The Experts below are selected from a list of 342396 Experts worldwide ranked by ideXlab platform
Liam Smeeth - One of the best experts on this subject based on the ideXlab platform.
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differences in cardiovascular risk factors in rural urban and rural to urban Migrants in peru
Heart, 2011Co-Authors: Jaime J Miranda, Robert H Gilman, Liam SmeethAbstract:Objectives To assess differences in cardiovascular risk profiles among rural-to-urban Migrants and non-Migrant groups. Methods Cross-sectional study in Ayacucho and Lima, Peru. Participants were: rural (n=201); rural-to-urban Migrants (n=589); and urban (n=199). Cardiovascular risk factors were assessed according to Migrant status (Migrants vs non-Migrants), age at first migration, length of residency in an urban area and lifetime exposure to an urban area. Results For most risk factors, the Migrant group had intermediate levels of risk between those observed for the rural and urban groups. Prevalence for rural, Migrant and urban groups was 3%, 20% and 33%, respectively, for obesity, and 0.8%, 3% and 6% for type-2 diabetes. This gradient of risk was not observed uniformly across all risk factors. Blood pressure did not show a clear gradient of difference between groups. The Migrant group had similar systolic blood pressure but lower diastolic blood pressure than the rural group. The urban group had higher systolic blood pressure but similar diastolic blood pressure than rural group. Hypertension was more prevalent among the urban (29%) than both the rural and Migrant groups (11% and 16%, respectively). For HbA 1c , although the urban group had higher levels, the Migrant and rural groups were similar to each other. No differences were observed in triglycerides between the three groups. Within Migrants, those who migrated when aged older than 12 years had higher odds of diabetes, impaired fasting glucose and metabolic syndrome compared to people who migrated at younger ages. Adjustment for age, sex and socioeconomic indicators had little impact on the patterns observed. Conclusions The impact of rural-to-urban migration on cardiovascular risk profile is not uniform across different risk factors, and is further influenced by the age at which migration occurs. A gradient in levels was observed for some risk factors across study groups. This observation indicates that urbanisation is indeed detrimental to cardiovascular health.
Wang Hong Mei - One of the best experts on this subject based on the ideXlab platform.
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health status and access to health care of Migrant workers in china
Public Health Reports, 2008Co-Authors: Therese Hesketh, Ye Xue Jun, Wang Hong MeiAbstract:Objectives. We explored living and working conditions, health status, and health-care access in Chinese rural-to-urban Migrants and compared them with permanent rural and urban residents.Methods. A questionnaire was administered to 1,958 urban workers, 1,909 rural workers, and 4,452 Migrant workers in Zhejiang Province, Eastern China, in 2004. Blood samples for human immunodeficiency virus (HIV) and syphilis were taken from the Migrant and urban workers.Results. Migrants were young, worked very long hours, and their living conditions were very basic. Nineteen percent had some form of health insurance and 26% were entitled to limited sick pay compared with 68% and 66%, respectively, for urban workers. Migrants had the best self-rated health and reported the least acute illness, chronic disease, and disability, after controlling for age and education. There were no HIV infections detected in either the Migrant or urban workers. However, 15 urban workers (0.68%, 95% confidence interval [Cl] 0.35, 1.02) and 20 Migrants (0.48%, 95% CI 0.26, 0.66, p=0.06) tested positive for syphilis. The high cost of health care in the city was a barrier to health-care access in the last year for 15% of the Migrants and 8% of the urban workers. Forty-seven percent of the Migrants were unwilling to make contributions to health insurance.Conclusions. These Migrants demonstrated the "healthy Migrant effect." However, poor living conditions and inattention to health may make Migrants vulnerable to poor long-term health. Because health insurance schemes will remain limited for the forseeable future, attention should focus on providing affordable health care to both uninsured Migrants and the urban poor.
Marcus W. Feldman - One of the best experts on this subject based on the ideXlab platform.
