For the scientific management of farmland, it is significant to understand the spatio-temporal variability of soil organic matter and to study the influences of related factors. Using geostatistical theory, GIS spatia...For the scientific management of farmland, it is significant to understand the spatio-temporal variability of soil organic matter and to study the influences of related factors. Using geostatistical theory, GIS spatial analysis, trend analysis and a Geographically Weighted Regression (GWR) model, this study analyzed the response of soil organic matter to climate and socio-economic factors in central Heilongjiang Province during the past 25 years. Second soil survey data of China for 1979-1985, 2005 field sampling data, climate observations and socio-economic data for 1980-2005 were analyzed. First, soil organic matter in 2005 was spatially interpolated using the Co-Kriging method along with auxiliary data sets of soil type and pH. The spatio-temporal variability was then studied by comparison with the 1980s second soil census data. Next, the temporal trends in climate and socio-economic factors over the past 25 years were investigated. Finally, we examined the variation of the response of soil organic matter to climate and socio-economic factors using the GWR model spatially and temporally. The model showed that 53.82% area of the organic matter content remained constant and 29.39% has decreased during the past 25 years. The impact of precipitation on organic matter content is mainly negative, with increasing absolute values of the regression coefficient. The absolute value of regression coefficient of annual average temperature has decreased, and more areas are now under its negative effects. In addition, the areas of positive regression coefficient of annual sunshine hours have northward shifted, with the increasing absolute value of positive coefficient and decreasing absolute value of negative coefficient. The areas of positive regression coefficient of mechanized farming as a socio-economic factor have westward shifted, with the increasing absolute value of negative coefficient and decreasing absolute value of positive coefficient. The area of regions with the positive regression coefficient of irrigation has expanded. The regions with positive regression coefficient of fertilizer use have shrinked. The positive regression coefficient of mulch film consumption has significantly increased. The regression coefficient of pesticide consumption was mainly positive in the west of the study area, while it was negative to the east. Generally, GWR model is capable to investigate the influence of both climatic and socio-economic factors, avoided the insufficiency of other research based on the single perspective of climatic or socio-economic factors. Therefore, we can conclude that GWR model could provide methodological support for global change research and serve as basic reference for cultivated land quality improvement and agricultural decision making.展开更多
AIM: To evaluate the association between various lifestyle factors and achalasia risk.METHODS: A population-based case-control study was conducted in Northern Ireland, including n = 151 achalasia cases and n = 117 age...AIM: To evaluate the association between various lifestyle factors and achalasia risk.METHODS: A population-based case-control study was conducted in Northern Ireland, including n = 151 achalasia cases and n = 117 age- and sexmatched controls. Lifestyle factors were assessed via a face-to-face structured interview. The association between achalasia and lifestyle factors was assessed by unconditional logistic regression, to produce odds ratios(OR) and 95% confidence interval(CI).RESULTS: Individuals who had low-class occupations were at the highest risk of achalasia(OR = 1.88, 95%CI: 1.02-3.45), inferring that high-class occupation holders have a reduced risk of achalasia. A history of foreign travel, a lifestyle factor linked to upper socioeconomic class, was also associated with a reduced risk of achalasia(OR = 0.59, 95%CI: 0.35-0.99). Smoking and alcohol consumption carried significantly reduced risks of achalasia, even after adjustment for socio-economic status. The presence of pets in the house was associated with a two-fold increased risk of achalasia(OR = 2.00, 95%CI: 1.17-3.42). Nochildhood household factors were associated with achalasia risk.CONCLUSION: Achalasia is a disease of inequality, and individuals from low socio-economic backgrounds are at highest risk. This does not appear to be due to corresponding alcohol and smoking behaviours. An observed positive association between pet ownership and achalasia risk suggests an interaction between endotoxin and viral infection exposure in achalasia aetiology.展开更多
Since the implementation of reform and open door policy in China, Jiangsu has become one of the provinces which have the highest speed of economic development. With the implementation of the uneven development strate...Since the implementation of reform and open door policy in China, Jiangsu has become one of the provinces which have the highest speed of economic development. With the implementation of the uneven development strategy, Jiangsu has witnessed a widening dichotomy in levels of socio economic development: southeast showing rapid improvement and north showing little improvement, particularly in rural areas. Based on factor analysis, it is argued that foreign investment, agricultural productivity, the character of regional economic structures, and the level of urbanization all contribute in varying ways to the inequalities in levels of socio economic development in different regions of Jiangsu. According to the levels of socio economic development, eleven regions are categorized into three groups.展开更多
