Rural Communities In China Research Articles

Household poverty in people with severe mental illness in rural China: 1994-2015.

Little is known about poverty trends in people with severe mental illness (SMI) over a long time span, especially under conditions of fast socioeconomic development. This study aims to unravel changes in household poverty levels among people with SMI in a fast-changing rural community in China. Two mental health surveys, using ICD-10, were conducted in the same six townships of Xinjin county, Chengdu, China. A total of 711 and 1042 people with SMI identified in 1994 and 2015, respectively, participated in the study. The Foster-Greer-Thorbecke poverty index was adopted to measure the changes in household poverty. These changes were decomposed into effects of growth and equity using a static decomposition method. Factors associated with household poverty in 1994 and 2015 were examined and compared by regression analyses. The proportion of poor households, as measured by the headcount ratio, increased significantly from 29.8% in 1994 to 39.5% in 2015. Decomposition showed that poverty in households containing people with SMI had worsened because of a redistribution effect. Factors associated with household poverty had also changed during the study period. The patient's age, ability to work and family size were of paramount significance in 2015. This study shows that the levels of poverty faced by households containing people with SMI has become more pressing with China's fast socioeconomic development. It calls for further integration of mental health recovery and targeted antipoverty interventions for people with SMI as a development priority.

The impact of climate change on the labor allocation: Empirical evidence from China

Climate change may significantly affect the labor market by generating disproportionate damage to marginal returns to labor across sectors. However, this potentially important channel through which climate change may affect social welfare has not received the attention it deserves. We provide the first estimate of the long-term effects of climate change on the labor market based on the hedonic approach, which accounts for individual long-term adjustments to climate change. Using a panel of field survey data from 8076 working age residents in 279 rural communities in China, we find that a 1 °C increase from current mean temperature will reduce an average rural resident’s time allocated to farm work by 7.0%, increase the time allocated to off-farm work by 7.8%, and reduce the time allocated to leisure by 0.8%. We also find differential responses to climate change across gender: higher temperatures mainly shift males’ time from leisure to off-farm work, but mainly shift females’ time from farm work to off-farm work.

Frequency and correlates of violence against patients with schizophrenia living in rural China

BackgroundViolence against patients with schizophrenia is very common, however it is rarely studied in China, especially in primary health care institutions of rural areas. Therefore, we investigated the frequency of violence against patients with community-living schizophrenia in rural China and examined its associated factors and impact on quality of life (QoL) and social function.MethodA survey was conducted among 487 patients with schizophrenia living in rural communities. Data about violent victimization experiences in the past 6 months, demographic information, and clinical characteristics were collected by questionnaires.ResultsWe found that 92 (18.9%) of 487 subjects experienced at least one type of violent event in the past 6 months. Logistic regression analysis suggested that a history of conducting dangerous behaviors(OR = 1.702, P = 0.02, 95%CI: 1.05–2.73), higher Brief Psychiatric Rating Scale (anxiety domain) score (OR = 1.15, P = 0.02, 95%CI: 1.01–1.304) and lower hospitalization rates (OR = 0.89, P = 0.04, 95%CI: 0.81–0.99) were significantly associated with violent victimization in patients with schizophrenia. Analysis of covariance showed the victims of violence tended to have worse social function in patients with schizophrenia living in rural communities of China (P = 0.04).ConclusionsIndividuals with schizophrenia living in rural China had a high risk of being exposed to violence and violent victimization of patients with schizophrenia had adverse consequences for social function. More attention is needed for those patients experiencing violent events, because they are simultaneously possible to conduct dangerous behaviors.

Progression to Abnormal Glucose Tolerance and Its Related Risk Factors Among Women with Prior Gestational Diabetes in Rural Communities of China.

