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Early‐life conditions shape childhood growth and are affected by urbanization and the nutritional transition. To investigate how early‐life conditions (across the "first" and "second" 1000 days) are associated with rural and urban children's nutritional status, we analyzed anthropometric data from Maya children in Yucatan, Mexico. We collected weight, height and triceps skinfold measures, then computed body mass and fat mass indices (BMI/FMI), in a cross‐sectional sample of 6‐year‐olds (urban n = 72, rural n = 66). Demographic, socioeconomic and early‐life variables (birthweight/mode, rural/urban residence, household crowding) were collected by maternal interview. We statistically analyzed rural‐urban differences in demographic, socioeconomic, early‐life, and anthropometric variables, then created linear mixed models to evaluate associations between early‐life variables and child anthropometric outcomes. Two‐way interactions were tested between early‐life variables and child sex, and between early‐life variables and rural‐urban residence. Results showed that rural children were shorter‐statured, with lower overweight/obesity and cesarean delivery rates, compared to urban children. Household crowding was a negative predictor of anthropometric outcomes; the strongest effect was in boys and in urban children. Birthweight positively predicted anthropometric outcomes, especially weight/BMI. Birth mode was positively (not statistically) associated with any anthropometric outcome. Cesarean delivery was more common in boys than in girls, and predicted increased height in urban boys. In conclusion, urbanization and household crowding were the most powerful predictors of Maya 6‐year‐old anthropometry. The negative effects of crowding may disproportionately affect Maya boys versus girls and urban versus rural children. Early‐life conditions shape Maya children's nutritional status both in the "first" and "second" 1000 days. [ABSTRACT FROM AUTHOR]

Socioeconomic Status (SES) has been linked to the development of Executive Functions (EF) usually by means of parental education and family income. Living conditions related to urbanization characteristics are rarely considered. This cross-sectional study investigated the performance in EF tasks of 99 Brazilian children aged 6 to 8 years residing in rural and urban regions. Results showed that children who lived in the rural area performed better than those who lived in the industrial city in the working memory and inhibitory tasks. Social interactions and urbanization conditions, such as parent occupations and social stratification, may explain these differences. Therefore, urbanization conditions of locations where families live should be considered in future studies concerning the influences of SES in EF development. [ABSTRACT FROM AUTHOR]

Background: Health-related fitness (HRF) and motor coordination (MC) can be influenced by children's environment and lifestyle behavior. This study evaluates the association between living environment and HRF, MC, and physical and sedentary activities of children in Suriname. Methods: Tests were performed for HRF (morphological, muscular, and cardiorespiratory component), gross MC (Körperkoordinations Test für Kinder), fine MC (Movement Assessment Battery for Children), and self-reported activities in 79 urban and 77 rural 7-year-old Maroon children. Urban-rural differences were calculated by an independent sample t test (Mann-Whitney U test if not normally distributed) and χ2 test. Results: No difference was found in body mass index, muscle strength, and the overall score of gross and fine MC. However, urban children scored lower in HRF on the cardiorespiratory component (P ≤ .001), in gross MC on walking backward (P = .014), and jumping sideways (P = 0.011). They scored higher in the gross MC component moving sideways (P ≤ .001) and lower in fine MC on the trail test (P = .036) and reported significantly more sedentary and fewer physical activities than rural children. Conclusions: Living environment was associated with certain components of HRF, MC, and physical and sedentary activities of 7-year-old children in Suriname. Further research is needed to evaluate the development of urban children to provide information for possible intervention and prevention strategies. [ABSTRACT FROM AUTHOR]

Background: Compared to urban children, children living in rural areas of most countries, including China, are at higher risk of suffering unintentional injuries. Most proven injury prevention interventions, however, are rarely implemented in rural China due to lack of resources. Mobile health interventions are low-cost and easy-to-implement, facilitating implementing injury prevention in resource-limited areas (e.g., rural areas). This study is designed and implemented to examine the effectiveness of an app-based intervention for unintentional injury prevention among rural preschoolers in China.Methods: A single-blind, 18-month, parallel-group cluster randomized controlled trial with 1:1 allocation ratio will be implemented in 2 rural areas of China (Yang County, Shaanxi Province, and Shicheng County, Jiangxi Province). In total, at least 3508 rural caregivers of preschoolers aged 3-6 years old who own a smartphone will be recruited from 24 preschools. Clusters will be randomized at the preschool level and allocated to the control group (receiving routine school-based education plus app-based parenting education excluding unintentional injury prevention) or the intervention group (receiving routine school-based education plus app-based parenting education including unintentional injury prevention). External support strategies will be adopted by local partners to minimize user fatigue, non-compliance, and attrition. Data collection will be conducted at baseline and then every 3 months during the 18-month follow-up time period. Intention-to-treat data analysis will be implemented. Missing values will be imputed by using the Expectation Maximization algorithm. Generalized estimating equation will test the overall effectiveness of the app-based intervention. A per-protocol sensitivity analysis will be conducted to test the robustness of results. Subgroup analyses will follow the strategies for primary analyses. The primary outcome measure is the incidence rate of unintentional injury among preschoolers during the study period. Secondary outcome measures comprise longitudinal changes in caregiver's attitudes, caregiver-reported supervision behaviors, and caregiver-assessed home environment safety surrounding child unintentional injury prevention in the last week using a standardized audit instrument.Discussion: The app-based intervention is expected to be feasible and effective over the 18-month intervention period. If the app is demonstrated effective as hypothesized, we will initiate processes to generalize and popularize it broadly to rural child caregivers across China.Trial Registration: ChiCTR2000037606 , registered on August 29, 2020. [ABSTRACT FROM AUTHOR]

