BACKGROUND Atopic dermatitis(AD),or eczema,is a chronic,pruritic inflammatory skin disease affecting children and adults.Socioeconomic status(SES)plays a significant role in developing AD.However,mixed evidence from a...BACKGROUND Atopic dermatitis(AD),or eczema,is a chronic,pruritic inflammatory skin disease affecting children and adults.Socioeconomic status(SES)plays a significant role in developing AD.However,mixed evidence from a previous study by Bajwa et al makes it difficult to determine the directionality of the association.There is a lite-rature gap in understanding the causal association between AD and socioeco-nomic factors.AIM To evaluate the impact of disparities in SES on pediatric AD populations.METHODS Based on the eligibility criteria,the literature review identified eight articles since July 2021,and a descriptive analysis was conducted using an Excel spreadsheet on key components collected from the identified studies.RESULTS Eight observational studies assessed SES in pediatric AD.Five observational studies showed mixed associations between AD and SES.Sub-analysis revealed that urban areas had a higher prevalence of AD,and four studies identified a positive association between parental education and AD in the pediatric popu-lation.Socioeconomic variables,such as residential areas and household income,significantly influence disease outcomes.CONCLUSION There is mixed association between pediatric AD and SES,with AD positively associated with parental education.There is critical need to evaluate global impact of SES variables on pediatric AD.展开更多
As a major global public health issue,tuberculosis is closely related to multiple socio-ecological factors in its epidemiological patterns~([1]).China,as a high-burden country for tuberculosis,exhibits regional variat...As a major global public health issue,tuberculosis is closely related to multiple socio-ecological factors in its epidemiological patterns~([1]).China,as a high-burden country for tuberculosis,exhibits regional variations in the distribution of the tuberculosis epidemic.To enhance the efficiency of prevention and control,its strategies are undergoing a transition toward regionally differentiated approaches~([2]).展开更多
Purpose–This paper investigates how high-speed rail(HSR)influences socioeconomic inequality by providing the first systematic bibliometric review of research trends,methodological approaches and thematic structures.I...Purpose–This paper investigates how high-speed rail(HSR)influences socioeconomic inequality by providing the first systematic bibliometric review of research trends,methodological approaches and thematic structures.It examines whether HSR fosters balanced regional development or reinforces spatial disparities.Design/methodology/approach–Using the Bibliometrix R package,237 records were retrieved from the Web of Science(1985–2024).Citation indicators,keyword co-occurrence and collaboration networks were combined with natural language processing(NLP)to classify studies by territorial scale,methodology,economic variables and inequality outcomes.Findings–The paper offers the first structured overview of how the literature conceptualizes the link between HSR and inequality.It highlights persistent gaps–scarcity of city-level analyses,limited socioeconomic indicators and reliance on Chinese case studies–providing a foundation for more comparative and interdisciplinary research.Originality/value–This paper contributes by offering a structured overview of how the literature has conceptualized and measured the relationship between HSR and inequality.By identifying persistent research gaps–such as the scarcity of city-level analyses,limited use of socioeconomic indicators,and overreliance on Chinese case studies–it provides a foundation for more comparative and interdisciplinary approaches.The study informs policymakers and researchers on how to design future infrastructure projects that balance efficiency with equity.展开更多
The primary purpose of this study is to present mathematical modeling methods inspired by graph theory operations and logic as a tool to structurally analyze the socio-economic composition of a city based on the geogr...The primary purpose of this study is to present mathematical modeling methods inspired by graph theory operations and logic as a tool to structurally analyze the socio-economic composition of a city based on the geographical lo-cation of the investigated areas.We’ve incorporated graph theory concepts like connectivity,subgraph,degree,tree,complete graph,and dual graph as our model’s main components.We applied these methods to study the geo-graphical distribution of food hardship in New York City,as well as housing prices in Boise,Idaho,and Miami,Florida.We conducted a structural analysis of our models and concluded several notable properties within the model results.We’ve also included the ocean’s current direction and location