BackgroundThe purpose of this study was to describe the status of abnormal glucose tolerance with a longer duration after delivery among women with prior gestational diabetes mellitus (GDM) in a rural community of China, and to explore the influence of socio-demographic factors, GDM-related factors (family history of diabetes, number of children, receipt of treatment for GDM), psychosocial factors (perceived stress, self-efficacy, and social support), lifestyle behaviors (physical activity, sedentary activity, fruit or vegetables intake), and obesity indicators (body mass index and waist circumferences) on abnormal glucose tolerance.Patients and MethodsA cross-sectional descriptive survey was conducted among women with prior GDM in two county-level hospitals in Western and Eastern Hunan, China from November 2017 to June 2018. Under the guidance of life course theory, data were collected using self-report measures of socio-demographic and GDM-related factors as well as psychosocial factors (perceived stress, self-efficacy, and social support) and postpartum lifestyle behaviors (physical activity, sedentary activity, and fruit and vegetable intake). Additionally, a 75-g oral glucose tolerance test was conducted, and weight, height, and waist circumference were measured on site.ResultsA total of 425 women were included in this study, with an average postpartum duration of 18.04 months. Of these women, 20.9% had abnormal glucose tolerance (AGT). A multivariate analysis indicated that the proportion of abnormal glucose tolerance increased with increased age (OR = 2.13; 1.27–3.57, p=0.004), ethnic minority (OR: 1.62, 95% CI: 0.96–2.72, p=0.069), lower educational levels (OR:0.58, 95% CI: 0.33–1.02, p=0.057), receipt of treatment for GDM during pregnancy (OR =1.93; 1.11–3.37, p=0.020) and larger waist circumference (OR = 1.08; 1.05–1.12, p=0.000).ConclusionMore than one-fifth of the women with GDM in rural China had progression to AGT. More postpartum programs aimed at reducing waist circumference are warranted to delay or prevent progression to type 2 diabetes mellitus for rural Chinese women with prior GDM.

Relationship between multiple lifestyle behaviors and health-related quality of life among elderly individuals with prediabetes in rural communities in China: A STROBE-compliant article.

Evidence of the effect of lifestyle behaviors on health-related quality of life (HRQoL) is scarce or ambiguous. The objective of the present study was to explore the associations between multiple lifestyle behaviors and HRQoL among the elderly individuals with prediabetes.Four hundred thirty-four elderly individuals with prediabetes were included in this cross-sectional study. The Medical Outcomes Study 36-Item Short Form Health Survey Questionnaire (SF-36) was used to assess HRQoL. Multiple lifestyle behaviors, including smoking, alcohol consumption, physical activity, dietary habits, daily sedentary time and sleep duration were self-reported. The associations between HRQoL and multiple lifestyle behaviors were examined using a multivariate linear regression analysis.Lower-risk physical activities (β =3 .19, 95% CI: 1.32, 5.64), dietary habits (β = 2.60, 95% CI: 1.50, 4.72), and sedentary time (β = 2.49, 95% CI: 1.21, 4.81) were positively associated with the physical health component score (PCS) for HRQoL. Meanwhile, a lower-risk behavior, such as sleep duration (β = 2.64, 95% CI: 1.77, 4.51), was associated with a higher mental health component score (MCS) for HRQoL after adjusting for socio-demographic factors, chronic diseases, anthropometric data and all other lifestyle behaviors. Engaging in a greater number of lower-risk lifestyle behaviors was positively correlated with a better HRQoL.Multiple lifestyle behaviors were associated with HRQoL among the elderly individuals with prediabetes in rural areas. These results highlight the need for multiple lifestyle behavioral interventions to maintain and improve HRQoL in the elderly individuals with prediabetes.

Schizophrenia, social support, caregiving burden and household poverty in rural China.

Household poverty associated with schizophrenia has been long described. However, the mechanisms by which schizophrenia may have influenced the economic status of a household in rural communities are still unclear. This study aimed to test an integrated model of schizophrenia, social support and caregiving burden on household poverty in a rural community in China. A mental health survey using identical methods and ICD-10 was conducted in six townships of Xinjin County (population ≥ 15years old, n = 152,776), Chengdu, China in 2015. Identified persons with schizophrenia (n = 661) and their caregivers completed a joint questionnaire of sociodemographic information, illness conditions, social support and caregiving burden. Descriptive analysis was applied first to give an overview of the dataset. Then, multivariable regression analyses were conducted to examine the associative factors of social support, caregiving burden and household income. Then, structural equation modeling (SEM) was used to estimate the integrated model of schizophrenia, social support, caregiving burden and household income. Households with patient being female, married, able to work and having better social function were better off. Larger household size, higher social support and lower caregiving burden also had salient association with higher household income. The relationship between schizophrenia and household poverty appeared to be mediated by the impacts of schizophrenia on social support and caregiving burden. There was a strong association between schizophrenia and household poverty, in which social support and caregiving burden may had played significant roles on mediating it. More precise poverty alleviation policies and interventions should focus on supporting recovery for persons with schizophrenia, as well as on increasing social support and on reducing family caregiving burden.

