Rural Research Articles

Investment Pattern and Behaviour of Rural Households on Investment Avenues with Special Reference to Ernakulam District

Two-thirds (67.63% of the total population) of the people in rural India live there and contribute one-third of the country's GDP1. One of the most significant areas that increases gross domestic savings is the household sector. The main objective of the study is to understand rural household savings and investment behaviour that is influenced by a number of factors including years of age, schooling, financial status, and occupation. According to the study, the majority of respondents have lower earning potential, and even those who did earn more only set aside a little fraction of their income for savings. In India, there are numerous investment opportunities and there are advantages and disadvantages to any investment strategy. Making the best investment decisions will meet the various demands of different people requires having a thorough understanding of these investing options. This paper projects various investment options and the level of household awareness in rural areas areas. The study utilized a meticulously designed questionnaire to explore the investment preferences and awareness levels of rural investors. The primary aim was to gain insights into their preferred investment avenues and their level of understanding regarding various investment options. For data analysis, simple percentages were employed to summarize the findings, and the chi-square test was used to assess relationships between categorical variables. 300 rural households selected as sample size from Ernakulam District through convenience sampling method.

The development of an online-based rural community of practice framework for addressing health issues among rural citizens: a grounded theory approach.

Health literacy facilitates an individual's ability to interpret and utilize medical information, thereby influencing their quality of life. Despite the benefits, the current oversaturation of information necessitates the support of healthcare professionals. Help-seeking behavior (HSB) is a term that describes the actions taken to assuage health concerns, and timely medical consultations are critical, especially for older individuals in rural areas who often face barriers to accessing care. These challenges are exacerbated by the perceived psychological distance from medical services in rural settings due to past negative experiences; however, the emergence of social media has helped form a bridge, allowing for direct communication with physicians. While consultations with artificial intelligence (AI) do occur, interaction with human physicians remains the gold standard. Thus, this study sought to understand social media's role in facilitating health consultations in rural areas and the implications for primary care education among physicians. This qualitative study, conducted from September 2022 to June 2023, employed a grounded theory approach to analyze information about a social network-based consulting system that utilized the LINE application. Residents posted anonymous health-related concerns, and comments were extracted. Two researchers coded and assessed the data; another specialist reviewed the findings. A total of 621 citizens participated, generating 10,432 posts. The grounded theory approach identified five major themes regarding health-related social networking in rural settings: (1) mutual exploration for information sharing highlighted distrust toward primary care physicians; (2) temporary collaboration resulted in superficial health discussions and relationship-building through empathy; (3) conflicts arising from differing health perspectives and misinformation sharing led to intense debates; (4) anxiety was resolved through shared illness experiences and increased empathy, enhancing psychological safety; and (5) a mutual assistance community was created, characterized by improved health dialogues and HSB among participants. The high engagement with the social network-based consulting system in rural Unnan City highlights technology's pivotal role in facilitating health dialogue and community engagement, despite challenges related to misinformation and health literacy complexities. As a reflection of the community's health perceptions and dynamics, future adaptations should incorporate strategies to combat these challenges while preserving collaboration and support.

Early childhood development and its associated factors among children aged 36-59 months in Afghanistan: evidence from the national survey 2022-2023.

Understanding the status of early childhood development (ECD) and its associated factors could serve as the basis for future policy efforts and interventions. Therefore, this study aimed to determine the status of ECD and its associated factors among children aged 36-59 months in Afghanistan. We used data from the Afghanistan Multiple Indicator Cluster Survey 2022-2023 (MICS) to assess ECD status. The outcome variable was a binary measure, indicating whether a child was developmentally on track or not. To explore the associations between ECD status and various explanatory variables, we applied binary logistic regression models, presenting both univariate and multivariate analyses. Among the 13,866 children aged 36 to 59 months included in the analysis, 29.95% (95% CI: 29.19-30.72%) were found to be developmentally on track. The likelihood of being developmentally on track was higher in children whose mothers had secondary [adjusted odds ratio (AOR) 1.36 (95%CI 1.04-1.77)] and higher education [1.73 (1.08-2.76)], in children whose fathers had primary [1.32 (1.05-1.67)], secondary [1.40 (1.10-1.79) and higher education [1.60 (1.21-2.11)], and in children belonging to the higher household wealth status [1.46 (1.18-1.82)]. On the other hand, the likelihood of being developmentally on track was lower in children aged 48-59 months [0.35 (0.30-0.40)], in children living in rural areas [0.77 (0.62-0.96)], in children with stunting [0.77 (0.61-0.96)], and in underweight children [0.61 (0.52-0.72)]. Our findings indicate that 29.95% of children aged 36-59 months in Afghanistan are developmentally on track. Positive associations were found between ECD and higher parental education and household wealth status. However, living in rural areas, underweight and stunted growth were negatively associated with ECD. To improve early childhood development programs in Afghanistan, targeted interventions are needed to address the factors identified in this study.