for the New York City model to speculate on the mechanism behind our results fur-ther.Graphs and quantitative data regarding each one of these factors are simulated and created through Gephi and R Studio,where the combination of these factors will be concluded and presented as the result of the study.In this way,the result of our model brings a step-by-step demonstration of how the graph theory and analysis techniques we’ve developed can be applied to any city with proper quantitative or qualitative data.The report in our pro-totype model focuses on population poverty and socio-economic conditions,emphasized and indicated through food hardship and the housing market within the area.We also discussed several plausible applications of our meth-ods,including topics like climate change and the real estate market.Consid-ering that our model is a skeletal position-based map exhibiting the func-tionality of the analysis techniques we’ve developed,the graph is a prototype for environmental science and mathematics researchers to examine,where they can further improve and optimize it for more accurate and informative results.展开更多
The manuscript by Agidew et al,evaluates the critical role of family background and socioeconomic status in shaping breast cancer awareness,attitudes,and preventive behaviors,particularly in low-resource settings.Brea...The manuscript by Agidew et al,evaluates the critical role of family background and socioeconomic status in shaping breast cancer awareness,attitudes,and preventive behaviors,particularly in low-resource settings.Breast cancer continues to be a leading cause of cancer-related deaths globally,with a disproportionate impact on women in low-and middle-income countries.Recent research by Agidew et al underscores a significant association between family history of breast cancer and elevated levels of knowledge,positive attitudes,and proactive behaviors among women in Northeast Ethiopia.Building upon these findings,this editorial explores the psychological mechanisms and behavioral tendencies that drive greater awareness among women with familial exposure to the disease.Additionally,it highlights persistent socioeconomic challenges—such as limited healthcare access,education disparities,and cultural stigmas-that impede widespread preventive action,especially among women without a known family history.The editorial emphasizes the necessity of integrated public health strategies that combine culturally sensitive education,community outreach,and accessible screening services.Drawing from clinical and policy perspectives,it offers guidance on how to strengthen early detection and preventive care in under-resourced environments.Ultimately,the piece advocates for a more inclusive approach to breast cancer education and prevention that addresses both familial influence and systemic socioeconomic barriers.展开更多
BACKGROUND Type 2 diabetes mellitus(T2DM)is increasing rapidly in Pakistan,especially among socioeconomically disadvantaged populations.While clinical care remains central,social determinants such as poverty,gender no...BACKGROUND Type 2 diabetes mellitus(T2DM)is increasing rapidly in Pakistan,especially among socioeconomically disadvantaged populations.While clinical care remains central,social determinants such as poverty,gender norms,and mistrust in healthcare critically shape disease outcomes.AIM To synthesize qualitative evidence on how these factors influence the experience and management of T2DM in Pakistan.METHODS Following PRISMA guidelines,a systematic review of qualitative studies published between 2000 and 2025 was conducted on February 25,2025 using PubMed,CINAHL,MEDLINE Plus,and PakMediNet.Eleven studies exploring socioeconomic influences on T2DM care and self-management in Pakistan were included.Thematic synthesis was used to identify key patterns.Quality was appraised using the Joanna Briggs Institute Checklist for Qualitative Research.RESULTS Three major themes were identified:(1)Economic insecurity.High cost of treatment,poor rural infrastructure,and food insecurity hinder access and adherence;(2)Sociocultural and gender norms.Restricted mobility of females,family control over health decisions,and fatalistic beliefs delay care;and(3)Knowledge gaps and mistrust.A lack of culturally appropriate education,reliance on traditional remedies,and distrust in public health systems reduce compliance.These intersecting barriers collectively impede effective diabetes management.CONCLUSION T2DM in Pakistan is driven by entrenched social and economic barriers.Addressing it requires culturally sensitive,equity-oriented strategies that go beyond biomedical models.Policy reforms should focus on affordability,rural outreach,and inclusive health education.Future research should engage marginalized voices through participatory methods.展开更多
