Abstract China used to have great urban rural disparity in socioeconomic development. Since the late 1980s, rapid socioeconomic development and urbanization have been taking place in rural settings. It is epidemiologi...Abstract China used to have great urban rural disparity in socioeconomic development. Since the late 1980s, rapid socioeconomic development and urbanization have been taking place in rural settings. It is epidemiologically established that cancer scale and profile will transit as economy prospers and urbanization develops. However, there are few published studies reporting what changes are undergoing in cancer pattern in Chinese rural settings. Population-based tumor registration data collected by us in urban Shijiazhuang city (available for 2,374,827 people in 2012) and in rural Shexian County (available for 408,995 people since 2000) were used for urban rural comparison of age standardized incidence rate (ASIR) of westernization-related cancers in 2012, and the trend of biennial ASIR of these cancers for 2000-2015 in Shexian County was examined following a decade of rapid socioeconomic development and urbanization. From 1988-2015, the Gross Domestic Product per Capita (GDP) in rural Shexian County increased from 860 to 3000 US$, and urbanization rate from 22.4% to 54.8%. The biennial ASIRs of lung, colorectal, gallbladder cancer and leukemia in both sexes, and that of breast, ovary, thyroid, and kidney cancer in women increased significantly from 2000 - 2015. The increase from 2000-2001 to 2014-2015 in man and women for lung cancer was from 15.9 to 34.7 per 105 (P = 0.05) and 9.6 to 16.7 (P = 0.00), for colorectal cancer from 6.6 to 15.9 (P = 0.00) and 4.0 to 11.7 (P = 0.00), for gallbladder cancer from 0.1 to 2.4 (P = 0.00) and 0.3 to 2.7 (P = 0.00), for leukemia from 2.8 to 7.7 (P = 0.00) and 2.3 to 6.2 (P = 0.00);and in women for cancer of breast from 2.8 to 17.3 (P = 0.00), kidney from 0.2 to 2.4 (P = 0.00), ovary from 0.2 to 4.3 (P = 0.00), and thyroid from 0.2 to 4.2 (P = 0.00). Notwithstanding these increases, their ASIRs in 2012 in Shexian County were still significantly lower than that in Shijiazhuang city. Westernization-related cancer is increasing rapidly in rural China. Comprehensive measures are needed to strengthen prevention to ensure sustainable development.展开更多
The per capita disposable income of urban households and the per capita net income of rural households in Yunnan Province are selected as the variable indices.Data are from the Yunnan Statistical Yearbook and the Yunn...The per capita disposable income of urban households and the per capita net income of rural households in Yunnan Province are selected as the variable indices.Data are from the Yunnan Statistical Yearbook and the Yunnan Statistical Yearbook.Theil index and RHL value are used to carry out quantitative research on the occurrence,development and change of urban and rural economic disparity in Yunnan Province,China.Regression analysis on the evolvement trend of urban and rural economic disparity and spatial analysis on the convergence and divergence of urban and rural disparity caused by economic growth in Yunnan Province are carried out.Result shows that cities in Yunnan Province show a downward convergence;while rural areas show a downward divergence in the years 1978-2007,causing the economic disparity between urban and rural areas.Therefore,urban and rural disparity increases in Yunnan Province and the development of rural areas lags far behind the development of urban areas.Urban and rural economic disparity in Yunnan Province shows an inverted "U" shape of Kuznets Curve.In order to promote the coordinated development of urban and rural economy,suggestions are put forward,such as adopting the unbalanced development strategy,accelerating the overall economic development,promoting the development of small and medium-sized cities,enhancing the integration of urban and rural economics,appropriately supporting rural areas under poverty,and fully exerting the comparative advantage.展开更多
Background:The“two-week visiting rate in those needing to visit”has been examined extensively as an important indicator of healthcare seeking behavior in China.Nevertheless,its relationship with health behaviors,suc...Background:The“two-week visiting rate in those needing to visit”has been examined extensively as an important indicator of healthcare seeking behavior in China.Nevertheless,its relationship with health behaviors,such as physical activity,remains unknown.In addition,a significant difference exists between urban and rural Chinese people in terms of physical activity and healthcare seeking behavior.This study sought to investigate the relationship between physical activity and the two-week visiting rate by conducting a stratified analysis.Methods:The analysis included 5,801 participants aged above 15 years old.Multivariable logistic regression was applied to analyze the association after adjusting for possible confounding variables.Urban and rural differences were investigated using stratified analysis.Results:Adjusted estimates showed that those who were physically active were more likely to visit a healthcare facility,but only among the whole sample(adjusted odds ratio(AOR)=1.45,95%confidence interval(CI):1.26.1.66)and the rural sample(AOR=1.56,95%CI:1.21.2.01),and not among the urban sample.Conclusions:Educating people on physical activity may help in improving healthcare seeking behavior and vice versa.Additionally,health interventions may be tailored based on different settings.展开更多