Teachers' knowledge about the principles of dealing with a student with type 1 diabetes mellitus.

A proper self-management and therapy process, and the involvement of patients and their carers in this process, influences the effectiveness of T1DM therapy. The responsibility for the self-management process lies with children and adolescents with T1DM, as well as their parents and other carers. The aim of this study was to assess the level of teachers' knowledge of the principles of the treatment and self-management of T1DM in children and to demonstrate the influence of various factors influencing teachers' knowledge. A cross-sectional survey was conducted among the teachers in the Pomeranian Voivodeship. The first part of the survey contained questions on sociodemographic data, the second part contained questions on personal attitudes towards a student with T1DM, and the third part contained twenty-nine questions assessing the basic knowledge of the self-management and treatment principles of T1DM. Tests were conducted with 698 (86.4%) female teachers and 110 (13.6%) male teachers. The median (25thQ ÷ 75thQ) score of the test on the teachers' knowledge was 20 (18 ÷ 21) points, with a maximum of 29 and a minimum of 0 points. Male teachers, aged between 26-40years, with 6-10years of seniority, working in rural areas, having a person with T1DM in their immediate environment or having a student with T1DM in their class had a higher knowledge level. Teachers who worked in schools where no nurse was employed and those who had not completed specific training on the principles of caring for a child with T1DM at school had a lower level of knowledge. 1. Knowledge of teachers is insufficient to ensure safe stay at school for a child with T1DM. 2. The ongoing training of teachers on the principles of the self-management and treatment of T1DM is necessary to improve and increase the safety of children and adolescents with T1DM in school units. 3. There is a need to improve the quality of health care for children with T1DM in the learning environment by increasing the number of school nurses and improving their knowledge, and by the ongoing training of teachers and other staff in school units. 4. Detailed care plans should be developed for children with T1DM, adapted to the school conditions.

Abstract A020: LncTransformer: Identifying novel prognostic long-noncoding RNA biomarkers for pancreatic cancer using deep learning

Abstract Pancreatic cancer remains a formidable challenge due to high mortality rates and limited therapeutic options due to late detection of the cancer. Recent literature has focused on investigating the potential of long noncoding RNAs (lncRNAs) as biomarkers in several cancers. To identify significantly altered expression of lncRNA in pancreatic cancer, I collected information from the Cancer Genome Atlas (TCGA) and extracted RNA- sequencing (RNA-seq) transcriptomic profiles of pancreatic carcinomas. Out of 60,660 gene transcripts shared between 151 pancreatic cancer patients, 38 lncRNAs were identified to be significantly differentially expressed. To find the lncRNAs related to metastatic progression of pancreatic cancer, different machine learning algorithms, including logistic regression (LR), support vector machine (SVM), random forest classifier (RFC), and a custom autoencoder model were trained to identify potential prognostic biomarkers. The custom deep learning model predicted metastatic prognostic biomarkers with a 92% accuracy, with the second-best accuracies coming from the SVM and RFC models, having an accuracy of 76%. Using the deep learning model, the following novel lncRNA and gene biomarkers were identified: LINC01300, SERPINB13, AC010789.1, TMPRSS15, DUSP5- DT, AL513128.3, MIR205HG, LINC00486, RF00019, LINC01115, and AC133530.1. Further investigating these results, specifically the identified lncRNA, the LINC01300 was identified to be potentially circulating in the blood. If further analysis proves this hypothesis correct then LINC01300 along with other identified genes could serve as biomarkers in a liquid biopsy. The identified biomarkers would be especially helpful in rural areas with lower accessibility to healthcare as it would allow for an easier, more efficient, and cost-effective method of pancreatic cancer detection. Based on these findings, further investigations of this gene panel in vitro and in vivo will be conducted, as they could be targeted for improved outcomes in pancreatic cancer patients and assist in the diagnosis of metastatic progression based on RNA-seq data of primary pancreatic tumors or the development of a liquid biopsy. Citation Format: Shivali Singh. LncTransformer: Identifying novel prognostic long-noncoding RNA biomarkers for pancreatic cancer using deep learning [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: RNAs as Drivers, Targets, and Therapeutics in Cancer; 2024 Nov 14-17; Bellevue, Washington. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(11_Suppl):Abstract nr A020.