BACKGROUND Previous observational studies have shown that the prevalence of gastroesophageal reflux disease(GERD)and Barrett’s esophagus(BE)is associated with socioeconomic status.However,due to the methodological li...BACKGROUND Previous observational studies have shown that the prevalence of gastroesophageal reflux disease(GERD)and Barrett’s esophagus(BE)is associated with socioeconomic status.However,due to the methodological limitations of traditional observational studies,it is challenging to definitively establish causality.AIM To explore the causal relationship between the prevalence of these conditions and socioeconomic status using Mendelian randomization(MR).METHODS We initially screened single nucleotide polymorphisms(SNPs)to serve as proxies for eight socioeconomic status phenotypes for univariate MR analysis.The inverse variance weighted(IVW)method was used as the primary analytical method to estimate the causal relationship between the eight socioeconomic status phenotypes and the risk of GERD and BE.We then collected combinations of SNPs as composite proxies for the eight socioeconomic phenotypes to perform multivariate MR(MVMR)analyses based on the IVW MVMR model.Furthermore,a two-step MR mediation analysis was used to examine the potential mediation of the associations by body mass index,major depressive disorder(MDD),smoking,alcohol consumption,and sleep duration.RESULTS The study identified three socioeconomic statuses that had a significant impact on GERD.These included household income[odds ratio(OR):0.46;95% confidence interval(95%CI):0.31-0.70],education attainment(OR:0.23;95%CI:0.18-0.29),and the Townsend Deprivation Index at recruitment(OR:1.57;95%CI:1.04-2.37).These factors were found to independently and predominantly influence the genetic causal effect of GERD.Furthermore,the mediating effect of educational attainment on GERD was found to be mediated by MDD(proportion mediated:10.83%).Similarly,the effect of educational attainment on BE was mediated by MDD(proportion mediated:10.58%)and the number of cigarettes smoked per day(proportion mediated:3.50%).Additionally,the mediating effect of household income on GERD was observed to be mediated by sleep duration(proportion mediated:9.75%)CONCLUSION This MR study shed light on the link between socioeconomic status and GERD or BE,providing insights for the prevention of esophageal cancer and precancerous lesions.展开更多
Objective: Improvement in cancer survival over recent decades has not been accompanied by a narrowing of socioeconomic disparities. This study aimed to quantify the loss of life expectancy(LOLE) resulting from a cance...Objective: Improvement in cancer survival over recent decades has not been accompanied by a narrowing of socioeconomic disparities. This study aimed to quantify the loss of life expectancy(LOLE) resulting from a cancer diagnosis and examine disparities in LOLE based on area-level socioeconomic status(SES).Methods: Data were collected for all people between 50 and 89 years of age who were diagnosed with cancer, registered in the NSW Cancer Registry between 2001 and 2019, and underwent mortality follow-up evaluations until December 2020. Flexible parametric survival models were fitted to estimate the LOLE by gender and area-level SES for 12 common cancers.Results: Of 422,680 people with cancer, 24% and 18% lived in the most and least disadvantaged areas, respectively. Patients from the most disadvantaged areas had a significantly greater average LOLE than patients from the least disadvantaged areas for cancers with high survival rates, including prostate [2.9 years(95% CI: 2.5±3.2 years) vs. 1.6 years(95% CI: 1.3±1.9 years)] and breast cancer [1.6 years(95% CI: 1.4±1.8 years) vs. 1.2 years(95% CI: 1.0±1.4 years)]. The highest average LOLE occurred in males residing in the most disadvantaged areas with pancreatic [16.5 years(95% CI: 16.1±16.8 years) vs. 16.2 years(95% CI: 15.7±16.7 years)] and liver cancer [15.5 years(95% CI: 15.0±16.0 years) vs. 14.7 years(95% CI: 14.0±15.5 years)]. Females residing in the least disadvantaged areas with thyroid cancer [0.9 years(95% CI: 0.4±1.4 years) vs. 0.6 years(95% CI: 0.2±1.0 years)] or melanoma [0.9 years(95% CI: 0.8±1.1 years) vs. 0.7 years(95% CI: 0.5±0.8 years)] had the lowest average LOLE.Conclusions: Patients from the most disadvantaged areas had the highest LOLE with SES-based differences greatest for patients diagnosed with cancer at an early stage or cancers with higher survival rates, suggesting the need to prioritise early detection and reduce treatment-related barriers and survivorship challenges to improve life expectancy.展开更多