Purpose: Despite public health efforts to reduce childhood obesity, there remains an unequal distribution of obesity among rural and urban children, with higher rates in rural areas. However, few studies have compared differences in program delivery. This paper aims to describe differences between an urban and rural program delivery of a family-focused, community-based intervention program to prevent and reduce obesity among children.Methods: This paper uses a case study format to provide a descriptive analysis of similar obesity prevention programs, designed by the same research team, implemented in Minnesota in different settings (i.e., an urban and rural setting) with significant community engagement in the adaptation process. The rural NU-HOME program is compared to HOME-Plus, an urban family-based obesity prevention program for school-aged children.Results: Community engagement in the adaptation process of an urban program to a rural program confirmed some anticipated program content and delivery similarities while identifying key differences that were necessary for adaptation related to engagement with the community, recruitment and data collection, and intervention delivery.Discussion: When adapting research-tested programs from urban to rural areas, it is important to identify the modifiable behavioral, social, and environmental factors associated with obesity to ensure the content of effective childhood obesity prevention programs is relevant. Customizing a program to meet the needs of the community may increase reach, engagement, and sustainability. In addition, long-term dissemination of a tailored program may significantly reduce childhood obesity in rural communities and be implemented in other rural settings nationally. [ABSTRACT FROM AUTHOR]

Background: In 2017, about 20% of the world's children under 1 year of age with incomplete DPT vaccination lived in Nigeria. Fully-immunised child coverage (FIC), which is the percentage of children aged 12-23 months who received all doses of routine infant vaccines in their first year of life in Nigeria is low. We explored the associations between child, household, community and health system level factors and FIC, in particular focussing on urban formal and slum, and rural residence, using representative Nigeria Demographic Health Survey (NDHS) data from 2003, 2008 and 2013.Method: Multilevel logistic regression models were applied for quantitative analyses of NDHS 2003, 2008 and 2013 data, singly, pooled overall and stratified by rural/urban, and within urban by formal and slum. We also quantify Population Attributable Risk (PAR) of FIC.Results: FIC for rural, urban formal and slum rose from 7.4, 25.6 and 24.9% respectively in 2003 to 15.8, 45.5 and 38.5% in 2013, and varied across sociodemographics. In pooled NDHS analysis, overall and stratified, final FIC adjusted odds (aOR) were: 1. Total population - delivery place (health facility vs home, aOR = 1.13, 95% CI = 0.73-1.73), maternal education (higher vs no education, aOR = 3.92, 95% CI = 1.79-8.59) and place of residence (urban vs rural, aOR = 1.69, 95% CI = 0.89-3.22). 2. Rural, urban formal and slum stratified: A.Rural - delivery place (aOR = 1.47, 95% CI = 1.12-1.94), maternal education (aOR = 4.99, 95% CI = 2.48-10.06). B.Urban formal - delivery place (aOR = 2.62, 95% CI = 1.43-4.79), maternal education level (aOR = 9.18, 95% CI = 3.05-27.64). C.Slums - delivery place (aOR = 5.39, 95% CI = 2.18-13.33), maternal education (aOR = 5.03, 95% CI = 1.52-16.65). The PAR revealed the highest percentage point increase in FIC would be achieved in all places of residence by maternal higher education: rural-38.15, urban formal-22.88 and slum 23.76, while non-attendance of antenatal care was estimated to lead to the largest reduction in FIC.Conclusion: Although low FIC in rural areas may be largely due to lack of health facilities and immunisation education, the intra-urban disparity is mostly unexplained, and requires further qualitative and interventional research. We show the FIC point increase that can be achieved if specific sociodemographic variable (risk) are addressed in the various communities, thus informing prioritisation of interventions. [ABSTRACT FROM AUTHOR]

Background: Comparable data to examine the physical activity (PA) transition in African countries such as Kenya are lacking. Methods: We assessed PA levels from urban (UKEN) and rural (RKEN) environments to examine any evidence of a PA transition. Nine- to twelve-year-old children participated in the study: n = 96 and n = 73 children from UKEN and RKEN, respectively. Pedometers were used to estimate children's daily step count. Parental perception regarding their child's PA patterns was collected via questionnaire (n = 172).Results: RKEN children were more physically active than their UKEN counterparts with a mean average steps per day (± SE) of 14,700 ± 521 vs. 11,717 ± 561 (P < .0001) for RKEN vs. UKEN children respectively. 62.5% of the UKEN children spent 0 hours per week playing screen games compared with 13.1% of UKEN children who spent more than 11 hours per week playing screen games. Seventy percent of UKEN and thirty-four percent of RKEN parents reported being more active during childhood than their children respectively. Conclusions: Results of this study are indicative of a PA transition in Kenya. Further research is needed to gather national data on the PA patterns of Kenyan children to minimize the likelihood of a public health problem due to physical inactivity. [ABSTRACT FROM AUTHOR]

A number of studies indicate higher prevalence of overweight and obesity among rural school children. The purpose of this study was to examine the differences in personal, social, and environmental correlates of physical activity between school location (urban versus rural) and gender. Methods: Middle school children (N = 676) from different districts in Cyprus completed questionnaires assessing physical activity and potential correlates. Results: Children from rural schools reported higher friend support for physical activity and more ease of walk to a bus station from their home. Urban school children reported higher presence of sidewalks in their neighborhood. Boys reported more hours per day playing outside and higher enjoyment and friend support for physical activity than girls, whereas girls reported higher means in the variable 'I see a lot of people walking or being physically active in my neighborhood'. Significant two-way interactions between gender and school location were noted with rural school girls having less favorable scores in a number of correlates of physical activity. Conclusions: More studies are needed to further understand the higher incidence of overweight and obesity observed among rural youth. Girls from rural areas may be targeted as a priority group for promoting physical activity. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to investigate the effects of environmental factors on physical fitness of rural and urban children. Methods: To reveal the differences between physical fitness of children living in urban and rural districts of the Turkish Cypriot population, 3939 nine- to eleven-year-old male primary school children from 90 schools of North Cyprus were tested. Testing procedures were similar to the Eurofit tests. Results: The results showed that body mass index and skin fold thicknesses were higher in the urban children (P < .05). Differences in cardiopulmonary and motor fitness were also found between groups. In addition, flexibility and muscle endurance were significantly higher in the rural children. Conclusion: The significantly lower flexibility, muscle endurance, and strength of urban children might indicate a lower habitual physical activity level. [ABSTRACT FROM AUTHOR]