High prevalence of cardiovascular risk factors in pregnant women in Benin.

Modifiable cardiovascular risk factors (CVRF) are highly prevalent in SubSaharan African communities. In these countries the burden of CVRF during early pregnancy has been poorly documented. The objective of this study was to describe the frequency of CVRF in pregnant women before the 20th week of gestation in Benin. Consecutive pregnant women with a gestational age < 20th week were included in 30 maternity clinics in Benin. Univariate and multivariate analyses were used to determine characteristics associated with CVRF. 1244 pregnant women were included (680 (54.7%) in urban areas and 584 (45.3%) in rural areas). The median age was 26 years. The frequencies of high blood pressure (HBP), obesity and diabetes were 18.9%, 15.0% and 3.1% respectively. Very few women (25.3%) were aware of the HBP disorder. HBP was associated with an age ≥ 35 years (OR = 1.7, 95%CI:1.1-2.7), a rural setting (OR = 2.6; 95%CI:1.9-3.5), an insufficient consumption of fruits and vegetables (OR = 3.2; 95%CI:2.0-5.3) and a history of at least 2 fetal losses (OR = 1.9; 95% CI [1.4-2.7]). The risk of being overweight was associated with an age >24 years old (OR = 1.6; 95%CI:1.1-2.2) conversely a rural setting was protective (OR = 0.7; 95%CI:0.5-0.9). Obesity was associated with an age > 35 years old (OR = 4.1; 95%CI:2.5-6.8) and a rural setting (OR = 0.3; 95%CI: 0.2-0.5). The frequency of CVRF in women before 20th week of gestation was high. Most of the women were unaware of the disorder. Thus the screening of CVRF among women of reproductive age might be relevant.

Homesickness in First-Year Students at a Costa Rican Public University

During the first year of university, students from rural areas in Costa Rica might have to leave home and settle down in a different city to attain a higher-education degree. These students go through diverse challenges due to the changes they have to face during the adaptation to this new life. One of the major aspects that students cope with is the phenomenon of homesickness since it can affect their emotions, motivation, and, subsequently, their academic achievement. The purpose of this study was to explore this phenomenon among first-year students enrolled in the majors of English as a Foreign Language, Computer Sciences, and Business Administration, study plans offered by Universidad Nacional (UNA) at Sede Interuniversitaria de Alajuela, in Costa Rica. During the first term in 2019, the researchers diagnosed the level of homesickness in this population. Through a mixed method approach, the likeliness, level, and traits of homesickness were determined. First, a demographic questionnaire informed on what regions these students came from and place of residence back then. On a second research stage, the students who had to move far from home completed a self-report scale to measure their level of homesickness; also, these students were interviewed to gather data on the strategies implemented at a personal level and social support given by university agents. Main findings revealed that all students changing their place of residence to start university studies were more likely to display some degree of homesickness. Results suggest that more emphasis on the phenomenon and follow-up of students’ cases is suggested to prevent and approach academic failure and eventual dropping out.

Serological evidence of natural exposure to rabies in rural populations in Gabon.

Rabies is one of the oldest known zoonotic diseases, with dogs being the main reservoir for 99% of the cases of human rabies. However, wild animals may also be rabies vectors. In most cases, contact with a rabid animal results in rabies without pre- or post-exposure prophylaxis, and the disease is nearly always fatal. Nevertheless, a few studies have documented cases of rabies-specific antibodies detection in people with no history of vaccination, suggesting that individuals can be in contact with the virus without developing fatal rabies. To further investigate this possibility of non-lethal human rabies exposure, we carried out a retrospective serological analysis, using both immunoassays (ELISA) and seroneutralization assays (RFFIT), on 430 sera collected between 2005 and 2008 from rural unvaccinated Gabonese populations in the Estuaire and Ogooué-Ivindo provinces. Eleven (11) samples (2.5%) were positive for rabies-specific antibodies using both techniques: 1 in Estuaire and 10 in Ogooué-Ivindo. One of three positive people from the Ogooué-Ivindo province, resampled in early 2023, was still positive for rabies-specific antibodies, suggesting that some degree of immunity can be maintained over many years. Our results also show a marginally significant higher prevalence among hunters. This study demonstrates that rabies circulates actively in Gabon and some unvaccinated individuals living in rural environments can be exposed to the virus and survive, with the development of a significant and specific humoral response that can persist for more than 15 years. This passive seroprevalence survey underlines the need to establish a national surveillance system of rabies in both humans and animals in urban and rural areas, and to enhance access to pre- and post-exposure prophylaxis.