Prevalence and cardiovascular risk factors of asymptomatic intracranial arterial stenosis: the Kongcun Town Study in Shandong, China.

This studywas to investigate the prevalence and cardiovascular risk factors (CRFs) of asymptomatic intracranial atherosclerotic stenosis (aICAS) amongst middle-aged and older adults living in rural communities in China. This population-based study included 2019 subjects (aged ≥40years, 52.3% women) who were free of stroke and living in rural communities in China. From October 2017 to May 2018, data on demographics, CRFs and health conditions were collected through face-to-face interviews, physical examination and laboratory tests. Asymptomatic ICAS was detected through a two-phase procedure: a screening phase with transcranial Doppler ultrasound, followed by a diagnostic phase with magnetic resonance angiography examination. Multivariable logistic regression models were used to analyse CRFs associated with aICAS. Of the 2019 participants, aICAS was detected in 153 persons. The overall prevalence of aICAS was 7.6%, and the prevalence of moderate-to-severe aICAS was 5.0%. The multi-adjusted odds ratio (95% confidence interval) of aICAS associated with CRFs was 2.40 (1.56-3.69) for hypertension, 1.91 (1.32-2.76) for high hypersensitive C-reactive protein, 1.68 (1.14-2.49) for diabetes and 1.61 (1.08-2.41) for overweight or obesity. When these four CRFs were aggregated, compared with participants without any of these factors, the multi-adjusted odds ratios (95% confidence interval) of aICAS for persons concurrently having one, two and three or more of these factors were 1.14 (0.52-2.48), 2.91 (1.42-5.99) and 5.51 (2.64-11.50), respectively (P for linear trend <0.001). Asymptomatic ICAS is common amongst rural-dwelling middle-aged and older Chinese people. Hypertension, diabetes, overweight or obesity and high hypersensitive C-reactive protein, especially when coexisting, are strongly associated with aICAS.

The Myth of Filial Piety as a Pillar for Care of Older Adults among Chinese Populations

Filial piety has been touted as the Chinese answer to long term care of older people, supported by legislations in Singapore as well as the People’s Republic of China. In reality, increasing numbers of older people live alone in both developing and developed economies while their children live and work elsewhere. This phenomenon is particularly prevalent among rural communities in China, where working age adults migrate to work in cities, leaving their parents to look after their own children in many cases. There exists a huge social problem when the elderly developed health problems and cannot look after themselves or their grandchildren, contributing to neglect and suicides. This paper argues that filial piety as a feature of Confucianism is a fact of history, and may not be applicable to care of older people in modern economies. Literature show that the strongest levels of senior derogation was observed in East Asia, compared with South and Southeast Asia; in non-Anglophone Europe, compared with North American and Anglophone Western Europe. At a country level, recent rises in population ageing predict negative attitudes; while cultural individualism predicts positive attitudes. The underlying mechanisms behind cultural differences in ageing attitudes are likely to be due to higher levels if industrialization and economic progress as well as intergenerational conflict with rising numbers of older people exerting a negative impact.

Livelihood resilience in tourism communities: the role of human agency

Tourism development in rural China today brings both opportunities and challenges for local communities. To thrive or even adapt in this new and rapidly changing environment, communities need to be resilient in order to maintain successful livelihoods. This paper examines the core issue in this dynamic coping process. After a substantial literature review, an Agency-based Livelihood Resilience Framework is developed and used to examine two communities in rural China. The role of agency in shaping community resilience is specifically emphasized in this framework. Face-to-face interviews and participatory observation methodologies were adopted in the case studies in order to identify changes caused by external investment, villagers’ actions to deal with the changes, and the social structures behind these actions. We found that the two villages demonstrated different levels of resilience, and that this can be explained by differences in individual agency. However, both villages failed to transform into a system which can thrive in the new environment due to a lack of collective agency. Agency, especially collective agency, is vital for structural change in communities, but it was limited by certain context-specific factors in the two cases.

Can School Feeding Programs Reduce Malnutrition in Rural China?