Based on the current literature, this paper is mainly intended to test whether environmental factors and socio-economic factors will have direct effect on the longevity at county level in China in order to determine t...Based on the current literature, this paper is mainly intended to test whether environmental factors and socio-economic factors will have direct effect on the longevity at county level in China in order to determine the major determinants affecting local longevity level. Using the multi-regression model, we find the result that factors such as temperature, climate, longitude, type of soils, as well as type of agricultural food production play a major role in shaping the longevity at county level, and that socio- economic factors like infant mortality and gross death rate also have some direct impact on longevity, but the degree of impact is not as strong as the above environmental factors.展开更多
Introduction: The incidence of stroke has decreased in Sweden as well as in most developed countries, but a high number of migrants have arrived in Sweden, during the last decades, which may have influenced the incide...Introduction: The incidence of stroke has decreased in Sweden as well as in most developed countries, but a high number of migrants have arrived in Sweden, during the last decades, which may have influenced the incidence. Aim: The aim of this study was to examine the incidence of stroke in women, born outside as well as in Sweden. Furthermore, the aim was to examine how socio-economic factors, smoking, and physical activity could modify the risk for stroke. Method: Data from the “MalmöDiet and Cancer Study” was used for the analysis. In total, 16,857 women were included (14,849 of them born in and 2,008 born outside Sweden), aged 45 - 73 years with a mean age of 57.4 years. Result. A significantly increased relative risk (RR) was found for the incidence of stroke for current smokers in both Swedish-born and migrant women. In Swedish-born women the RR was 1.98 (CI: 1.66 - 2.36) and for migrant women the RR was 1.83(CI: 1.13 - 2.96). The adjusted relative risk for the incidence of stroke in Swedish-born women performing moderate/high physical activity was RR 0.71 (CI: 0.61 - 0.84) and for migrant women it was RR 0.77 (CI: 0.49 - 1.20). The relative risk in relation to low socio-economic circumstances (SES) was significant only for Swedish-born women (RR 0.85 [CI: 0.73 - 0.99]). Among currently smoking Swedish-born women with a low SES the RR was 1.27 (CI: 1.03 - 1.57) in comparison with smoking migrant women, whose RR was 1.68 (CI: 0.92 - 3.09). Conclusion: No differences were found indicating that migrant women in this population had a higher risk as compared to Swedish-born women. However, migrant smoking women were more vulnerable to stroke compared to Swedish-born women. Physical activity was effective in reducing the risk of stroke among the total population and especially in the Swedish-born women. To increase physical activity in middle-aged women, in both migrant and Swedish-born women, is a highly recommended public health strategy.展开更多
Introduction: The use of proper feeding practices is key for the overall development of children. Generally, breastfeeding and complementary feeding make up the diet and therefore the nutritional status of children. H...Introduction: The use of proper feeding practices is key for the overall development of children. Generally, breastfeeding and complementary feeding make up the diet and therefore the nutritional status of children. However, the degree to which mothers adhere to the recommendations of the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) regarding breastfeeding and complementary feeding is key to the nutritional status of children. Again, the adherence to this dietary recommendation is contingent on the socio-economic conditions of the child-bearing parents, especially the mothers. Here in this study, the socio-economic characteristics were analyzed along with the feeding practices of children not more than five years old in rural Sierra Leone. Method: Data were collected in 2017 on representative mothers with children within 0 - 5 years old. A total of 10 communities and 200 respondents were randomly covered in the Kori Chiefdom of Moyamba District, Sierra Leone. The data collection instruments included structured questionnaire, inter-personal interaction, personal observation and experience. The collected data were analyzed in Microsoft Excel and SPSS and the results presented in simple graphs. Results: A large number of the respondents were married teenage mothers with 1 - 2 children and living under extreme hardship by the United Nations (UN) standard. Also, most of the mothers were illiterate and started breastfeeding their children within the very hour of birth. Because complementary feeding was started all too early, exclusive breastfeeding last for not more than two months for most of the respondent mothers. Also, because rice is by far the most widely eaten the staple food in Sierra Leone, complementary food was mostly powdered rice mixed with salt and oil. Hardly was protein food supplement used as complementary food, probably due to the economic conditions of the poor rural women. Conclusion: The study has thrown sufficient light on the socio-economic characteristics and adopted feeding practices of children in poor rural Sierra Leone. In this sense, the study has laid the basis for sufficient for in-depth correlativity studies on the factors driving feeding practices of children and how it in turn impacts nutritional status of children in poor rural Africa. From here, practically adoptable recommendations can be advanced for the attention of the governments, public institutions, the private sector and the individuals of the society.展开更多