“That grey area where no one can help”: The experience of younger people avoiding or leaving residential aged care who are not NDIS participants

AbstractLiving in residential aged care (RAC) can have deleterious effects on the health, well‐being and social participation of younger people (&lt;65 years of age). This research examined the barriers and enablers to leaving or avoiding RAC for Australian younger people who are not National Disability Insurance Scheme (NDIS) participants. It reports on the findings from semi‐structured interviews with 16 younger people living in, or at risk of entering RAC and 12 family members. The research revealed that most participants were opposed to younger people living in RAC, and many of those who were already living in RAC were dissatisfied with their lives. However, some in RAC reported feeling satisfied, and expressed fear that their needs would not be met elsewhere. The barriers and enablers to leaving or avoiding RAC related to funding to access services, help to navigate funding and services, and the availability of services in rural and regional areas. To best support younger people, there is a need for increased funding for the services required to live outside RAC, and assistance to navigate funding and services. Initiatives that address hesitancy to move from RAC, and to build capacity to help younger people imagine life outside RAC are required.

Changes in morphological and physiological traits of urban trees in response to elevated temperatures within an Urban Heat Islands.

Urban Heat Islands (UHI) are a common phenomenon in metropolitan areas worldwide where the air temperature is significantly higher in urban areas than in surrounding suburban, rural or natural areas. Mitigation strategies to counteract UHI effects include increasing tree cover and green spaces to reduce heat. The successful application of these approaches necessitates a deep understanding of the thermal tolerances in urban trees and their susceptibility to elevated urban temperatures. We evaluated how the photosynthetic thermal optimum (Topt), photosynthetic heat tolerance (T50), and key leaf thermoregulatory morphological traits (leaf area, specific leaf area, leaf width, thickness and LDMC) differ between conspecific trees growing in 'hot [UHI]' vs. 'cool' parts of Montreal, Canada (with a difference of 3.4°C in air temperature), to assess the ability of seven common tree species to acclimation to higher temperatures. We hypothesized that individuals with hotter growing temperatures would exhibit higher Topt and T50, as well as leaf thermoregulatory morphological traits aligned with conservative strategies (e.g., reduced leaf area and increased leaf mass) compared to their counterparts in the cooler parts of the city. Contrary to our a priori hypotheses, leaf area increased with growing temperatures and only four of the seven species had higher T50 and only three had higher Topt values in the hotter area. These results suggest that many tree species cannot acclimate to elevated temperatures and that the important services they provide, such as carbon capture, can be negatively affected by high temperatures caused by climate change and/or the UHI effect. The ability vs inability of tree species to acclimate to high temperatures should be considered when implementing long term tree planting programs in urban areas.

Perceptions of the built environment and its effects on active school transportation in Michigan

ABSTRACT One of the longest-standing federal programs promoting Active School Transportation (AST) is the Safe Routes to School (SRTS) program. In Michigan, this program is funded by the Michigan Department of Transportation and administered by the Michigan Fitness Foundation. This paper assesses the various perceptions affecting AST. First, we look at the SRTS program in Michigan, assessing the differences in perceptions of parents and students regarding walking and biking to/from school. Second, we look at the difference in perceptions between parents living in rural and urban areas regarding the preferred mode of transport to school and the perceived challenges to using active transportation to and from school. Lastly, we look at what other built environment characteristics are associated with the use and perceptions on AST. Using primary data and statistical analyses such as Chi-Squared tests, linear and logistic regressions, we found various associations with AST and discuss the potential policy implications to understand and address the perceived barriers to using it.

Postpartum Access to Health Care and Opioid Use Treatment: An Evaluation of a Medicaid Population