文摘Abstract China used to have great urban rural disparity in socioeconomic development. Since the late 1980s, rapid socioeconomic development and urbanization have been taking place in rural settings. It is epidemiologically established that cancer scale and profile will transit as economy prospers and urbanization develops. However, there are few published studies reporting what changes are undergoing in cancer pattern in Chinese rural settings. Population-based tumor registration data collected by us in urban Shijiazhuang city (available for 2,374,827 people in 2012) and in rural Shexian County (available for 408,995 people since 2000) were used for urban rural comparison of age standardized incidence rate (ASIR) of westernization-related cancers in 2012, and the trend of biennial ASIR of these cancers for 2000-2015 in Shexian County was examined following a decade of rapid socioeconomic development and urbanization. From 1988-2015, the Gross Domestic Product per Capita (GDP) in rural Shexian County increased from 860 to 3000 US$, and urbanization rate from 22.4% to 54.8%. The biennial ASIRs of lung, colorectal, gallbladder cancer and leukemia in both sexes, and that of breast, ovary, thyroid, and kidney cancer in women increased significantly from 2000 - 2015. The increase from 2000-2001 to 2014-2015 in man and women for lung cancer was from 15.9 to 34.7 per 105 (P = 0.05) and 9.6 to 16.7 (P = 0.00), for colorectal cancer from 6.6 to 15.9 (P = 0.00) and 4.0 to 11.7 (P = 0.00), for gallbladder cancer from 0.1 to 2.4 (P = 0.00) and 0.3 to 2.7 (P = 0.00), for leukemia from 2.8 to 7.7 (P = 0.00) and 2.3 to 6.2 (P = 0.00);and in women for cancer of breast from 2.8 to 17.3 (P = 0.00), kidney from 0.2 to 2.4 (P = 0.00), ovary from 0.2 to 4.3 (P = 0.00), and thyroid from 0.2 to 4.2 (P = 0.00). Notwithstanding these increases, their ASIRs in 2012 in Shexian County were still significantly lower than that in Shijiazhuang city. Westernization-related cancer is increasing rapidly in rural China. Comprehensive measures are needed to strengthen prevention to ensure sustainable development.
基金Supported by the Research Foundation of Yunnan Provincial Department of Education(09Y0397)the School-Level Research Project of Qujing Normal University(2009QN014)
文摘The per capita disposable income of urban households and the per capita net income of rural households in Yunnan Province are selected as the variable indices.Data are from the Yunnan Statistical Yearbook and the Yunnan Statistical Yearbook.Theil index and RHL value are used to carry out quantitative research on the occurrence,development and change of urban and rural economic disparity in Yunnan Province,China.Regression analysis on the evolvement trend of urban and rural economic disparity and spatial analysis on the convergence and divergence of urban and rural disparity caused by economic growth in Yunnan Province are carried out.Result shows that cities in Yunnan Province show a downward convergence;while rural areas show a downward divergence in the years 1978-2007,causing the economic disparity between urban and rural areas.Therefore,urban and rural disparity increases in Yunnan Province and the development of rural areas lags far behind the development of urban areas.Urban and rural economic disparity in Yunnan Province shows an inverted "U" shape of Kuznets Curve.In order to promote the coordinated development of urban and rural economy,suggestions are put forward,such as adopting the unbalanced development strategy,accelerating the overall economic development,promoting the development of small and medium-sized cities,enhancing the integration of urban and rural economics,appropriately supporting rural areas under poverty,and fully exerting the comparative advantage.
基金This work was supported by the National Natural Science Foundation of China(Grant No.71904135)the Sichuan Science and Technology Program(2019YFS0274).The funding bodies played no role in the design of the study and collection,analysis,and interpretation of data and in writing the manuscript.
文摘Background:The“two-week visiting rate in those needing to visit”has been examined extensively as an important indicator of healthcare seeking behavior in China.Nevertheless,its relationship with health behaviors,such as physical activity,remains unknown.In addition,a significant difference exists between urban and rural Chinese people in terms of physical activity and healthcare seeking behavior.This study sought to investigate the relationship between physical activity and the two-week visiting rate by conducting a stratified analysis.Methods:The analysis included 5,801 participants aged above 15 years old.Multivariable logistic regression was applied to analyze the association after adjusting for possible confounding variables.Urban and rural differences were investigated using stratified analysis.Results:Adjusted estimates showed that those who were physically active were more likely to visit a healthcare facility,but only among the whole sample(adjusted odds ratio(AOR)=1.45,95%confidence interval(CI):1.26.1.66)and the rural sample(AOR=1.56,95%CI:1.21.2.01),and not among the urban sample.Conclusions:Educating people on physical activity may help in improving healthcare seeking behavior and vice versa.Additionally,health interventions may be tailored based on different settings.