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The Role of Social Networks in the Integration of Chinese Rural–Urban Migrants: A Migrant–Resident Tie Perspective
Urban Studies, 2013Co-Authors: Zhongshan Yue, Xiaoyi Jin, Marcus W. FeldmanAbstract:Using data from a survey of rural–urban Migrants in a city in China, this paper investigates the relationships between Migrant–resident ties and Migrant integration. Migrant integration is assessed with respect to three dimensions: acculturation, socioeconomic integration and psychological integration. Migrant networks are divided into three categories: kin resident ties, non-kin resident ties and non-resident ties. The relation between resources embedded in Migrant networks and socioeconomic integration is also examined by translating position-generator data into network resource indices. The results reveal that non-resident ties still make up the majority of Migrant networks and Migrant–resident ties are significantly associated with Migrant integration. The roles of non-kin resident ties in Migrant integration are more consequential. They have positive effects on all three dimensions. Considering the different effects of Migrant networks on different dimensions of integration, many Migrants risk being ...
Therese Hesketh - One of the best experts on this subject based on the ideXlab platform.
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health status and access to health care of Migrant workers in china
Public Health Reports, 2008Co-Authors: Therese Hesketh, Ye Xue Jun, Wang Hong MeiAbstract:Objectives. We explored living and working conditions, health status, and health-care access in Chinese rural-to-urban Migrants and compared them with permanent rural and urban residents.Methods. A questionnaire was administered to 1,958 urban workers, 1,909 rural workers, and 4,452 Migrant workers in Zhejiang Province, Eastern China, in 2004. Blood samples for human immunodeficiency virus (HIV) and syphilis were taken from the Migrant and urban workers.Results. Migrants were young, worked very long hours, and their living conditions were very basic. Nineteen percent had some form of health insurance and 26% were entitled to limited sick pay compared with 68% and 66%, respectively, for urban workers. Migrants had the best self-rated health and reported the least acute illness, chronic disease, and disability, after controlling for age and education. There were no HIV infections detected in either the Migrant or urban workers. However, 15 urban workers (0.68%, 95% confidence interval [Cl] 0.35, 1.02) and 20 Migrants (0.48%, 95% CI 0.26, 0.66, p=0.06) tested positive for syphilis. The high cost of health care in the city was a barrier to health-care access in the last year for 15% of the Migrants and 8% of the urban workers. Forty-seven percent of the Migrants were unwilling to make contributions to health insurance.Conclusions. These Migrants demonstrated the "healthy Migrant effect." However, poor living conditions and inattention to health may make Migrants vulnerable to poor long-term health. Because health insurance schemes will remain limited for the forseeable future, attention should focus on providing affordable health care to both uninsured Migrants and the urban poor.
Jaime J Miranda - One of the best experts on this subject based on the ideXlab platform.
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differences in cardiovascular risk factors in rural urban and rural to urban Migrants in peru
Heart, 2011Co-Authors: Jaime J Miranda, Robert H Gilman, Liam SmeethAbstract:Objectives To assess differences in cardiovascular risk profiles among rural-to-urban Migrants and non-Migrant groups. Methods Cross-sectional study in Ayacucho and Lima, Peru. Participants were: rural (n=201); rural-to-urban Migrants (n=589); and urban (n=199). Cardiovascular risk factors were assessed according to Migrant status (Migrants vs non-Migrants), age at first migration, length of residency in an urban area and lifetime exposure to an urban area. Results For most risk factors, the Migrant group had intermediate levels of risk between those observed for the rural and urban groups. Prevalence for rural, Migrant and urban groups was 3%, 20% and 33%, respectively, for obesity, and 0.8%, 3% and 6% for type-2 diabetes. This gradient of risk was not observed uniformly across all risk factors. Blood pressure did not show a clear gradient of difference between groups. The Migrant group had similar systolic blood pressure but lower diastolic blood pressure than the rural group. The urban group had higher systolic blood pressure but similar diastolic blood pressure than rural group. Hypertension was more prevalent among the urban (29%) than both the rural and Migrant groups (11% and 16%, respectively). For HbA 1c , although the urban group had higher levels, the Migrant and rural groups were similar to each other. No differences were observed in triglycerides between the three groups. Within Migrants, those who migrated when aged older than 12 years had higher odds of diabetes, impaired fasting glucose and metabolic syndrome compared to people who migrated at younger ages. Adjustment for age, sex and socioeconomic indicators had little impact on the patterns observed. Conclusions The impact of rural-to-urban migration on cardiovascular risk profile is not uniform across different risk factors, and is further influenced by the age at which migration occurs. A gradient in levels was observed for some risk factors across study groups. This observation indicates that urbanisation is indeed detrimental to cardiovascular health.