Background In this study, we aimed to examine postpartum health care utilization and identify gaps in care among a postpartum Medicaid population of patients diagnosed with opioid use disorder (OUD) during pregnancy. Methods We queried North Carolina Medicaid medical and pharmacy claims to identify individuals with a live delivery and evidence of OUD during pregnancy from 2015 to 2019. We examined any evidence of postpartum health care utilization and evidence of medications for OUD (MOUD) during postpartum. We also determined the impact that 4 factors may have had on these outcomes: type of Medicaid coverage (Medicaid for Pregnant Women as compared to other types of Medicaid coverage), rurality, race, and the prenatal use of MOUD. Descriptive statistics, Kaplan-Meier curves with log-rank tests, and negative binomial regression were used. Results Of the 6,186 individuals in the study, 84.5% were White, 29.6% lived in rural areas, and 35.0% had MPW coverage. Of the sample, 77.4% sought health care services during the postpartum period. In the multiple negative binomial regression model, individuals who were MPW beneficiaries, non-White, lived in rural areas, and had no evidence of prenatal MOUD all had significantly lower rates of postpartum health care utilization. Of the sample, 53.6% had evidence of MOUD utilization during the postpartum period. We found that patients with MPW continued MOUD at much lower rates compared to patients with other forms of Medicaid (86% versus 93% at 60 days; 57% versus 78% at 180 days, respectively). Limitations Limitations to this analysis are inherent to administrative claims data, such as misclassification of outcomes and covariates, as well as loss to follow-up. Conclusions Significant gaps in health care use remain across type of Medicaid coverage, race, geographic setting, and prenatal care access.

Construction of Legal Order in Traditional Villages under the Background of Rural Revitalization Strategy--Taking Qianmei Village of Shantou City as an Example

Since the new era, the construction of rural rule of law has gradually received more attention and attention. The construction of rural rule of law order is an important link to promote the construction of rural rule of law, and it is an inherent requirement to promote the implementation of rural revitalization strategy from the track of rule of law. Under the background of rural revitalization strategy, traditional villages take cultural tourism development as a means of revitalization and development and introduce more subjects such as tourists into the field of rural development. The experience and deficiencies of rural governance and the construction of legal order are of more reference value. Taking Qianmei Village, Shantou City, Guangdong Province as an example, this study uses the research methods of questionnaire survey, interview survey, field observation and literature survey to explore the practical experience of traditional villages in promoting rural governance by industrial development and forming villagers' norms by village rules and people's conventions, and concludes that there are four problems in the construction of the rule of law in the process of unclear legislation, lack of confidence, lack of law popularization and insufficient guarantee mechanism. In the face of these problems, the author tries to improve the basic legal system and build the foundation of the legal order in rural areas. Improve the ability to practice the rule of law and establish the authority of the rule of law in rural areas; Improve grassroots legal services, based on the actual needs of rural areas; The overall idea of strengthening the publicity and education of the rule of law and innovating the publicity methods of the rule of law seeks to make the rule of law truly rooted in the rural land of Chinese society.

Modelling of Carbon Monoxide and Suspended Particulate Matter Concentrations in a Rural Area Using Artificial Neural Networks

Air pollution is a growing concern in rural areas where agricultural production can be reduced by it. This article analyses data obtained as part of a research project. The aim of this study is to understand the influence of atmospheric pressure, air temperature, air relative humidity, longitude and latitude of the location, and indoor and outdoor environment on local rural workplace diversity of air pollutants such as carbon monoxide (CO) and suspended particulate matter (SPM), as well as the contribution of these variables to changes in such air pollutants. The focus is on four topics: motivation, innovation and creativity, leadership, and social responsibility. Furthermore, this study developed an artificial neural network (ANN) model to predict CO and SPM concentrations in the air based on data collected from the mentioned inputs. The related sensors were assembled on an Arduino Mega 2560 board to form a field-portable device to detect air pollutants and meteorological parameters. The sensors included an MQ7 sensor for CO concentration measurement, a Sharp GP2Y1010AU0F dust sensor for SPM concentration measurement, a DHT11 sensor for air temperature and air relative humidity measurement, and a BMP180 sensor for air pressure measurements. The longitude and latitude of the location were measured using a smartphone. Measurements were conducted from 20 December 2021 to 16 July 2022. Results showed that the overall average outdoor CO and SPM concentrations were 10.97 ppm and 231.14 μg/m3 air, respectively. The overall average indoor concentrations were 12.21 ppm and 233.91 μg/m3 air for CO and SPM, respectively. Results showed that the ANN model demonstrated acceptable performance in predicting CO and SPM in both the training and testing phases, exhibiting a coefficient of determination (R2) of 0.575, a root mean square error (RMSE) of 1.490 ppm, and a mean absolute error (MAE) of 0.994 ppm for CO concentrations when applying the testing dataset. For SPM concentrations, the R2, RMSE, and MAE using the test dataset were 0.497, 30.301 μg/m3 air, and 23.889 μg/m3 air, respectively. The most influential input variable was air pressure, with contribution rates of 22.88% and 22.82% in predicting CO and SPM concentrations, respectively. The acceptable performance of the developed ANN model provides potential advances in air quality management and agricultural planning, enabling a more accurate and informed decision-making process regarding air pollution. The results of short-term estimation of CO and SPM concentrations suggest that the accuracy of the ANN model needs to be improved through more comprehensive data collection or advanced machine learning algorithms to improve the prediction results of these two air pollutants. Moreover, as even lower cost devices can predict CO and SPM concentrations, this study could lead to the development some kind of virtual sensor, as other air pollutants can be estimated from measurements of particulate matters.