The main purpose of this study was to examine the association between sociodemographic factors (gender, place of residence, level of education, geopolitical zone, and socioeconomic status) and HCT uptake among young p...The main purpose of this study was to examine the association between sociodemographic factors (gender, place of residence, level of education, geopolitical zone, and socioeconomic status) and HCT uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria. Probability sampling technique was used to obtain a sample of 10,091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192;urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputting them into SPSS v21.0 for analysis and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages;measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the sociodemographic variables of gender, place of residence, level of education, geopolitical zone, and SES were significantly associated with HCT uptake. Among others, it was recommended that examining the efficacy of HCT treatments in Nigeria, along with conducting a demographic analysis of the at-risk population, could be beneficial in informing the authorities who are responsible for allocating finite medical resources.展开更多
In recent years, the role of human activities in changing sediment yield has become more apparent for the construction of hydraulic engineering and water conservation projections in the Upper Yangtze River, but it has...In recent years, the role of human activities in changing sediment yield has become more apparent for the construction of hydraulic engineering and water conservation projections in the Upper Yangtze River, but it has not been evaluated at the macro scale. Taking Sichuan Province and Chongqing City as an example, this paper studies the relationship between socio-economic factors and sediment yield in the Upper Yangtze River based on section data in 1989 and 2007. The results show that sediment yield is significantly correlated with population density and cultivated area, in which the former appears to be more closely related to sediment yield. Moreover, in the relation of sediment yield vs. population density, a critical value of population density exists, below which the sediment yield increases with the increase of population density and over which the sediment yield increases with the decrease of population density. The phenomenon essentially reflects the influence of natural factors, such as topography, precipitation and soil property, and some human activities on sediment yield. The region with a higher population density than critical value is located in the east of the study area and is characterized by plains, hills and low mountains, whereas the opposite is located in the west and characterized by middle and high mountains. In the eastern region, more people live on the lands with a low slope where regional soil erosion is slight; therefore, sediment yield is negatively related with population density. In contrast, in the western region, the population tends to aggregate in the areas with abundant soil and water resources which usually lead to a higher intensity of natural erosion, and in turn, high-intensity agricultural practices in these areas may further strengthen local soil erosion. It is also found that population tends to move from the areas with bad environment and high sediment yield to the areas with more comfortable environment and less sediment yield. The natural factors have greater influence on sediment yield of western region than that of eastern region. Generally, the natural factors play a dominant role on sediment yield in the Upper Yangtze River.展开更多
The crop intensification program(CIP)was introduced in Rwanda in 2007 by the Ministry of Agriculture and Animal Resources(MINAGRI),Rwanda,as a solution to the land fragmentation,low use of agricultural inputs and ...The crop intensification program(CIP)was introduced in Rwanda in 2007 by the Ministry of Agriculture and Animal Resources(MINAGRI),Rwanda,as a solution to the land fragmentation,low use of agricultural inputs and low access to extension services.However,due to the voluntary nature of farmers’participation and their reluctance to participate,this study aimed at assessing the factors that influence their participation.Data were collected from 340 respondents through a household survey in Mayange and Rusarabuye sectors.Descriptive statistics and binary logistic regression model were used to analyze the data.Results show that the factors that significantly influenced the farmers’participation in the CIP include gender,non-farm income,farmland size,farming experience,land acquisition means,market access,trust and agro-ecological conditions.In fact,the non-farm income significantly increased the farmers’decisions to participate in the CIP(P〈0.001)as it eases the financial capital needed to invest in the CIP activities.On the land acquisition means,the farmers who inherited or bought the land positively and significantly participated in the CIP(P〈0.05)because they had the land tenure security.However,the participation in the CIP was hindered by inadequate irrigation and mechanization facilities,lack of farmers’participation in the CIP planning process,inadequate extension services,inadequate agricultural inputs and inadequate post-harvest technologies.Closer collaboration between farmers,local leaders,extension agents and agricultural service providers as well as the farmers’practical skills in irrigation and mechanization could enhance the participation to the program.Therefore,there is a need on the part of policymakers to empower farmers with adequate knowledge on better cropping practices and agricultural technologies through appropriate extension services and bottom-up based program.展开更多