Despite colorectal cancer’s(CRC)high global incidence,residents of low-and middle-income countries,as well as low-income minorities in advanced economies have low screening rates.Observational studies demonstrate tha...Despite colorectal cancer’s(CRC)high global incidence,residents of low-and middle-income countries,as well as low-income minorities in advanced economies have low screening rates.Observational studies demonstrate that in these groups higher incidence of CRC is observed,yet screening rates remain low for consistent reasons.Low income,low educational background,and lack of awareness in combination with inadequate social security of certain population groups impede access and compliance rates to CRC screening.On the other hand,despite the global availability of multiple screening approaches(colonoscopy,sigmoidoscopy,faecal occult blood test,faecal immunochemical test,computed tomography-colonography,etc.)with proven diagnostic validity,many low-income countries still lack established screening programs.The absence of screening guidelines in these countries along with the heterogeneity of guidelines in the rest of the world,demonstrate the need for global measures to tackle this issue comprehensively.An essential step forward is to develop a global approach that will link specific elements of screening with the incidence and available resources in each country,to ensure the achievement of at least a minimum screening program in low-income countries.Utilizing cheaper,cost-effective techniques,which can be carried out by less specialized healthcare providers,might not be equivalent to endoscopy for CRC screening but seems more realistic for areas with fewer resources.Awareness has been highlighted as the most pivotal element for the effective implementation of any screening program concerning CRC.Moreover,multiple studies have demonstrated that outreach strategies and community-based educational programs are associated with encouraging outcomes,yet a centrally coordinated expansion of these programs could provide more consistent results.Additionally,patient navigator programs,wherever implemented,have increased CRC screening and improved follow-up.Therefore,global coordination and patient education seem to be the main areas on which policy making needs to focus.展开更多
BACKGROUND Despite advances in detection and treatments,biliary tract cancers continue to have poor survival outcomes.Currently,there is limited data investigating the significance of socioeconomic status,race/ethnici...BACKGROUND Despite advances in detection and treatments,biliary tract cancers continue to have poor survival outcomes.Currently,there is limited data investigating the significance of socioeconomic status,race/ethnicity,and environmental factors in biliary tract cancer survival.Data from the Surveillance,Epidemiology,and End Results database for biliary and gallbladder adenocarcinomas were extracted from 1975 to 2016.Socioe-conomic data included smoking,poverty level,education,adjusted household income,and percentage of foreign-born persons and urban population.Survival was calculated with Cox proportional hazards models for death in the 5-year period following diagnosis.RESULTS Our study included 15883 gallbladder,11466 intrahepatic biliary,12869 extrahepatic biliary and 7268 ampulla of Vater adenocarcinoma cases.When analyzing county-specific demographics,patients from counties with higher incomes were associated with higher survival rates[hazard ratio(HR)=0.97,P<0.05].Similarly,counties with a higher percentage of patients with a college level education and counties with a higher urban population had higher 5-year survival rates(HR=0.96,P=0.002 and HR=0.97,P=0.004,respectively).CONCLUSION Worse survival outcomes were observed in lower income counties while higher income and education level were associated with higher 5-year overall survival among gallbladder and biliary malignancies.展开更多
This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(...This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.展开更多
The study comparatively analysed the socioeconomic characteristics and digital literacy level of Agricultural Extension personnel (AEP) in Ebonyi and Imo States, South-East, Nigeria. The specific objectives were to de...The study comparatively analysed the socioeconomic characteristics and digital literacy level of Agricultural Extension personnel (AEP) in Ebonyi and Imo States, South-East, Nigeria. The specific objectives were to describe the socioeconomic characteristics of agricultural extension personnel in Ebonyi and Imo States, and to ascertain the digital literacy level of AEP in the studied states. Purposive sampling technique was used to select 312 Agricultural Extension personnel (132 from Ebonyi State Agricultural Development Program and 180 from Imo State Agricultural Development Program) for the study. Data were collected through the use of validated and structured questionnaire, and administered through the help of well-trained enumerators. Data were analysed using simple descriptive statistical tools such as percentages mean score, standard deviation and weighted mean. Findings indicated that they were more male in the both States (55.3% and 57.8%) for Ebonyi and Imo State respectively and that the average age of AEP in Ebonyi