Mapping lymphatic filariasis morbidities in 24 endemic districts of Ethiopia through the health extension program.

The primary strategy for achieving the second goal of the Global Program to Eliminate Lymphatic Filariasis (GPELF) is morbidity management and disability prevention (MMDP), aimed at alleviating the suffering of affected populations. A significant challenge in many LF-endemic areas is the effective registration and identification of individuals with LF, which is crucial for planning and ensuring access to MMDP services. This study seeks to map the geographical distribution of LF-related morbidities across 24 endemic districts in Ethiopia. A community-based cross-sectional study was conducted to identify individuals affected by LF in 24 endemic districts using primary health care units (PHCUs). The study involved 946 trained health extension workers (HEWs) conducting house-to-house visits to identify and register cases of lymphedema and hydrocele, with support from 77 trained supervisors and 87 team leaders coordinating the morbidity mapping. Certified surgeons performed confirmatory evaluations through clinical assessments on a randomly selected sample of cases to validate HEW diagnoses, ensuring accurate identification of lymphedema and hydrocele. Statistical analysis of the data, including the severity of lymphedema and acute attacks, was conducted using STATA 17. This study involved 300,000 households with nearly 1.2 million individuals, leading to the identification of 15,527 LF cases-14,946 (96.3%) with limb lymphedema and 581 (3.7%) with hydrocele. Among those with lymphedema, 8396 (54.1%) were women. Additionally, 13,731 (88.4%) patients resided in rural areas. Of the 14,591 cases whose acute attack information was recorded, 10,710 (73.4%) reported experiencing at least one acute attack related to their lymphedema in the past 6months, with a notable percentage of males (74.5%; n = 4981/6686). Among the 12,680 recorded cases of leg lymphedema, the percentage of acute attacks increased with severity: 64% (n = 5618) mild cases, 68% (n = 5169) moderate cases and 70% (n = 1893) severe cases. This study successfully mapped the geographical distribution of LF morbidities across 24 LF-endemic districts in Ethiopia, identifying a substantial number of lymphedema and hydrocele cases, particularly in rural areas where healthcare access is limited. The findings underscore the potential of Ethiopia's health extension program to identify affected individuals and ensure they receive necessary care. The findings inform targeted interventions and access to MMDP services, contributing to Ethiopia's goal of eliminating LF by 2027.

Prevalence of active trachoma and its associated factors among children aged 1–9 years in previous leprosarium and non-leprosarium areas in eastern Ethiopia: a community-based comparative study

BackgroundTrachoma is a neglected tropical disease that mainly affects impoverished and marginalized communities with inadequate shelter and sanitation. Nevertheless, the prevalence of active trachoma and the specific factors contributing to it among communities residing in former leprosy settlements in eastern Ethiopia are not well explored. Therefore, the objective of this study was to compare the prevalence of active trachoma and its associated factors among children aged 1-9 years in the previous leprosarium and non-leprosarium areas, as well as urban and rural areas in eastern Ethiopia.MethodsA community-based comparative cross-sectional study was conducted among 580 systematically selected households from January 1 to 30, 2024. Data were collected by interviewing the children’s caregivers, observing the child and environment, and conducting a clinical examination of their eyes. Data were entered in EpiData version 4.6 and exported to Statistical Package of Social Science (SPSS) version 26 software for analysis. A chi-square test was also done. The association was presented as an adjusted odds ratio with a 95% confidence interval, and variables with a p-value less than 0.05 were regarded as statistically significant.ResultsThe overall prevalence of active trachoma was 12.9% (95% CI: 10.5%-15.3%). The prevalence of active trachoma was 15.6%, 9.8%, 18.3%, and 7.5% among children in previous leprosy and non-leprosy settlements and rural and urban areas, respectively (x²=5.65, p-value = 0.017). Having eye discharge (AOR = 10.7’; 95% CI: 4.32, 26.51), latrine distance from home of less than 10 m(AOR=3.12; 95% CI: 1.16–8.34), being a rural resident (AOR=4.1; 95% CI: 1.69-10.18), presence of solid waste around their home (AOR=6.5; 95% CI: 2.14-19.72), and household monthly income less than 5000 Ethiopian birrs (AOR=2.9; 95%CI: 1.04-8.30) were statistically associated with active trachoma in the previous leprosy settlements. In the non-leprosy settlements, children who had eye discharge (AOR = 7.6; 95% CI: 5.37, 58.05), latrine distance from home of less than 10 m (AOR=3.12; 95%CI: 1.11, 8.77), habit of playing with soil (AOR=9.0; 95% CI: 2.92, 28.24), and presence of animal dung (AOR=6.98; 95% CI: 3.44, 48.47) were statistically associated with active trachoma.ConclusionIn this study, the prevalence of active trachoma among children aged from 1-9 years old was higher than the WHO target for the elimination of active trachoma (&amp;lt;5%) in every district. Therefore, targeted treatments and raising awareness on proper hygiene and sanitation are required to alleviate the problem.