Background: Socioeconomic factors influence health outcomes and the distribution of health resources within and between countries globally. In Nigeria, there are various socio-economic factors that have been reported ...Background: Socioeconomic factors influence health outcomes and the distribution of health resources within and between countries globally. In Nigeria, there are various socio-economic factors that have been reported to be responsible for health inequities across the different geopolitical zones. Objective: To assess health inequities in relation to socio-economic factors that affect access to essential health care services in Nigeria, using family planning, maternal care, and childcare as indicators. Method: The study involved a cross-sectional secondary analysis of data from the 2018 Nigeria Demographic and Health Survey (NDHS) and a literature review of transdisciplinary approaches to addressing health inequities. Result: The overall result from the findings suggests a strong influence of geographical and socioeconomic factors in the distribution of healthcare services. Specifically, family planning services were more readily available and accessible in the Southern zones of Nigeria than in the Northern zone of Nigeria, which could be attributed to socio-cultural, religious, and access-related barriers. Results also showed that access to most maternal and child health care services was often skewed towards the southern zones, which could be due to the presence of more healthcare workers who provide these services coupled with higher access to maternal care, hence a higher uptake and utilization of maternal care services. Also, children in the northern zones had lesser odds of receiving basic and age-appropriate vaccination than those in other regions, which could be attributed to the supply-side disparities that exist between the northern and southern regions. Conclusion: This study concludes that level of educational attainment, wealth quintiles, as well as financial barriers, are the major socio-economic factors that influence access to maternal and childcare services.展开更多
Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complicat...Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complications, and if this affects severity of the disease as measured by the disease activity index (DAS 28). Patients and Methods: A sample of 100 patients with RA who met the Criteria of American College of Rheumatology for RA agreed to participate in this study over the period September 2011-March 2012. Patients’ data were obtained by personal interview. The questionnaire included demographic characteristics and the patients’ knowledge about their disease. The disease activity was measured using standard (DAS28). Results: Thirty three percent of the patients didn’t have an idea about their disease, 20% didn’t know the reason for the investigations, 49% didn’t know the treatment and 40% didn’t know the side effects of their medications. Most patients had a high disease activity index, and there was a poor correlation between patients’ educational level and the disease activity. Conclusions: Neither the educational level nor the frequency of hospital admissions had effects on the knowledge about this disease. As most patients had a high disease activity, a better knowledge may improve disease control and prevent complications.展开更多
基金financed by the National Basic Research Program of China(2010CB951502)the National Natural Science Foundation of China(41101537,40930101,41201184 and 71203157)
文摘For the scientific management of farmland, it is significant to understand the spatio-temporal variability of soil organic matter and to study the influences of related factors. Using geostatistical theory, GIS spatial analysis, trend analysis and a Geographically Weighted Regression (GWR) model, this study analyzed the response of soil organic matter to climate and socio-economic factors in central Heilongjiang Province during the past 25 years. Second soil survey data of China for 1979-1985, 2005 field sampling data, climate observations and socio-economic data for 1980-2005 were analyzed. First, soil organic matter in 2005 was spatially interpolated using the Co-Kriging method along with auxiliary data sets of soil type and pH. The spatio-temporal variability was then studied by comparison with the 1980s second soil census data. Next, the temporal trends in climate and socio-economic factors over the past 25 years were investigated. Finally, we examined the variation of the response of soil organic matter to climate and socio-economic factors using the GWR model spatially and temporally. The model showed that 53.82% area of the organic matter content remained constant and 29.39% has decreased during the past 25 years. The impact of precipitation on organic matter content is mainly negative, with increasing absolute values of the regression coefficient. The absolute value of regression coefficient of annual average temperature has decreased, and more areas are now under its negative effects. In addition, the areas of positive regression coefficient of annual sunshine hours have northward shifted, with the increasing absolute value of positive coefficient and decreasing absolute value of negative coefficient. The areas of positive regression coefficient of mechanized farming as a socio-economic factor have westward shifted, with the increasing absolute value of negative coefficient and decreasing absolute value of positive coefficient. The area of regions with the positive regression coefficient of irrigation has expanded. The regions with positive regression coefficient of fertilizer use have shrinked. The positive regression coefficient of mulch film consumption has significantly increased. The regression coefficient of pesticide consumption was mainly positive in the west of the study area, while it was negative to the east. Generally, GWR model is capable to investigate the influence of both climatic and socio-economic factors, avoided the insufficiency of other research based on the single perspective of climatic or socio-economic factors. Therefore, we can conclude that GWR model could provide methodological support for global change research and serve as basic reference for cultivated land quality improvement and agricultural decision making.