and Imo States were 44.7 years and 49.2 years respectively. It was further revealed that the majority (77.3% and 82.8%) had B.Sc./HND as their highest academic qualifications, belonged to professional organisations (62.1% and 75%), and were earning an average monthly income of N58,798 and N62,648 for Ebonyi and Imo State respectively. Also, it was revealed that their mean years of service were 12.4 years and 13.4 years for Ebonyi and Imo State respectively. Almost all of them (87.9% and 95.0%) own a smartphone, had access to the internet (80.3% and 90.0%), but do not own a laptop/ipad (82.6% and 72.8%) for Ebon-yi and Imo State respectively. Results further revealed that Agricultural extension personnel in both Ebonyi and Imo State respectively had low digital literacy level ( = 2.41 and 2.32). The study concluded that AEP in Ebonyi and Imo State respectively had similar socioeconomic characteristics and low level of digital literacy. The study recommended that the management of ADPs in both Ebonyi and Imo State should ensure the training of AEP in digital skills to enhance their digital literacy level to enable them use digital technologies in their work.展开更多
Research Background: Atopic dermatitis (AD) is a chronic inflammatory skin condition in children that significantly impacts physical health and quality of life. Adherence to treatment regimens is crucial for effective...Research Background: Atopic dermatitis (AD) is a chronic inflammatory skin condition in children that significantly impacts physical health and quality of life. Adherence to treatment regimens is crucial for effective disease management but is often hindered by various psychosocial and socioeconomic barriers. Parental mental health issues, family dynamics, financial constraints, and limited access to specialized care contribute to inconsistent treatment adherence, exacerbating the condition. Purpose/Aim: The aim of this study is to explore the multifaceted barriers to treatment adherence in children with AD and evaluate the effectiveness of current interventions targeting these challenges. The study seeks to identify strategies that can improve adherence and health outcomes by addressing psychosocial and socioeconomic factors. Method: The method involves a comprehensive review of existing literature on the impact of psychosocial and socioeconomic factors on treatment adherence in children with AD. The study also examines various interventions designed to address these barriers, including community support programs, family-centered interventions, financial aid, integrated care models, and telehealth solutions. Results: Results indicate that psychosocial barriers, such as parental anxiety and depression, significantly hinder effective disease management. Family dynamics, including poor communication and single-parent households, complicate adherence efforts. Socioeconomic factors, such as financial constraints and limited healthcare access, further impede adherence. Interventions that address these barriers show promise in improving treatment adherence and health outcomes. Community support programs and family-centered interventions enhance parental mental health and family communication. Financial aid programs and integrated care models help mitigate economic and logistical challenges. Telehealth solutions improve access to specialized care, particularly in underserved areas. Conclusion: The study concludes that a holistic approach integrating medical treatment with psychosocial and socioeconomic support is essential for managing pediatric AD effectively. Policy recommendations include increased funding for community support programs, expanded telehealth services, and the integration of social services with medical care. Addressing these barriers comprehensively can enhance treatment adherence and improve the quality of life for children with AD. Further research should focus on long-term outcomes and diverse populations to refine these interventions and ensure they meet the needs of all affected children.展开更多
Diabetes is a growing global issue,with socioeconomic status(SES)influencing the incidence and prevalence of the condition.Adults with lower incomes are more likely to develop diabetes and experience higher rates of c...Diabetes is a growing global issue,with socioeconomic status(SES)influencing the incidence and prevalence of the condition.Adults with lower incomes are more likely to develop diabetes and experience higher rates of complications and mortality.In SES assessments,education quality is considered more important than quantity.High-income individuals are less likely to develop diabetes due to their ability to afford balanced diets and medications.Long work hours and illiteracy also contribute to the onset of diabetes.Research conducted in Bahawalpur,Pakistan,found that socioeconomic factors significantly affect diabetes patients,with poor economic status and inadequate diabetic education being more prevalent.Physical inactivity and lack of life insurance further contribute to the condition.In Bahawalpur,a cross-sectional study involving 374 participants from diverse social and economic backgrounds examined the impact of socioeconomic factors on diabetes management and outcomes across different age and gender groups.Among the participants,60%were male and 39.39%were female,with 66.80%over the age of 50.Out of the 374 participants,236(63.10%)were unemployed.Additionally,41.97%of participants had limited knowledge about diabetes.Due to poor knowledge,economic constraints,and lack of physical activity,participants experienced poor diabetes management,leading to negative outcomes.展开更多