This study aims to compare lifestyles and environmental perceptions of urban and rural children. Ninety-two students completed a questionnaire and were given two means (drawing or wring) to express their thoughts regarding (1) the activity and play areas, (2) their neighborhood and (3) their city. The results showed higher levels of parental supervision and restrictions on the independent mobility of the urban children in outdoor areas. This and other differences regarding the life styles are reflected in the children’s drawings of various settings. The results have applied value for planners and urban designers, and additional research is currently underway. [ABSTRACT FROM AUTHOR]

The influence upon muscle strength of 1 h/day of required physical education was tested in 546 prepubescent children over a 5-year period. Experimental students began the program in Grade 1, with immediately preceding and succeeding classes serving as controls. Annual measurements showed a linear increase of limb circumferences with stature (H), but strength increased more rapidly than H2. Strength data showed gender effects (M > F) at all ages and environmental effects (rural > urban) in older children (10-12 years). Experimental students were stronger in 19 of 42 comparisons. Girths were greater in girls (7 of 18 comparisons) and in the rural environment (4 of 18 comparisons), but were unaffected by the experimental intervention. Bone diameters were greater in the boys (16 of 18 comparisons) and in the urban environment (2 of 18 comparisons). Daily required physical education leads to small increases of isometric strength without significant increments of limb dimensions. [ABSTRACT FROM AUTHOR]

The developing world is rapidly urbanizing, but an understanding of how child health differs across urban and rural areas is lacking. We examine the association between area of residence and child health in India, focusing on composition and selection effects. Simple height-for-age averages show that rural Indian children have the poorest health and urban children have the best, with slum children in between. With wealth or observed health environment held constant, the urban height-for-age advantage disappears, and slum children fare significantly worse than their rural counterparts. Hence, differences in composition across areas mask a substantial negative association between living in slums and height-for-age. This association is more negative for girls than boys. Furthermore, a large number of girls are "missing" in slums; we argue that this implies that the negative association between living in slums and health is even stronger than our estimate. The missing girls also help explain why slum girls appear to have a substantially lower mortality than rural girls, whereas slum boys have a higher mortality risk than rural boys. We estimate that slum conditions (such as overcrowding and open sewers), which the survey does not adequately capture, are associated with 20 % to 37 % of slum children's stunting risk. [ABSTRACT FROM AUTHOR]

The article reports that the U.S. economist hopes to overcome an apocalyptic gap in childhood development between rural and urban China. It mentions the impact of deprivation on kids' potential for success in life. It also presents the views of Scott Rozelle, professor at Stanford University, regarding the same.

Introduction: Studies on autism spectrum disorders (ASDs) have largely focused on children in specific settings. The current scenario of research in ASDs is limited largely to clinic-based case reports, case series, and retrospective chart reviews. The present study is the first population-based prevalence study conducted across rural, urban, and tribal populations in India. Materials and Methods: A cross-sectional two-phase study was conducted covering children in the age group of 1-10 years of age across geographical regions representing rural, urban, and tribal populations. The first phase (screening phase) involved administration of the Hindi version of the Indian Scale for Assessment of Autism. Those identified as suspected of ASD and 10% of all classified as nonsuspects for autism were also evaluated by the clinical team in second phase (evaluation phase). Results: Forty-three children out of a total of 28,070 children in rural, urban, and tribal area in the age group of 1-10 years were diagnosed as cases of ASD yielding a prevalence of 0.15% (95% confidence interval [CI] =0.15-0.25). Logistic regression analysis showed a two times significantly higher risk of diagnosing ASD in rural area as compared to tribal (odds ratio [OR]; 95% CI = 2.17 [1.04-4.52], P = 0.04). Male sex and upper socioeconomic group of head of family/father had a higher risk of getting diagnosed as autism as compared to lower socioeconomic group (OR; 95% CI - 3.23; 0.24-44.28, P = 0.38). Conclusions: Estimation of true prevalence of ASD in India is going to improve policies on developmental disabilities. [ABSTRACT FROM AUTHOR]

Background: A plateau in childhood overweight and obesity has been reported in some developed countries while in almost all developing countries this problem is on the rise. The aim of this paper is to describe the changes in prevalence of overweight and obesity within a cohort of preschool children followed for 3 years, and to estimate and compare the incidences in urban and rural children of Hanoi, Vietnam.Methods: A longitudinal study of a cohort of 2677 children aged 3 to 6 years old at the beginning of the study was conducted in urban DodaLab and rural FilaBavi, Hanoi, Vietnam. Overall, 2602 children, 1311 urban and 1291 rural, were followed for 3 years with identical measurements of weight and height in 2013, 2014 and 2016. Standard methods were used to estimate prevalence and incidence as well as confidence intervals.Results: During the three-year follow-up, the overall estimated prevalence of overweight increased from 9.1% to 16.7%. For the urban children, the increase was considerably higher. The overall prevalence of obesity decreased from 6.4% to 4.5% with less decrease in the urban children. In the group of children who were overweight and obese at the start of the study, 41.4% and 30.7%, respectively, remained in the same state three years later. The incidence of overweight and obesity during the three years were 12.4% and 2.7%, respectively. Boys were more likely to develop obesity than girls.Conclusions: Already in preschool age, the prevalence of overweight is high and it continues to increase with age, especially in the urban area. Prevention and intervention programs need to start at early preschool age and actions in urban areas deserve priority. [ABSTRACT FROM AUTHOR]

While there has been research on the partial or complete merger of Noun Classes 5 and 11 in a number of Bantu languages, no study has focused specifically on the acquisition of Cl. 11 by Xhosa-speaking children. In this paper we test our hypothesis that Xhosa-speaking children in both urban and rural areas no longer, or very seldom, use Cl. 11 prefixes. We use a number of speech-prompting methods: eliciting responses to pictures, story-telling activities and family questionnaires, as well as observations of parent/child and carer/child interactions. We conclude that Xhosa children have internalised a grammar in which both Cl. 11 and Cl. 5 prefixes are acceptable for Cl. 11 Xhosa nouns, with Cl. 5 prefixes and concords being preferred. [ABSTRACT FROM PUBLISHER]