Childhood malnutrition is commonplace among poor rural communities in China. In 2012, China launched its first nationwide school-feeding program (SFP) to address this problem. This study examines the prevalence of malnutrition before and after the SFP and identifies possible reasons for the trends observed. Ordinary least squares regression and propensity score matching were used to analyze data from 2 cross-sectional surveys of 100 rural primary schools in northwestern China. Participants were fourth-and fifth-grade students. Outcome measures include anemia rates, hemoglobin levels, body mass index, and height for age Z scores. Three years after implementation of the SFP, malnutrition rates among sample students had not fallen. The SFP had no statistically significant effect on either anemia rates or BMI, but was linked to an increase in the proportion of students with below normal height for age Z scores. Meals provided to students fell far short of national recommendations that the SPF should provide 40% of the recommended daily allowance of micronutrients. Despite significant budgetary outlays between 2012 and 2015, China's SFP has not reduced the prevalence of malnutrition among sample students. To make the SFP more effective, funding and human resources both need to be increased.

Analysis on the Status Quo and Characteristics of the Living Space of Native Agricultural Rural Communities in China

Analysis on the Status Quo and Characteristics of the Living Space of Native Agricultural Rural Communities in China

Trends in the prevalence, awareness, treatment and control of diabetes in rural areas of northern China from 1992 to 2011.

Aims/IntroductionThe worldwide prevalence of diabetes mellitus has been increasing over the past decades, particularly in developing countries. Because of the lack of information regarding changes in diabetes mellitus prevalence, awareness, treatment and control in rural China, we assessed these trends – overall and in the context of related health conditions – to explore the impact of these primary health issues on these rates in a poorly educated, rural population.Materials and MethodsDiabetes mellitus prevalence, awareness, treatment and control rates were compared between two surveys carried out in 1992 and 2011. The residents of three villages, aged 35–64 years, were recruited for this study.ResultsIn 1992, 1,091 individuals were interviewed and, in 2011, 2,338 individuals were interviewed. Between the two surveys, the overall diabetes mellitus prevalence in the study population was lower in 1992 than that in 2011 (P < 0.001); among men, the prevalence was 5.2‐fold higher in 2011 than in 1992 (10.5 vs 1.7%) and nearly 4.3‐fold higher (11.2 vs 2.1%) among women. Men aged 35–44 years, with >6 years of education, stage I hypertension and being overweight, had a higher prevalence of diabetes mellitus in 2011 than in 1992. Similarly, for the same time periods, there was also a higher diabetes mellitus prevalence among women aged 55–64 years, with 1–6 years of education, stage III hypertension and who were overweight. However, there were no significant changes in diabetes mellitus awareness, treatment or control in this population.ConclusionsThese results suggest that particular efforts must be made to enhance diabetes mellitus prevention, control and public awareness in rural communities in China.

Can climate mitigation help the poor? Measuring impacts of the CDM in rural China

This study examines whether investment in climate change mitigation contributes to poverty alleviation. We investigate the impacts of the renewable energy-based clean development mechanism (RE-CDM) projects on rural communities in China. The impacts of RE-CDM projects are estimated by combining propensity score matching with the difference-in-differences approach. We found that the biomass-based CDM projects significantly contribute to income improvement and employment generation in rural communities in China. Our estimation results also reveal that wind energy-based CDM projects have the potential to increase income and the share of labor force in the primary industry in rural areas. These results suggest different channels through which renewable energy sources affect income.

Study on activities of daily living disability in community-dwelling older adults in China

Objective: To investigate the disability status and its epidemiological characteristics in the elderly in urban and rural communities in China. Methods: The participants were from the project of Prevention and Intervention on Neurodegenerative Disease for Elderly in China conducted in 2015. A total of 23 803 urban and rural residents aged over 60 years were selected through stratified multi-stage cluster sampling in 6 provinces for a set of standardized questionnaire interview and physical examinations. Activities of daily living (ADL) scale was used to assess the disability status of the elderly. χ(2) test was used to analyze the difference in basic activities of daily living (BADL) and instrumental activities of daily living (IADL) disabilities in different elderly populations. Multivariate logistic regression model was used to analyze the influence factors for disability. Results: Taking bath had the highest impairment rate (1.7%) while eating had the lowest impairment rate (0.6%) in BADL. Making phone call had the highest impairment rate (16.6%), followed by taking bus (5.5%) and taking medicine (1.8%) in IADL. The BADL and IADL disability rates in community seniors were 2.1% and 19.1%, respectively. BADL disability rate was higher in females, the widowed, illiterate, the elderly with low body weight or obesity (P<0.05). IADL disability rate was higher in females, rural residents, the widowed, the elderly with lower educational level or lower body weight (P<0.05). Multivariate analysis showed that risk for BADL disability increased with age and abnormal BMI, and decreased with the increase of education level. The risk factors for IADL disability included being female, age, rural residence, being widowed and low BMI. The risk for IADL disability was lower in those with higher education level and overweight or obesity. Conclusion: The present study showed that the disability rate was high in the elderly in China, which was influenced by the aging and multi demographic characteristics of the elderly. It is important to strengthen the prevention of BADL and IADL disabilities and intervention in the elderly.