Recent years have witnessed rapid and widespread economic growth in regions involved in China’s Belt and Road Initiative(BRI),mainly due to the construction of six economic corridors.This paper aims to quantify the l...Recent years have witnessed rapid and widespread economic growth in regions involved in China’s Belt and Road Initiative(BRI),mainly due to the construction of six economic corridors.This paper aims to quantify the levels of six economic corridors according to the socioeconomic development levels in the BRI regions.Here,a gridded socioeconomic development index was first created,and a dividing line was drawn to reveal the distribution characteristics of socioeconomic development in the BRI regions.A classification method was then applied to identify local development levels.Finally,we created an economic corridor development index(ECDI)to evaluate the progress of six economic corridors.The results reveal spatial heterogeneity within the socioeconomic groups of BRI regions,which can be roughly divided into offshore(or Part A,50.54%)and inland(or Part B,49.46%)areas.Although both parts comprise roughly the same area,over 95%of the population is located in offshore regions.The China–Mongolia–Russia Economic Corridor has the highest development index due to a stable political environment and long-running cooperation.The China–Pakistan Economic Corridor suffers from the lowest ECDI but with strong development potential.Our methods can provide critical reference and practice for the future evaluation of the level of regional development.The results of this study can offer policymakers some insight into reducing socioeconomic inequality in the BRI regions.展开更多
Objective To assess the association of socioeconomic status with the burden of cataract blindness in terms of year lived with disability(YLD) rates and to determine whether ultraviolet radiation(UVR) levels modify the...Objective To assess the association of socioeconomic status with the burden of cataract blindness in terms of year lived with disability(YLD) rates and to determine whether ultraviolet radiation(UVR) levels modify the effect of socioeconomic status on this health burden.Methods National and subnational age-standardized YLD rates associated with cataract-related blindness were derived from the Global Burden of Disease(GBD) study 2017. The human development index(HDI) from the Human Development Report was used as a measure of socioeconomic status.Estimated ground-level UVR exposure was obtained from the Ozone Monitoring Instrument(OMI)dataset of the National Aeronautics and Space Administration(NASA).Results Across 185 countries, socioeconomic status was inversely associated with the burden of cataract blindness. Countries with a very high HDI had an 84% lower age-standardized YLD rate [95%confidence interval(CI): 60%–93%, P < 0.001] than countries with a low HDI;for high-HDI countries, the proportion was 76%(95% CI: 53%–88%, P < 0.001), and for medium-HDI countries, the proportion was48%(95% CI: 15%–68%, P = 0.010;P for trend < 0.001). The interaction analysis showed that UVR exposure played an interactive role in the association between socioeconomic status and cataract blindness burden(P value for interaction = 0.047).Conclusion Long-term high-UVR exposure amplifies the association of poor socioeconomic status with the burden of cataract-related blindness. The findings emphasize the need for strengthening UVR exposure protection interventions in developing countries with high-UVR exposure.展开更多