Most of the Indian population resides not in urban, but in rural areas with living conditions and facilities being very much different from the urban conditions. Hence, the present study focusses on comparing the phonological processes across urban and rural in the Malayalam speaking children of India. Thirty typically developing children, age ranging from 3-4 years participated in the study. The speech sample (minimum 50 utterances) was recorded from each child in a quiet room at home or school environment and recorded using PRAAT software. The result of the present study was that rural children exhibit more phonological processes than urban group. [ABSTRACT FROM AUTHOR]

Self-concept is one important yet understudied construct, often associated with healthy children's well-being, and particularly crucial for those raised in rural disadvantaged communities. Also, commonly acknowledged is that adults, including parents and teachers, play an important role in fostering self-concept. The overall aim of the current study was to explore self-concept differences between rural and urban children in the state of Victoria, Australia, and to investigate relationships between student-teacher relationships, parental school engagement and self-concept in both groups. The sample comprised 219 triads of children (aged between 7-14 years), parents and teachers, representing rural (n = 33) and urban (n = 186) areas. Children, parents, and teachers completed measures related to self-concept, parental engagement with school, and quality of student-teacher interactions, respectively. No significant differences were detected between the self-concept levels of rural and urban children. However, associations between the student-teacher relationship, parental engagement, and self-concept differed between demographic groups. The unique selfconcept experiences of children from rural and urban areas in Australia have important intervention and research implications. The role of the student-teacher relationship in the development of self-concept in children from rural locations should be considered in addition to parenting and home factors typically associated with fostering selfconcept. [ABSTRACT FROM AUTHOR]

Objective To examine the trend of urban-rural disparity in obesity prevalence among Chinese children from 1985 to 2010. Methods The data were from five cross-sectional surveys (1985, 1995, 2000, 2005, and 2010) of Chinese National Surveys on Students' Constitution and Health. Logistic regression was used to estimate the prevalence odds ratio (POR) of urban-rural areas for obesity prevalence in different surveys. Results The standardized prevalence of obesity in Chinese children increased rapidly from 0.1% in 1985 to 5.0% in 2010, and significant differences were found between two adjacent surveys in most of the age subgroups ( P < 0.01). Although the obesity prevalence was significantly higher in urban than in rural children of all age subgroups at different survey points, the changing pace was faster in rural than in urban areas from 1995 to 2010. The PORs had increased in 1995 in most age subgroups and then began to decline in all age subgroups after 1995. Conclusions The gradually decreasing urban-rural disparity suggests that the obesity prevalence in rural areas would contribute to a growing proportion of obese children. Therefore, rural children should be included in obesity prevention efforts even though obesity rates are still lower in rural than in urban areas. [ABSTRACT FROM AUTHOR]

Environmental exposures that affect accumulation of polychlorinated biphenyls (PCBs) in humans are complex and not fully understood. One challenge in linking environmental exposure to accumulation is determining variability of PCB concentrations in samples collected from the same person at different times. We hypothesized that PCBs in human blood serum are consistent from year to year in people who live in the same environment between sampling. We analyzed blood serum from children and their mothers from urban and rural U.S. communities (n = 200) for all 209 PCBs (median ΣPCBs = 45 ng/g lw) and 12 hydroxylated PCBs (median ΣOH-PCBs = 0.09 ng/g fw). A subset of these participants (n = 155) also had blood PCB and OH-PCB concentrations analyzed during the previous calendar year. Although many participants had similar levels of PCBs and OH-PCBs in their blood from one year to the next, some participants had surprisingly different levels. Year-to-year variability in ΣPCBs ranged from -87% to 567% and in ΣOH-PCBs ranged from -51 to 358% (5th-95th percentile). This is the first study to report variability of all PCBs and major metabolites in two generations of people and suggests short-term exposures to PCBs may be a significant component of what is measured in human serum. [ABSTRACT FROM AUTHOR]

Continued population growth and increasing urbanization have led to the formation of large informal urban settlements in many developing countries in recent decades. The high prevalence of poverty, overcrowding, and poor sanitation observed in these settlements-commonly referred to as 'slums'-suggests that slum residence constitutes a major health risk for children. In this article, we use data from 191 Demographic and Health Surveys (DHS) across 73 developing countries to investigate this concern empirically. Our results indicate that children in slums have better health outcomes than children living in rural areas yet fare worse than children in better-off neighborhoods of the same urban settlements. A large fraction of the observed health differences appears to be explained by pronounced differences in maternal education, household wealth, and access to health services across residential areas. After we control for these characteristics, children growing up in the slums and better-off neighborhoods of towns show levels of morbidity and mortality that are not statistically different from those of children living in rural areas. Compared with rural children, children living in cities (irrespective of slum or formal residence) fare better with respect to mortality and stunting but not with respect to recent illness episodes. [ABSTRACT FROM AUTHOR]

This study examined judgments and reasoning about four parental discipline practices (induction or reasoning and three practices involving 'psychological control'; Barber, 1996; two forms of shaming and love withdrawal) among children (7-14 years of age) from urban and rural China and Canada ( N = 288) in response to a moral transgression. Children from all settings critically evaluated love withdrawal and preferred induction. Despite being perceived as more common in China than in Canada, with age, parental discipline based on shaming or love withdrawal was increasingly negatively evaluated and believed to have detrimental effects on children's feelings of self-worth and psychological well-being. Some cultural variations were found in evaluations of practices, perceptions of psychological harm, and attribution of parental goals. [ABSTRACT FROM AUTHOR]