文摘AIM: To evaluate the association between various lifestyle factors and achalasia risk.METHODS: A population-based case-control study was conducted in Northern Ireland, including n = 151 achalasia cases and n = 117 age- and sexmatched controls. Lifestyle factors were assessed via a face-to-face structured interview. The association between achalasia and lifestyle factors was assessed by unconditional logistic regression, to produce odds ratios(OR) and 95% confidence interval(CI).RESULTS: Individuals who had low-class occupations were at the highest risk of achalasia(OR = 1.88, 95%CI: 1.02-3.45), inferring that high-class occupation holders have a reduced risk of achalasia. A history of foreign travel, a lifestyle factor linked to upper socioeconomic class, was also associated with a reduced risk of achalasia(OR = 0.59, 95%CI: 0.35-0.99). Smoking and alcohol consumption carried significantly reduced risks of achalasia, even after adjustment for socio-economic status. The presence of pets in the house was associated with a two-fold increased risk of achalasia(OR = 2.00, 95%CI: 1.17-3.42). Nochildhood household factors were associated with achalasia risk.CONCLUSION: Achalasia is a disease of inequality, and individuals from low socio-economic backgrounds are at highest risk. This does not appear to be due to corresponding alcohol and smoking behaviours. An observed positive association between pet ownership and achalasia risk suggests an interaction between endotoxin and viral infection exposure in achalasia aetiology.
文摘Since the implementation of reform and open door policy in China, Jiangsu has become one of the provinces which have the highest speed of economic development. With the implementation of the uneven development strategy, Jiangsu has witnessed a widening dichotomy in levels of socio economic development: southeast showing rapid improvement and north showing little improvement, particularly in rural areas. Based on factor analysis, it is argued that foreign investment, agricultural productivity, the character of regional economic structures, and the level of urbanization all contribute in varying ways to the inequalities in levels of socio economic development in different regions of Jiangsu. According to the levels of socio economic development, eleven regions are categorized into three groups.
文摘Based on the current literature, this paper is mainly intended to test whether environmental factors and socio-economic factors will have direct effect on the longevity at county level in China in order to determine the major determinants affecting local longevity level. Using the multi-regression model, we find the result that factors such as temperature, climate, longitude, type of soils, as well as type of agricultural food production play a major role in shaping the longevity at county level, and that socio- economic factors like infant mortality and gross death rate also have some direct impact on longevity, but the degree of impact is not as strong as the above environmental factors.
文摘Introduction: The incidence of stroke has decreased in Sweden as well as in most developed countries, but a high number of migrants have arrived in Sweden, during the last decades, which may have influenced the incidence. Aim: The aim of this study was to examine the incidence of stroke in women, born outside as well as in Sweden. Furthermore, the aim was to examine how socio-economic factors, smoking, and physical activity could modify the risk for stroke. Method: Data from the “MalmöDiet and Cancer Study” was used for the analysis. In total, 16,857 women were included (14,849 of them born in and 2,008 born outside Sweden), aged 45 - 73 years with a mean age of 57.4 years. Result. A significantly increased relative risk (RR) was found for the incidence of stroke for current smokers in both Swedish-born and migrant women. In Swedish-born women the RR was 1.98 (CI: 1.66 - 2.36) and for migrant women the RR was 1.83(CI: 1.13 - 2.96). The adjusted relative risk for the incidence of stroke in Swedish-born women performing moderate/high physical activity was RR 0.71 (CI: 0.61 - 0.84) and for migrant women it was RR 0.77 (CI: 0.49 - 1.20). The relative risk in relation to low socio-economic circumstances (SES) was significant only for Swedish-born women (RR 0.85 [CI: 0.73 - 0.99]). Among currently smoking Swedish-born women with a low SES the RR was 1.27 (CI: 1.03 - 1.57) in comparison with smoking migrant women, whose RR was 1.68 (CI: 0.92 - 3.09). Conclusion: No differences were found indicating that migrant women in this population had a higher risk as compared to Swedish-born women. However, migrant smoking women were more vulnerable to stroke compared to Swedish-born women. Physical activity was effective in reducing the risk of stroke among the total population and especially in the Swedish-born women. To increase physical activity in middle-aged women, in both migrant and Swedish-born women, is a highly recommended public health strategy.