Effects of social support and cultural capital on global meaning among bereaved elders in rural China: A hierarchical linear analysis.

This study explored the context effect in the relationship between capital (income, social support, and cultural capital) and changes in global meaning. We interviewed a sample of 352 bereaved Chinese elders from 18 communities in rural China and conducted hierarchical linear modeling for data analysis. The effects of social support and cultural capital in terms of traditional Chinese culture on changes in global meaning differed across communities. Social support earned its credit in buffering function against bereavement, whereas traditional Chinese culture posed a risk of elevating negative global meaning. More social support and positive global meaning are reliable predictors for enhancing the psychological health of bereaved elders.

Analysis on the Status Quo and Characteristics of the Living Space of Native Agricultural Rural Communities in China

Analysis on the Status Quo and Characteristics of the Living Space of Native Agricultural Rural Communities in China

The Path Analysis of Rural Community Education Service on Rural Revitalization Strategy in China

In the new era, China has made an important strategic deployment of rural re-vitalization, reflecting the comprehensive realization of well-off new tasks and new requirements, which is the common aspirations and pursuit of the majority of farmers. The rural community education is the key strategic support to realize the rural revitalization, the development of rural community education is the basic premise of building a modern countryside and an important way to train new quality rural residents. However, the rural community education in China is confronted with such constraints and challenges as low status, imperfect system, weak faculty and weak sustainable development. Based on the current situation of rural community education, this paper proposes specific development strategies, so as to promote the better development of rural communities in China and help rural areas realize rural revitalization as soon as possible.

Effect of Caregiver's Mental Health on Early Childhood Development across Different Rural Communities in China.

Previous research has found that there are high rates of developmental delays among infants and toddlers in rural areas of China. Caregiver mental health problems might be one significant predictor of developmental delays among infants and toddlers, as has been found in other areas of the world. One way that the mental health of caregivers could affect early childhood development is through its effect on parenting practices. In this study, we used data from four major subpopulations of rural China to measure the correlation of caregiver mental health problems with the developmental outcomes of infants and toddlers. To do so, the study used the Bayley Scales of Infant Development III (BSID III) to examine the rates of developmental delays among 2514 rural infants/toddlers aged 6–30 months old. The results of the testing demonstrate that 48% of the sample’s infants/toddlers have cognitive delays; 52% have language delays; 53% have social-emotional delays; and 30% have motor delays. The data collection team also assessed caregiver mental health by using the Depression Anxiety Stress Scales (DASS-21) questionnaire. According to the findings, 39% of caregivers in the sample have symptoms of at least one kind of mental health problem (depression, anxiety, or stress). We also found that most caregivers do not engage in positive parenting practices, while a significant share of caregivers engage in negative parenting practices. The statistical analysis found that showing signs of mental health problems is significantly and negatively associated with infant/toddler developmental outcomes. The study also found that caregivers who show signs of mental health problems are significantly less likely to engage in interactive parenting practices. The study confirms that society needs to pay more attention to caregiver mental health problems in order to improve infant/toddler developmental outcomes in rural China and increase human capital accumulation in China as a whole.

Associations between Infant Birth Weight and Seasonal Variations in PM2.5 Exposure during Pregnancy: A Prospective Cohort Study in a Rural Community in China

Associations between Infant Birth Weight and Seasonal Variations in PM2.5 Exposure during Pregnancy: A Prospective Cohort Study in a Rural Community in China

Associations between Infant Birth Weight and Seasonal Variations in PM2.5 Exposure during Pregnancy: A Prospective Cohort Study in a Rural Community in China

Background: Exposure to PM2.5 (fine particulate matter) pollutants in pregnancy has generally been found to be associated with infant low birthweight. In rural China, exposure of pregnant women to ...