Objective: The aim and objective of the present study was to determine the prevalence and severity of gingivitis and evaluate the factors associated with gingivitis in children residing in rural and urban areas of Panchkula. Materials and Methods: The present study was carried out on a sample of 1269 school children, aged 5, 12 and 15 years, randomly selected from the rural and the urban schools of Panchkula and gingival index was recorded as devised by Loe and Silness (1963) to assess the severity of gingivitis. A standardized questionnaire was self prepared, which was filled by the examiner prior to the clinical examination. The data were subjected to SPSS, version 13, and statistically analyzed using Chi test, F test, ANOVA test. Results: In the age group of 5 years, the children affected with gingivitis in the rural and the urban areas were 67 and 33%, respectively, which was statistically highly significant (P = 0.0001). In the age group of 12 years, the children affected with gingivitis in the rural and the urban areas were 94 and 92%, respectively (P = 0.537), whereas in 15-year olds, the children affected with gingivitis in the rural and the urban areas were 98 and 64%, respectively (P = 0.0001). The children who brushed once a day had higher prevalence of gingivitis as compared to children who brushed more than once per day in all the age groups. Conclusion: The results showed that the percentage of children affected with gingivitis was significantly higher in the rural areas in 5- and 15-year-old children, but this trend was not seen in 12-year age group, reflecting the lack of awareness in rural areas. [ABSTRACT FROM AUTHOR]

Background Rural residence is protective against atopy and wheeze-rhinitis-eczema symptoms in developed countries, an effect attributed to farming and poor hygiene exposures. There are few data from developing countries addressing this question. We compared atopy and wheeze-rhinitis-eczema symptoms between urban and rural Ecuador, and explored the effects of farming and poor hygiene exposures. Methods We performed cross sectional studies of schoolchildren living in rural and urban Ecuador. Data on symptoms and farming/hygiene exposures were collected by parental questionnaire, atopy by allergen skin prick test reactivity and geohelminth infections by stool examinations. Results Among 2526 urban and 4295 rural schoolchildren, prevalence was: atopy (10.0% vs 12.5%, p=0.06), wheeze (9.4% vs 10.1%, p=0.05), rhinitis (8.1% vs 6.4%, p=0.02) and eczema (5.9% vs 4.7%, p=0.06). A small proportion of symptoms were attributable to atopy (range 3.9-10.7%) with greater attributable fractions for respiratory symptoms observed in urban schoolchildren. Respiratory symptoms were associated with poor hygiene/farming exposures: wheeze with lack of access to potable water; and rhinitis with household pets, no bathroom facilities and contact with large farm animals. Birth order was inversely associated with respiratory symptoms. Area of residence and atopy had few effects on these associations. Conclusions Urban schoolchildren living in Ecuador have a similar prevalence of atopy, eczema and wheeze but a higher prevalence of rhinitis compared with rural children. Some farming and poor hygiene exposures were associated with an increase in the prevalence of wheeze or rhinitis while birth order was inversely associated with these symptoms. [ABSTRACT FROM AUTHOR]

The aim of the study was to investigate the differences in mental health of pupils in urban and rural. We have not registered a similar study in the domestic and foreign literature sources, however, the several studies suggested that there were differences in the mental health and the prevalance of mental disorders in urban and rural, especially in the adult population. Several authors argue that it is necessary to expand this research which would help to clarify many causalities. We intend to contribute to the expansion of knowledge in this field with our results. The research was carried out at the primary and eight-grade grammar schools in the Žilina region (Slovak Republik). 406 pupils of 6th and 7th class have participated in the research. The average age of pupils was 12.4 years. The General Health Questionnaire (GHQ12), the Affect Balance Scale (ABS), the Rosenberg Self Esteem Scale (SeS) and the Live Event Inventory (LEI) were used in investigating the extent of mental healh. The Demographic data sheet including age, gender, type of school, year/grade, family type, type of living and education of parents was created as a part of research tools. Mann-Whitney and Chi Square test were applied as a statistical method. A significant difference was found in the Emotional Balance Scale, namely in the Positive Emotions, where the pupils living in urban marked more Positive Emotions in comparison with those living in rural. No significant difference was found in the remaining items. [ABSTRACT FROM AUTHOR]

Abstract: The urban–rural continuum provides unique contexts for development. Differences in access to resources and childrearing norms and practices in urban, suburban, and rural areas may be linked to disparities in early achievement. Yet, few studies examine associations between urbanicity and children''s early academic skills. Using nationally representative data from the Early Childhood Longitudinal Study, Birth Cohort (N ≈6050) this study examined differences in academic skills at kindergarten entry across large urban, small urban, suburban and rural areas. Additionally, it considered whether home environments and child care experiences explained disparities in early achievement. Results showed that children in large urban and rural areas entered kindergarten with less advanced academic skills than children in small urban areas and suburbs. Lower achievement for rural children was partly explained by less advantageous home environments and increased use of home-based, rather than center-based, preschool. Parents living in large urban areas had less knowledge of child development, which helped explain their children''s lower achievement. [Copyright &y& Elsevier]

Knowledge of factors that affect the under-five year child mortality is important because it pertains to policy and programs. Causes and differences of under-five mortality between rural and urban area help decision makers to assess programmatic needs and prioritize interventions. This paper investigates the causes and differences of under-five mortality between rural and urban area in Bangladesh using Kaplan-Meier, Cox Proportional Hazard (Cox-PH) and Accelerated Failure Time (AFT) Regression model. Bangladesh Demographic and Health Survey (BDHS)-2007 data are used for the study. The results show that for both the areas, survival probability for children whose mothers have higher education is very high and in urban area the failure rate is very high for children of poor economic status. The Cox-PH analysis reveals that risk of death was lower for children whose mothers were matured and higher educated than younger and no educated mother in rural area. In urban area, children from rich family and the 2nd or 3rd child have lower risk of death compared to poor and 1st child. The AFT analysis shows that for both the areas Weibull distribution better fits the data. [ABSTRACT FROM AUTHOR]

Health inequities between China's urban and rural children persist despite China's continued economic development and its official adoption of human and children's rights doctrines. Progressive insurance systems implemented in the 2000s were developed specifically to reduce existing inequities by systematically increasing coverage and access to quality, affordable care. Analyses evaluated the role of health insurance in promoting health equity among Chinese children. Results indicate public health insurance alone does not adequately address current health disparities. [ABSTRACT FROM AUTHOR]