Part-Time Farming, Agricultural Socialized Services, and Organic Fertilizer Use: Implications for Climate Change Mitigation

The adoption of organic fertilizers is essential for advancing China’s green agricultural transformation, ensuring food security, and supporting agricultural adaptations. However, several challenges hinder its widespread use in rural areas. This study examines how part-time farming and agricultural service provision influences organic fertilizer use, employing fixed and random effects models on data from 523 households in Shaanxi Province, one of China’s main apple-producing regions. The results reveal: (1) Part-time farming reduces organic fertilizer use by 7.6%, primarily due to labor shortages; (2) Higher non-farm income exacerbates this decline, particularly for Type II part-time farmers; and (3) Mechanized fertilization services help mitigate this reduction. These findings offer valuable policy insights for promoting organic fertilizer adoption in the context of shifting rural labor dynamics and highlight the complex interactions between farming practices and labor migration in the broader trajectory of organic fertilizer use. Moreover, this study highlights the role of organic fertilizer use in enhancing food security while also helping to reduce the carbon footprint of the crop sector in China.

Based on the Principle Component Analysis of the Level of Cultural and Tourism Integration in a Place and Obstacles Analysis

China’s culture is one of the oldest and most complex in the world, with a history that spans thousands of years. Rooted in Confucianism, Taoism, and Buddhism, Chinese culture emphasizes harmony, respect for tradition, and the importance of family. These philosophies have profoundly influenced the social values, customs, and daily life of the Chinese people. This study aimed to identify 10 different dimensions and the perception of quality amongst tourists based on the rural tourism experience. Perceived value and tourism satisfaction are seen as two constructs that bridge the gulf between these quality perceptions and the tourists’ future behavior — that is, the intent of tourists to revisit, spread positive word-of-mouth, and their propensity to splurge on unique rural products. Furthermore, we also examined the respondents’ areas where they lived in urban or rural areas which would affect their perceptions and behaviors. The analysis was identified using data from 650 respondents’ four key quality dimensions: tourism environment and transportation, companionship and learning, culture and local items, and rural environment as perceived by the tourists. Indeed, the findings lend considerable empirical support to the relationship of perceived quality with perceived value, satisfaction, and the dimensions of the behavioral intentions of tourists. Interestingly, the study showed residents — the urban and rural residents of tourists — as a very important moderator of these relationships. These are important insights that would be invaluable in explaining the driving factors of tourists’ intentions and the imperative for the sustainable growth of rural tourism in China.

Insecticide resistance and its intensity in urban Anopheles arabiensis in Kisumu City, Western Kenya: Implications for malaria control in urban areas.