文摘Introduction: The use of proper feeding practices is key for the overall development of children. Generally, breastfeeding and complementary feeding make up the diet and therefore the nutritional status of children. However, the degree to which mothers adhere to the recommendations of the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) regarding breastfeeding and complementary feeding is key to the nutritional status of children. Again, the adherence to this dietary recommendation is contingent on the socio-economic conditions of the child-bearing parents, especially the mothers. Here in this study, the socio-economic characteristics were analyzed along with the feeding practices of children not more than five years old in rural Sierra Leone. Method: Data were collected in 2017 on representative mothers with children within 0 - 5 years old. A total of 10 communities and 200 respondents were randomly covered in the Kori Chiefdom of Moyamba District, Sierra Leone. The data collection instruments included structured questionnaire, inter-personal interaction, personal observation and experience. The collected data were analyzed in Microsoft Excel and SPSS and the results presented in simple graphs. Results: A large number of the respondents were married teenage mothers with 1 - 2 children and living under extreme hardship by the United Nations (UN) standard. Also, most of the mothers were illiterate and started breastfeeding their children within the very hour of birth. Because complementary feeding was started all too early, exclusive breastfeeding last for not more than two months for most of the respondent mothers. Also, because rice is by far the most widely eaten the staple food in Sierra Leone, complementary food was mostly powdered rice mixed with salt and oil. Hardly was protein food supplement used as complementary food, probably due to the economic conditions of the poor rural women. Conclusion: The study has thrown sufficient light on the socio-economic characteristics and adopted feeding practices of children in poor rural Sierra Leone. In this sense, the study has laid the basis for sufficient for in-depth correlativity studies on the factors driving feeding practices of children and how it in turn impacts nutritional status of children in poor rural Africa. From here, practically adoptable recommendations can be advanced for the attention of the governments, public institutions, the private sector and the individuals of the society.
文摘The main purpose of this study was to examine the association between sociodemographic factors (gender, place of residence, level of education, geopolitical zone, and socioeconomic status) and HCT uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria. Probability sampling technique was used to obtain a sample of 10,091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192;urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputting them into SPSS v21.0 for analysis and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages;measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the sociodemographic variables of gender, place of residence, level of education, geopolitical zone, and SES were significantly associated with HCT uptake. Among others, it was recommended that examining the efficacy of HCT treatments in Nigeria, along with conducting a demographic analysis of the at-risk population, could be beneficial in informing the authorities who are responsible for allocating finite medical resources.
基金Commonweal Special Project of the Minislry of Water Resources of China, No.2007SHZ0901034 National Natural Science Foundation of China, No.40971012 Acknowledgements We are grateful to Data Center for Resources and Environmental Sciences of Chinese Academy of Sciences for providing the data of soil and to China Meteorological Administration for providing the data of precipitation.
文摘In recent years, the role of human activities in changing sediment yield has become more apparent for the construction of hydraulic engineering and water conservation projections in the Upper Yangtze River, but it has not been evaluated at the macro scale. Taking Sichuan Province and Chongqing City as an example, this paper studies the relationship between socio-economic factors and sediment yield in the Upper Yangtze River based on section data in 1989 and 2007. The results show that sediment yield is significantly correlated with population density and cultivated area, in which the former appears to be more closely related to sediment yield. Moreover, in the relation of sediment yield vs. population density, a critical value of population density exists, below which the sediment yield increases with the increase of population density and over which the sediment yield increases with the decrease of population density. The phenomenon essentially reflects the influence of natural factors, such as topography, precipitation and soil property, and some human activities on sediment yield. The region with a higher population density than critical value is located in the east of the study area and is characterized by plains, hills and low mountains, whereas the opposite is located in the west and characterized by middle and high mountains. In the eastern region, more people live on the lands with a low slope where regional soil erosion is slight; therefore, sediment yield is negatively related with population density. In contrast, in the western region, the population tends to aggregate in the areas with abundant soil and water resources which usually lead to a higher intensity of natural erosion, and in turn, high-intensity agricultural practices in these areas may further strengthen local soil erosion. It is also found that population tends to move from the areas with bad environment and high sediment yield to the areas with more comfortable environment and less sediment yield. The natural factors have greater influence on sediment yield of western region than that of eastern region. Generally, the natural factors play a dominant role on sediment yield in the Upper Yangtze River.