The aim of this work is to study the relationship between health related physical fitness and residence context in samples of school children. A total of 293 students took part in the study (137 boys and 156 girls). After receiving the informed consent, we assessed health related physical fitness through an abbreviated version of the Eurofit Battery test that included BMI, horizontal jump, Sit and Reach test (flexibility), hand grip strength, and 20 metre shuttle run. To establish the relationship between the different variables, we conducted a statistical analysis using the Kolmogorov-Smirnov test and one t test for independent samples. In this study school children living in rural areas are fitter in comparison with the ones living in urban areas. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To investigate if students who use of Active Transportation (AT) to and from school among urban and rural Canadian children are more likely to meet physical activity recommendations. Methods: The Raising healthy Eating and Active Living in Alberta (REAL Kids Alberta) study is a population-based health survey among Grade 5 students. In 2009, physical activity levels were measured using time-stamped pedometers (number of steps/hour) among 688 children. Parents reported mode of transportation to and from school (AT/non-AT). Multilevel multiple linear regression analyses with corresponding β coefficients were conducted to quantify the relationship between mode of transportation to and from school with (1) overall step count, and (2) the likelihood of achieving at least 13,500 steps per day recommended for optimal growth and development. Results: Among urban children, those who used AT to and from school accumulated more steps [β=1124(95% CI=170,2077)] and although not significant, were more likely to achieve the recommended 13,500 steps/day compared to those not using AT to and from school [OR=1.61(95% CI=0.93,2.81)]. Conclusion: Using AT to and from school appears to be beneficial to children by supplementing their physical activity, particularly those living in urban regions. Strategies to promote physical activity are needed, particular for children residing in rural regions and smaller towns. [Copyright &y& Elsevier]

Investigating children's beliefs and values toward threatened biodiversity can contribute to their understanding about nature and to the prevention of sociopolitical issues that may emerge when nature policy is being implemented. This study investigates children's beliefs about threats to plants, the personal values associated with conservation, and actions children consider desirable regarding the conservation of three threatened plant species of Cyprus. Photos of threatened plants were used during interviews with 60 students (30 urban and 30 rural residents) aged 10–12 years. Results showed that participants deemphasized anthropogenic threats, while attitudes of individual responsibility were prevalent. Participants proposed actions of higher effectiveness mainly when they felt that they would be able to implement them. Findings suggest that an educational policy on threatened plant conservation should adopt a social character, focusing on attitudinal development and participatory learning approaches that will enhance children's sense of ownership and efficacy. [ABSTRACT FROM AUTHOR]

This study in children aged 6-13 years ( n = 1,499) was performed between October 2008 and March 2009. Height and weight measurements were taken to calculate BMI. The prevalence of overweight and obesity was determined by means of IOTF cut-offs with respect to age. Alarming is the fact that the percentage of obese children in Cracow increased dramatically from 1.04% in boys and 0.20% in girls in 1971 to 7% in boys and 3.6% in girls in 2009. In this report, a higher percentage of overweight boys was observed in rural boys (28.14%) than in urban ones (27.31%). Obesity was identified in an almost twice as high percentage of urban boys (7.78%) as in rural ones (3.52%). A higher percentage of overweight girls was registered in rural areas (16.49%) than in urban ones (16.09%). Obesity was prevailing in rural girls (4.12%) relative to their urban counterparts (3.44%). The highest number of overweight urban boys was diagnosed in the group of 12-year-olds ( n = 48) and rural boys in the group of 10-year-olds ( n = 39), as well as in urban girls aged 11 ( n = 17) and rural girls aged 9 ( n = 9). The highest number of obesity was observed in rural boys aged 12 ( n = 3) and in urban boys aged 9 and 10 ( n = 9 in both groups). In the group of girls, obesity prevailed in urban 9-year-olds ( n = 5) and in rural 7-year-olds ( n = 5). Conclusions: Overweight and obesity affect boys almost twice as frequently as girls. Obesity is twice as frequent in urban boys as in their rural peers. [ABSTRACT FROM AUTHOR]

Purpose: To assess the prevalence of refractive error in schoolchildren aged 12-14 years in urban and rural settings in Cambodia's Phnom Penh and Kandal provinces. Methods: Ten schools from Phnom Penh Province and 26 schools from Kandal Province were randomly selected and surveyed in October 2010. Children were examined by teams of Australian and Cambodian optometrists, ophthalmic nurses and ophthalmologists who performed visual acuity (VA) testing and cycloplegic refraction. Results: A total of 5527 children were included in the study. The prevalence of uncorrected, presenting and best-corrected VA ≤ 6/12 in the better eye were 2.48% (95% confidence interval [CI] 2.02-2.83%), 1.90% (95% CI 1.52-2.24%) and 0.36% (95% CI 0.20-0.52%), respectively; 43 children presented with glasses whilst a total of 315 glasses were dispensed. The total prevalence of refractive error was 6.57% (95% CI 5.91-7.22%), but there was a significant difference between urban (13.7%, 95% CI 12.2-15.2%) and rural (2.5%, 95% CI 2.03-3.07%) schools ( P < 0.0001). Refractive error accounted for 91.2% of visually impaired eyes, cataract for 1.7%, and other causes for 7.1%. Myopia (spherical equivalent ≤ −0.50 diopters [D] in either eye) was associated with increased age, female gender and urban schooling. Conclusions: The prevalence of refractive error was significantly higher in urban Phnom Penh schools than rural schools in Kandal Province. The prevalence of refractive error, particularly myopia was relatively low compared to previous reports in Asia. The majority of children did not have appropriate correction with spectacles, highlighting the need for more effective screening and optical intervention. [ABSTRACT FROM AUTHOR]