The countries throughout the Belt and Road region account for more than 60%of the world’s population and half of the global economy.Future changes in this area will have significant influences on the global economic ...The countries throughout the Belt and Road region account for more than 60%of the world’s population and half of the global economy.Future changes in this area will have significant influences on the global economic growth,industrial structure and resource allocation.In this study,the proportion of the urban population to the total population and the gross domestic product were used to represent the levels of urbanization and economic development,respectively.The population,urbanization and economic levels of the Belt and Road countries for 2020-2050 were projected under the framework of the IPCC's shared socioeconomic pathways(SSPs),and the following conclusions are drawn.(1)The population,urbanization and economic levels in the Belt and Road region will likely increase under all five pathways.The population will increase by 2%-8%/10a during 2020-2050 and reach 5.0-6.0 billion in 2050.Meanwhile,the urbanization rate will increase by 1.4%-7.5%/10a and reach 49%-75%.The GDP will increase by 17%-34%/10a and reach 134-243 trillion USD.(2)Large differences will appear under different scenarios.The SSP1 and SSP5 pathways demonstrate relatively high urbanization and economic levels,but the population size is comparatively smaller;SSP3 shows the opposite trend.Meanwhile,the economy develops slowly under SSP4,but it has a relatively high urbanization level,while SSP2 exhibits an intermediate trend.(3)In 2050,the population will increase relative to 2016 in most countries,and population size in the fastest growing country in Central Asia and the Middle East countries will be more than double.Urbanization will develop rapidly in South Asia,West Asia and Central Asia,and will increase by more than 150%in the fastest growing countries.The economy will grow fastest in South Asia,Southeast Asia and West Asia,and increase by more than 10 times in some counties with rapid economic development.展开更多
Air pollution is a serious problem brought by the rapid urbanization and economic development in China, imposing great challenges and threats to population health and the sustainability of the society. Based on the re...Air pollution is a serious problem brought by the rapid urbanization and economic development in China, imposing great challenges and threats to population health and the sustainability of the society. Based on the real-time air quality monitoring data obtained for each Chinese city from 2013 to 2014, the spatiotemporal characteristics of air pollution are analyzed using various exploratory spatial data analysis tools. With spatial econometric models, this paper further quantifies the influences of socioeconomic factors on air quality at both the national and regional scales. The results are as follows： （1） From 2013 to 2014, the percentage of days compliance of urban air quality increased but air pollution deteriorated and the worsening situation in regions with poor air quality became more obvious. （2） Changes of air quality show a clear temporal coupling with regional socioeconomic activities, basically ＂relatively poor at daytime and relatively good at night＂. （3） Urban air pollution shows a spatial pattern of ＂heavy in the east and light in the west, and heavy in the north and light in the south＂. （4） The overall extent and distribution of regional urban air pollution have clearly different characteristics. The formation and evolution of regional air pollution can be basically induced as ＂the pollution of key cities is aggravated--pollution of those cities spreads-- regional overall pollution is aggravated--the key cities lead in pollution governance--regional pollution joint prevention and control is implemented--regional overall pollution is reduced＂. （5） At the national level, energy consumption, industrialization and technological progress are the major factors in the worsening of urban air quality, economic development is a significant driver for the improvement of that quality. （6） Influenced by resources, environment and the development stage, the socioeconomic factors had strongly variable impacts on air quality, in both direction and intensity in different regions. Based on the conclusion, the regional differ- entiation and development idea of the relationship between economic development and en- vironmental changes in China are discussed.展开更多
Abstract Chinese air pollution has increased in this century along with the rapid socioeconomic development and resulting anthropogenic emissions. While recent emission control measures have shown encouraging re sults...Abstract Chinese air pollution has increased in this century along with the rapid socioeconomic development and resulting anthropogenic emissions. While recent emission control measures have shown encouraging re sults and have reduced the levels of sulfur dioxide and primary aerosols, the concentrations of other air pollutants continue to grow, particularly secondary pollutants in cluding ozone and secondary aerosols. Meanwhile, a va riety of intentional and unintentional socioeconomic events have temporarily changed the pace, and even the signs, of growth of air pollution. These events include the short-term emission restrictions imposed during the Sino-African Summit, the Beijing Olympics and Para lympics, the Shanghai World Exposition （Shanghai Expo）, the Guangzhou Asian Olympics, and the Shenzhen Uni versiade, as well as the unintentional emission reductions associated with the recent economic recession and the annual Chinese New Year. This paper presents a brief overview of trends and temporary perturbations of Chi nese air pollution since 2000, summarizing studies on anthropogenic emission inventories, atmospheric meas urements, and inverse modeling. It concludes with rec ommendations for future research.展开更多
