.


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