This paper examines the effects of sibling composition on children's school attendance and participation in market and domestic work in Ethiopia. The major finding is that earlier-born males in rural areas are more likely to attend school than their younger siblings. A similar effect is apparent for rural females and urban children as well, though it is not as robust to varying estimation methods and sensitivity tests. In both areas, the chances of participation in market work are higher for older children, particularly males, while in domestic work, which remains largely the domain of female children, being an earlier-born girl also increases the odds of working. These effects of birth order on work are largely unaffected by the gender of the younger siblings or by the age difference with the last child. [ABSTRACT FROM AUTHOR]

Objective To assess rates of overweight/obesity and related health behaviors among rural and urban children using data from the National Health and Nutrition Examination Survey (NHANES). Methods Data were drawn from the 2003–2004 and 2005–2006 NHANES surveys regarding demographic characteristics, weight status, dietary behaviors and physical activity behaviors. Results Significantly more rural children were found to be obese than urban children. Health behavior differences to explain this differential obesity rate were primarily not significant, but multivariate analyses indicate that for rural children meeting physical activity recommendations is protective and engaging in more than 2 hr/day of electronic entertainment promotes obesity. Conclusions There are modifiable health behavior differences between rural and urban children which may account for the significantly higher obesity rates among rural children. [ABSTRACT FROM PUBLISHER]

The article presents a study that compares the thoughts and feelings about nature of 6 to 12-year-old children who live in mountainous and city regions. The main research question is about the impact of location on children's thoughts and feelings about nature. The result shows that children in mountainous regions used more emotion words while children in the city used more descriptive words in describing their relationship with nature.

To explore the epidemiology of childhood electrocution in Bangladesh, a population-based cross-sectional survey was conducted between January and December 2003. Nationally representative data was collected from 171,366 rural and urban households, comprising of a total population of 819,429. The average incidence rate of non-fatal childhood electrocution was 53.2 per 100,000 population-year. The rate was found to be significantly higher (p =.000) among male children compared to the females which was 66.7 and 39.2 per 100,000 population-year, respectively. A significantly higher rate of electrocution was found in rural areas compared to urban (p =0.000). The average child death rate due to electrocution was 1.42 per 100,000 population-year. More than two-thirds of the total childhood electrocution took place at home and 69% electrocution cases were from a domestic source of electricity. Younger children, specifically males are more vulnerable to electrocution. Rural children are at higher risk compared to urban. Home is the most common place of childhood electrocution. A national strategy and prevention program is necessary to address morbidity and mortality of children due to electrocution. [Copyright &y& Elsevier]

The authors took a population-based approach to testing how commonly studied neighborhood socioeconomic conditions are associated with the language and cognitive outcomes of residentially stable rural and urban children tracked from kindergarten (ages 5–6) to Grade 4 (ages 9–10). Child-level kindergarten Early Development Instrument (EDI) data were probabilistically linked to scores on Grade 4's Foundation Skills Assessment (FSA), 4 years later, and to socioeconomic data describing the children's residential neighborhoods. Multilevel analyses were performed for a study population of 5,022 children residing in 105 neighborhoods across British Columbia, Canada: 635 children in 20 rural neighborhoods and 4,825 children in 85 urban neighborhoods. Concentrated immigration consistently predicted better child outcomes. Moreover, the determinants of children's language and cognitive outcomes analyzed cross-sectionally differed from the determinants of outcomes analyzed longitudinally. Furthermore, there were notable differences in the extent of the relationship between neighborhood socioeconomic conditions and rural and urban children's outcomes over time. © 2010 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]

Objective: To assess mother-child agreement on the child's past food exposure, and factors affecting response discrepancy. Methods: Twelve- to 14-year-old children and their mothers (n = 78) in an urban community, a rural community, and 2 orthodontic clinics completed a 69-item food questionnaire to determine mother-child level of agreement on the child's past consumption frequency; response discrepancies; the frequencies that the mother cooked for and ate together with her child; food types; mother-child pair effect; and food item effect. Results: Sixty-eight percent of food items had moderate to good agreement (Kqw ⩾ 0.41). Rural pairs had lower odds of producing response discrepancy (odds ratio = 0.55). Variances of the mother-child pair and food item random effects were 0.87 and 0.08, respectively. Conclusions and Implications: The child's past food exposure recall by the mother and the child had moderate to good agreement, especially among rural mother-child pairs. Mother-child disagreement was not affected by the food items. [ABSTRACT FROM AUTHOR]

This descriptive study examined the distribution of risk factors in a sample that was selected on the basis of existing potential for difficult child behaviors. We inquired into whether exposure to risk factors was distributed equally across different contexts of ethnicity, locality, and child gender. Participants included 731 mother–child dyads recruited from WIC Programs in rural, suburban, and urban localities. Cumulative risk indices were constructed using neighborhood, family, and individual risk factors. The findings generally revealed that African American children and children in urban localities were exposed to higher numbers of risk factors and cumulative risk in relation to other ethnic children and localities. On the other hand, Caucasian children expressed higher levels of vulnerabilities to risk for internalizing behaviors than did other children. The results are discussed in terms of differences in contextual specific rates of risk exposure, vulnerability, and their implications for prevention and intervention research. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine relations between shyness-sensitivity and social competence, school performance, and psychological well-being in Chinese children with rural and urban backgrounds. Participants were students in rural migrant children schools and city schools in China (Ns = 411 and 518, respectively; M age = 10 years). Data were obtained from peer evaluations, teacher ratings, self-reports, and school records. It was found that shyness was associated with social and school problems and depression in urban children. However, shyness was generally associated with indexes of adjustment such as leadership, teacher-rated competence, and academic achievement in rural migrant children. The results indicate the role of context in defining the functional meaning of social behavior in children’s adjustment. [ABSTRACT FROM AUTHOR]