基金The Institute of Resources, Ecosystem and Environment of Agriculture (IREEA) at Nanjing Agricultural University,Chinathe Chinese Scholarship Council (CSC) are thanked for the financial support
文摘The crop intensification program(CIP)was introduced in Rwanda in 2007 by the Ministry of Agriculture and Animal Resources(MINAGRI),Rwanda,as a solution to the land fragmentation,low use of agricultural inputs and low access to extension services.However,due to the voluntary nature of farmers’participation and their reluctance to participate,this study aimed at assessing the factors that influence their participation.Data were collected from 340 respondents through a household survey in Mayange and Rusarabuye sectors.Descriptive statistics and binary logistic regression model were used to analyze the data.Results show that the factors that significantly influenced the farmers’participation in the CIP include gender,non-farm income,farmland size,farming experience,land acquisition means,market access,trust and agro-ecological conditions.In fact,the non-farm income significantly increased the farmers’decisions to participate in the CIP(P〈0.001)as it eases the financial capital needed to invest in the CIP activities.On the land acquisition means,the farmers who inherited or bought the land positively and significantly participated in the CIP(P〈0.05)because they had the land tenure security.However,the participation in the CIP was hindered by inadequate irrigation and mechanization facilities,lack of farmers’participation in the CIP planning process,inadequate extension services,inadequate agricultural inputs and inadequate post-harvest technologies.Closer collaboration between farmers,local leaders,extension agents and agricultural service providers as well as the farmers’practical skills in irrigation and mechanization could enhance the participation to the program.Therefore,there is a need on the part of policymakers to empower farmers with adequate knowledge on better cropping practices and agricultural technologies through appropriate extension services and bottom-up based program.
文摘Background: Socioeconomic factors influence health outcomes and the distribution of health resources within and between countries globally. In Nigeria, there are various socio-economic factors that have been reported to be responsible for health inequities across the different geopolitical zones. Objective: To assess health inequities in relation to socio-economic factors that affect access to essential health care services in Nigeria, using family planning, maternal care, and childcare as indicators. Method: The study involved a cross-sectional secondary analysis of data from the 2018 Nigeria Demographic and Health Survey (NDHS) and a literature review of transdisciplinary approaches to addressing health inequities. Result: The overall result from the findings suggests a strong influence of geographical and socioeconomic factors in the distribution of healthcare services. Specifically, family planning services were more readily available and accessible in the Southern zones of Nigeria than in the Northern zone of Nigeria, which could be attributed to socio-cultural, religious, and access-related barriers. Results also showed that access to most maternal and child health care services was often skewed towards the southern zones, which could be due to the presence of more healthcare workers who provide these services coupled with higher access to maternal care, hence a higher uptake and utilization of maternal care services. Also, children in the northern zones had lesser odds of receiving basic and age-appropriate vaccination than those in other regions, which could be attributed to the supply-side disparities that exist between the northern and southern regions. Conclusion: This study concludes that level of educational attainment, wealth quintiles, as well as financial barriers, are the major socio-economic factors that influence access to maternal and childcare services.
文摘Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complications, and if this affects severity of the disease as measured by the disease activity index (DAS 28). Patients and Methods: A sample of 100 patients with RA who met the Criteria of American College of Rheumatology for RA agreed to participate in this study over the period September 2011-March 2012. Patients’ data were obtained by personal interview. The questionnaire included demographic characteristics and the patients’ knowledge about their disease. The disease activity was measured using standard (DAS28). Results: Thirty three percent of the patients didn’t have an idea about their disease, 20% didn’t know the reason for the investigations, 49% didn’t know the treatment and 40% didn’t know the side effects of their medications. Most patients had a high disease activity index, and there was a poor correlation between patients’ educational level and the disease activity. Conclusions: Neither the educational level nor the frequency of hospital admissions had effects on the knowledge about this disease. As most patients had a high disease activity, a better knowledge may improve disease control and prevent complications.