The rise of insecticide resistance poses a growing challenge to the effectiveness of vector control tools, particularly in rural areas. However, the urban setting has received comparatively less focus despite its significance in attracting rural to urban migration. Unplanned urbanization, often overlooked, exacerbates insecticide resistance as Anopheles mosquitoes adapt to the polluted environments of rapidly expanding cities. This study aimed to assess the insecticide susceptibility status of malaria vectors and identify potential underlying mechanisms across three distinct ecological settings characterized by differing levels of urbanization in Kisumu County, Kenya. The study was conducted in 2022-2023 in Kisumu County, western Kenya. Field-derived An. gambiae (s.l.) larvae collected from a long stretch of urban-to-rural continuum were phenotyped as either resistant or susceptible to six different insecticides using the World Health Organization (WHO) susceptibility test. Polymerase chain reaction (PCR) techniques were used to identify the species of the An. gambiae complex and screened for mutations at voltage-gated sodium channels (Vgsc-1014F, Vgsc-1014S, Vgsc-1575Y) and acetylcholinesterase (Ace1) target site mutation 119S. Metabolic enzyme activities (non-specific β-esterases and monooxygenases) were evaluated in mosquitoes not exposed to insecticides using microplate assays. Additionally, during larval sampling, a retrospective questionnaire survey was conducted to determine pesticide usage by the local inhabitants. Anopheles arabiensis dominated in urban (96.2%) and peri-urban (96.8%) areas, while An. gambiae (s.s.) was abundant in rural settings (82.7%). Urban mosquito populations showed high resistance intensity to deltamethrin (Mortality rate: 85.2% at 10x) and suspected resistance to Pirimiphos-methyl and bendiocarb while peri-urban and rural populations exhibited moderate resistance intensity to deltamethrin (mortality rate >98% at 10x). Preexposure of mosquitoes to a synergist piperonyl butoxide (PBO) significantly increased mortality rates: from 40.7% to 88.5% in urban, 51.9% to 90.3% in peri-urban, and 55.4% to 87.6% in rural populations for deltamethrin, and from 41.4% to 78.8% in urban, 43.7% to 90.7% in peri-urban, and 35% to 84.2% in rural populations for permethrin. In contrast, 100% mortality to chlorfenapyr and clothianidin was observed in all the populations tested. The prevalence of L1014F mutation was notably higher in urban An. arabiensis (0.22) unlike the peri-urban (0.11) and rural (0.14) populations while the L1014S mutation was more prevalent in rural An. gambiae (0.93). Additionally, urban An. arabiensis exhibited elevated levels of mixed function oxidases (0.8/mg protein) and non-specific esterases (2.12/mg protein) compared to peri-urban (0.57/mg protein and 1.5/mg protein, respectively) and rural populations (0.6/mg protein and 1.8/mg protein, respectively). Pyrethroids, apart from their use in public health through LLINs, were being highly used for agricultural purposes across all ecological settings (urban 38%, peri-urban 36% and rural 37%) followed by amidine group, with organophosphates, neonicotinoids and carbamates being of secondary importance. These findings show high resistance of An. arabiensis to insecticides commonly used for vector control, linked with increased levels of detoxification enzymes. The observed intensity of resistance underscores the pressing issue of insecticide resistance in urban areas, potentially compromising the effectiveness of vector control measures, especially pyrethroid-treated LLINs. Given the species' unique behavior and ecology compared to An. gambiae, tailored vector control strategies are needed to address this concern in urban settings.

Water, sanitation, and hygiene service inequalities and their associated factors among urban slums and rural communities in Eastern Ethiopia

BackgroundUnderstanding the level of inadequate water, sanitation, and hygiene (WaSH) services in urban and rural settlements is crucial for prioritizing community interventions and resource allocation. However, there is a lack of evidence regarding discrepancies in WaSH services across rural and urban slum communities in Ethiopia.ObjectiveThis study aims to assess inequalities in households’ WaSH services and their associated factors among urban slums and rural communities in Eastern Ethiopia from February to April 2024.MethodsA comparative community-based cross-sectional study design was conducted, with study participants selected through stratified random sampling using proportional-to-size allocation. Data were entered into Epi Data version 3.1 and then exported to STATA version 17 for analysis. Bi-variable and multivariable logistic regression was conducted, and associations were reported as odds ratios (ORs) with 95% confidence intervals (CI), using a p-value less than 0.05 as the significance threshold.ResultA total of 278 urban and 301 rural households participated in the study, with a response rate of 94%. Key indicators showed that WaSH services were significantly better in urban areas compared to rural households. For example, 98% (95% CI: 96, 99) of urban households had access to an improved water source compared to 76% (95% CI: 71, 80) of rural households. The proportion of households with improved latrines was 44% (95% CI: 38, 50) in urban areas and only 14% (95% CI: 11, 19) in rural areas. Handwashing practices at all five critical times were reported by 52% (95% CI: 46, 58) of urban household heads, compared to 22% (95% CI: 18, 27) of rural households. Additionally, occupation (such as being a farmer, p = 0.000) and water service satisfaction (p = 0.000) were significantly associated with these key WaSH outcomes.ConclusionThe study revealed that the WaSH services in urban slums are considerably better than in rural households. Socioeconomic factors significantly influence the existing disparities in WaSH services. Stakeholders should focus on providing targeted, strategic support to communities to address the challenges in WaSH service provision.