Abstract: The objective of this study was to describe and compare the dietary variety, diversity, and origins of complementary foods given to urban and rural Guatemalan infants in the second semester of life. Dietary intake from a total of 128 infants of both sexes, aged 6.0 to 12.0 months on admission, from a low-income district of Guatemala City and a rural Mayan village was collected by means of 3 nonconsecutive 24-hour quantitative intake recalls and breast-feeding histories. We hypothesized that rural/urban, age, and sex differences would occur with respect to dietary variety and diversity scores and descriptive features at 7 levels, that is, animal or plant origin (animal, plant, both, or water); solids or semisolids vs soups and stews vs liquids; infant vs family foods; modern vs traditional foods; processed vs nonprocessed foods; commercial vs noncommercial foods; and fortified vs nonfortified foods. Overall dietary variety and diversity scores did not differ significantly between sampling areas or between sexes. Infants aged 9 to 12 months had a higher dietary variety and diversity than infants aged 6 to 9 months. Plant sources constituted a large part of the diet in both areas. Foods prepared specifically for infants, rather than for the household, were not common, although more common in the urban area than in the rural area. Commercial, processed, and fortified foods were commonly consumed in both settings. It can be concluded that although no geographical differences were seen in dietary variety or diversity, distinctions between types of selected and consumed foods were observed. [Copyright &y& Elsevier]

The development of asthma and allergy appears to be the result of gene-environment interaction. Potential environmental risk factors such as outdoor and indoor air pollution, infections, allergen exposure, diet, and lifestyle patterns may trigger respiratory symptoms and compromise lung function in children. Specific features of urban and rural lifestyle may constitute distinct risk factors but may also coexist within certain socioeconomic levels. Children of rural environments are at lower risk for asthma and aeroallergen sensitization. The protective effect has been associated with close contact with large animals, but the genetic factor also plays a contributory role. Children with prolonged exposure to urban environment are at increased risk of reduced lung function and those that reside in polluted areas exhibit slower lung growth. It is possible that polluted urban environment per se facilitates subclinical small airway disease. Evidence to date supports a strong relation between residential area as a potential risk factor for childhood asthma symptoms and airway obstruction and a western type of socioeconomic development. [ABSTRACT FROM AUTHOR]

BACKGROUND: While higher smoking prevalences have been better described for adults and adolescents in the mountainous areas than in the plain area in Taiwan, no studies have previously examined whether this disparity begins with children in elementary schools. The purpose of this study was thus designed to explore clustering in smoking behavior among elementary school children attending mountain schools compared to those attending city schools. METHODS: This study analyzed data obtained by a survey on smoking behavior collected during the School Smoking Survey Project performed in 13 elementary schools of Taoyuan County, Taiwan. Overall, 1585 third and fourth graders (mean age 8.9 years) participated in the study. A multilevel logistic regression analysis was performed to explore the effects of school location on individual smoking behavior among elementary school children while controlling for individual-level characteristics. RESULTS: Overall, 34.9% of the elementary school students in the mountain schools reported having tried cigarette smoking compared to only 9.6% of students from city schools. Students attending mountain schools had a greater likelihood of reporting smoking than students attending city schools after controlling for individual-level characteristics (OR = 2.57, 95% CI = 1.10-5.99). CONCLUSIONS: A significant individual clustering in smoking behavior was found among third- and fourth-grade children attending mountain schools. The new findings suggest that the adult geographic smoking disparity begins in elementary school. Interventions aimed at reducing smoking disparity in adults need to target elementary schools in high-risk locations. [ABSTRACT FROM AUTHOR]

This study took place in an inner metropolitan Adelaide school and a rural school on Kangaroo Island off the South Australian coast. We compare 33 eight- to 10-year-old children's accounts of what the area is like for them. What are the rules and boundaries and who sets them? Metropolitan children were found to have tighter boundaries and required adult supervision to use facilities that rural children could use unsupervised. Rural children negotiated freedom of movement by considering broad principles about safety. Findings increase our understanding of how children perceive movement within their communities, and suggest policies and environmental changes to increase freedom of movement. Study findings raise concerns about the way the environment is designed for social planning, and the importance of children's engagement and interaction with the natural environment. [ABSTRACT FROM AUTHOR]

Objective. Few studies have examined variations in overweight and obesity by geographic location in youth. The purpose of this study was to investigate the association between urban/rural geographic status and being overweight or obese among Canadian adolescents. Methods. The study involved an analysis of a representative sample of 4851 Canadian adolescents in grades 6 to 10 from the 2001-02 Health Behaviour in School-aged Children Survey. Self-reports of participants' demographics, physical activity, screen time, diet, and body mass index (BMI) were assessed. Adiposity status was determined using the international BMI thresholds for children and youth. Urban/rural status was coded on a five-point scale based on the geographic location of the participants' schools. Logistic regression with generalized estimating equations to adjust for clustering was used to examine the association between urban/rural status and overweight/obesity. Results. The population was 53.3% female with a mean age of 13.9 years (standard deviation, SD=1.5). Approximately 22.2% were living in rural areas while 14.4% were living in large metropolitan (metro) areas. After adjusting for age, sex, socioeconomic status, and Region of Canada, there was a trend for increasing overweight (p=0.001) and obesity (p=0.03) among adolescents as the level of “rurality” increased (relative odds for most urban to most rural regions for overweight or obese: 1.00, 0.98, 1.18, 1.57, 1.36; obesity: 1.00, 1.06, 1.39, 1.58, 1.56). Conclusion. This study provides new information about patterns of overweight/obesity among Canadian adolescents by urban-rural geographic status. These findings suggest that obesity prevention interventions should be particularly aggressive in rural areas. [ABSTRACT FROM AUTHOR]

The current study provides new information on the etiology of adolescent problem behaviors in African American youth by testing the importance of known predictors, namely parenting measures (monitoring, support, and communication), peers, and neighborhood characteristics across rural and non-rural developmental contexts. More specifically, the study examined whether rural versus non-rural developmental contexts moderated the relationships between known predictors and a variety of problem behaviors (alcohol use, drug use, delinquency, and violence). Data were collected from N = 687 rural and N = 182 non-rural African American adolescents (mean age = 15.8 years). Findings indicate that both parenting constructs and peer deviance had significant effects on problem behaviors and that these effects were consistent across rural and non-rural developmental contexts. The study results are discussed in terms of their implications for ecological frameworks for testing problem behavior etiology. [ABSTRACT FROM AUTHOR]