scholarly journals Community Participation and Risk for Depressive Symptoms in Rural Areas

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Jungbauer Dana ◽  
Glasser Michael ◽  
Gootzen Veerle
Keyword(s):  
Depressive Symptoms ◽  
Community Participation ◽  
Rural Areas

scholarly journals Rural–Urban Differences in the Factors Affecting Depressive Symptoms among Older Adults of Two Regions in Myanmar

2021 ◽  
Vol 18 (6) ◽  
pp. 2818
Author(s):  
Yuri Sasaki ◽  
Yugo Shobugawa ◽  
Ikuma Nozaki ◽  
Daisuke Takagi ◽  
Yuiko Nagamine ◽  
...  
Keyword(s):  
Older Adults ◽  
Middle School ◽  
Depressive Symptoms ◽  
Rural Areas ◽  
Urban Areas ◽  
Depression Scale ◽  
Wealth Index ◽  
School Level ◽  
Cross Sectional ◽  
Middle School Level

The aim of the study was to investigate rural–urban differences in depressive symptoms in terms of the risk factors among older adults of two regions in Myanmar to provide appropriate intervention for depression depending on local characteristics. This cross-sectional study, conducted between September and December, 2018, used a multistage sampling method to recruit participants from the two regions, for face-to-face interviews. Depressive symptoms were assessed using the 15-item version of the Geriatric Depression Scale (GDS). Depressive symptoms were positively associated with living in rural areas (B = 0.42; 95% confidence interval (CI): 0.12,0.72), female (B = 0.55; 95% CI: 0.31,0.79), illness during the preceding year (B = 0.68; 95% CI: 0.45,0.91) and non-Buddhist religion (B = 0.57; 95% CI: 0.001,1.15) and protectively associated with education to middle school level or higher (B = −0.61; 95% CI: −0.94, −0.28) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.30, −0.10). In women in urban areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.78; 95% CI: 0.36, 1.20) and protectively associated with education to middle school level or higher (B = −0.67; 95% CI: −1.23, −0.11), middle or high wealth index (B = −0.92; 95% CI: −1.59, −0.25) and the frequency of visits to religious facilities (B = −0.20; 95% CI: −0.38, −0.03). In men in rural areas, illness during the preceding year was positively associated with depressive symptoms (B = 0.87; 95% CI: 0.33, 1.42). In women in rural areas, depressive symptoms were positively associated with illness during the preceding year (B = 0.83; 95% CI: 0.36, 1.30) and protectively associated with primary education (B = −0.62; 95% CI: −1.12, −0.12) and the frequency of visits to religious facilities (B = −0.44; 95% CI: −0.68, −0.21). Religion and wealth could have different levels of association with depression between older adults in the urban and rural areas and men and women. Interventions for depression in older adults should consider regional and gender differences in the roles of religion and wealth in Myanmar.

Assessment of incident frailty hazard associated with depressive symptoms in a Taiwanese longitudinal study

2021 ◽  
pp. 1-10
Author(s):  
Che-Chia Chang ◽  
Chi-Shin Wu ◽  
Han-Yun Tseng ◽  
Chun-Yi Lee ◽  
I-Chien Wu ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Rural Areas ◽  
Healthy Aging ◽  
Asian Population ◽  
Epidemiological Studies ◽  
Frailty Status ◽  
Health Need ◽  
The Impact

ABSTRACT Objectives: To estimate the risks of depressive symptoms for developing frailty, accounting for baseline robust or pre-frailty status. Design: An incident cohort study design. Setting: Community dwellers aged 55 years and above from urban and rural areas in seven regions in Taiwan. Participants: A total of 2,717 participants from the Healthy Aging Longitudinal Study in Taiwan (HALST) were included. Subjects with frailty at baseline were excluded. The average follow-up period was 5.9 years. Measurements: Depressive symptoms were measured by the 20-item Center for Epidemiological Studies Depression (CES-D) Scale. Frailty was assessed using the Fried frailty measurement. Participants were stratified by baseline robust or pre-frailty status to reduce the confounding effects of the shared criteria between depressive symptoms and frailty. Overall and stratified survival analyses were conducted to assess risks of developing frailty as a result of baseline depressive symptoms. Results: One hundred individuals (3.7%) had depressive symptoms at baseline. Twenty-seven individuals (27.0%) with depressive symptoms developed frailty, whereas only 305 out of the 2,617 participants (11.7%) without depressive symptoms developed frailty during the follow-up period. After adjusting for covariates, depressive symptoms were associated with a 2.6-fold (95% CI 1.6, 4.2) increased hazard of incident frailty. The patterns of increased hazard were also observed when further stratified by baseline robust or pre-frailty status. Conclusions: Depressive symptoms increased the risk of developing frailty among the older Asian population. The impact of late-life depressive symptoms on physical health was notable. These findings also replicated results from Western populations. Future policies on geriatric public health need to focus more on treatment and intervention against geriatric depressive symptoms to prevent incident frailty among older population.

scholarly journals Optional Vaccines for Better Immunization : Awareness among Mothers

2016 ◽  
Vol 06 (01) ◽  
pp. 053-056
Author(s):  
M.H. Punarva
Keyword(s):  
Community Participation ◽  
Rural Areas ◽  
Teaching Programme ◽  
Under Five ◽  
Under Five Children ◽  
Structured Teaching ◽  
Quasi Experimental ◽  
Health Teaching

AbstractEffectiveness of structured teaching programme on knowledge of optional vaccines among mothers of under five children in selected rural areas. The Sample include 30 mothers of under five children.Research approach was quantitative - evaluative approach anddesign used was quasi experimental pretestposttest design.In the first phase, researcher assessed pretest knowledge and health teaching was given to selected mothers with the duration of 45 minutes. The posttest knowledge was assessed over a period of 7 days after the intervention. The community participation has found to be effective with a Paired t valve (P<0.001) shows significance which indicates community participation was effective in terms of knowledge pain.

Psychosocial outcomes and care utilization among rural and nonrural cancer patients.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 79-79
Author(s):  
Angela E Usher ◽  
Janice Bell ◽  
Laurel A Beckett ◽  
Jill G Joseph ◽  
Brad J. Zebrack ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cancer Patients ◽  
Rural Areas ◽  
Urban Areas ◽  
Psychosocial Care ◽  
Psychosocial Outcomes ◽  
Psychosocial Distress ◽  
Care Utilization ◽  
Lower Odds ◽  
Independent Effects

79 Background: Approximately 20% of people diagnosed with cancer in the U.S. travel from rural areas to urban cancer centers for treatment. Rural cancer patients face unique challenges which may contribute to greater psychosocial distress when compared to urban-dwelling patients. While up to half of all cancer patients screen positive for psychosocial distress, only 25-44% of distressed patients utilize psychosocial care. Patients from rural areas may face greater barriers to utilization of psychosocial care compared to patients from urban areas. To date, few studies have focused on these concerns. Methods: Three-years of data were collected from newly diagnosed patients screened between 2015 and 2017, including the Patient Health Questionnaire-2 and the NCCN Distress Thermometer (n = 4,865). Adjusted multi-variable logistic regression, chi-square, and negative binomial regression were used to assess relationships among psychosocial outcomes and care utilization, rurality, and distance to treatment in driving miles, controlling for socio-demographic and clinical covariates. Distance to treatment based on driving miles computed in ArcGIS v10.5. Stata v15 was used for all statistical analyses, significance set at ≤.05. Results: Higher odds of depressive symptoms were detected among people living in rural areas compared to urban areas. The odds of psychosocial distress were higher in patients from rural areas and further distances from treatment compared to local distance. Patients from rural areas had lower odds of psychosocial care utilization compared to patients in urban areas. Distance to treatment had independent effects, over and above rurality, for lower odds of psychosocial care utilization. Conclusions: Distance to treatment and rurality appear to be risk factors with independent effects on depressive symptoms and psychosocial distress and appear to be associated with lower odds of psychosocial care use among cancer patients with self-reported distress when compared to patients from urban and local areas. Findings support improved detection of and response to patient reported psychosocial outcomes, and further research designed to better understand the mechanisms underlying the reported associations.

Initiatives to meet the challenge of providing water services to the most underprivileged communities: tools and oportunities - the case of Empresas Públicas de Medelín (EEPPM)

2002 ◽  
Vol 46 (6-7) ◽  
pp. 355-362
Author(s):  
F.J. Piedrahíta ◽  
F.A. Zuleta ◽  
J.F. Manjarrés
Keyword(s):  
Community Participation ◽  
Rural Areas ◽  
Social Problem ◽  
Public Utility ◽  
Self Management ◽  
Water Utility ◽  
Financial Feasibility ◽  
Utility Companies ◽  
Utility Services ◽  
Commercial Opportunity

Due to problems such as migration from rural areas to cities and to the difficulties generated by those displaced by violence, the water utility companies in developing counties are faced with the challenge of supplying this service to communities that have settled in an irregular and disorganized manner. The challenge public utility services face is solving the problem without letting such circumstances impinge on the financial feasibility of the company. In order to achieve this, it is essential to design programs with a prominent degree of community participation and self-management, which may even change this social problem into a commercial opportunity. This paper portrays EEPPM's experience in four successful programs within this field, illustrating their benefits as regards sustainability and replication.

scholarly journals Community Participation in Housing and Urban Development in Poor Urban Communities,Case Study of Umbadda, Khartoum

2009 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Muna M. Eltahir
Keyword(s):  
Urban Communities ◽  
Community Participation ◽  
Social Relations ◽  
Rural Areas ◽  
Voluntary Action ◽  
Development Programs ◽  
Community Members ◽  
Cultural Backgrounds ◽  
Poor Neighborhood

Community participation represents a voluntary action carried out by community members who participate with each other in different kinds of work to achieve desired goals. Participation includes people's involvement in decision-making, in implementing programs, sharing in the benefits of development programs and their involvement in efforts to evaluate such programs. (Cohen, D. and Prusak). According to Muhammad, community participation, known locally as nafeer or fazaa, is a deeply rooted ancient phenomenon in the Sudanese culture and has been common especially among traditional people in rural areas and villages, where it is usually men's domain (Muhammad, 1975). Community participation is affected by religious beliefs, ethnic and cultural backgrounds as well as laws, political environment, economic situation. Social relations (social capital), history and age of the neighborhood. The present paper discusses community participation in Umbadda, Harra 14, a newly planned poor neighborhood in Greater Khartoum the capital of Sudan, which has a population of 5.5 million inhabitants growing at an annual rate of 5.6% per year. Data collection was based on a filed research carried out by the author in the summer of 2002 through intensive interviews with community leaders, and a structured household questionnaire.

Sign in / Sign up

Export Citation Format

Share Document