There have been substantial conflicts in the human-water relationship in the Huaihe River Basin （HRB）. To achieve sustainable economic development without degrading the water environment in the HRB, we develop a thr...There have been substantial conflicts in the human-water relationship in the Huaihe River Basin （HRB）. To achieve sustainable economic development without degrading the water environment in the HRB, we develop a three-dimensional water environmental sup- porting capacity （WESC） model based on water environmental carrying capacity （WECC）, water environmental pressure （WEP）, and water pollution prevention and control capacity （WPPC）. Geographic information systems spatial analysis with the analytical hierarchy process method and dynamic weighted summation is applied. Several proposals for suitable locations for industry and environmental protection strategies for water were presented. The following results were obtained. （1） The spatial differences in WECC are substantial; areas with high-value WECC zones are mainly located along the main stream of the Huaihe River on the south side. WEP is generally high, with an overall low level of pollution prevention and control in the whole HRB. WPPC and WEP show high spatial overlapping due to the fact that areas with higher environmental pollution usually have high level of economic development, and thus have a strong capacity for pollution control. （2） Overall, WESC is moderate in the HRB. In particular, areas with a high WESC value only account for 56.24% of the HRB in 2010 Distinct differences in WESC also exist between areas located in the south compared with in the north of the basin, and areas alongside the downstream region compared with alongside the upstream and midstream regions. （3） Consequently, according to the guidance for indus- try zoning in the HRB, the areas in the south and alongside the downstream and sub-streams with a low WEP value and high WECC and WPPC, traditional industries should be developed based on strict environmental access and pollution emission standards. While for the areas along the midstream of the HRB and along the whole Yishusi River Basin, which have a high WEP value, industrial restructuring and technological upgrading are suggested. Action should be taken to limit development and protect the environment in the upstream region of the basin which is a key source of drinking water, in the eastern route along the line of the South-toNorth Water Diversion Project, and in the ecologically fragile region alongside the basin. This will ensure good environmental functionality including subsistent provision of clean water, while at the same time satisfying the urgent need to adjust, transform, and upgrade the industrial structure.展开更多
文摘BACKGROUND Atopic dermatitis(AD),or eczema,is a chronic,pruritic inflammatory skin disease affecting children and adults.Socioeconomic status(SES)plays a significant role in developing AD.However,mixed evidence from a previous study by Bajwa et al makes it difficult to determine the directionality of the association.There is a lite-rature gap in understanding the causal association between AD and socioeco-nomic factors.AIM To evaluate the impact of disparities in SES on pediatric AD populations.METHODS Based on the eligibility criteria,the literature review identified eight articles since July 2021,and a descriptive analysis was conducted using an Excel spreadsheet on key components collected from the identified studies.RESULTS Eight observational studies assessed SES in pediatric AD.Five observational studies showed mixed associations between AD and SES.Sub-analysis revealed that urban areas had a higher prevalence of AD,and four studies identified a positive association between parental education and AD in the pediatric popu-lation.Socioeconomic variables,such as residential areas and household income,significantly influence disease outcomes.CONCLUSION There is mixed association between pediatric AD and SES,with AD positively associated with parental education.There is critical need to evaluate global impact of SES variables on pediatric AD.
文摘As a major global public health issue,tuberculosis is closely related to multiple socio-ecological factors in its epidemiological patterns~([1]).China,as a high-burden country for tuberculosis,exhibits regional variations in the distribution of the tuberculosis epidemic.To enhance the efficiency of prevention and control,its strategies are undergoing a transition toward regionally differentiated approaches~([2]).
文摘Purpose–This paper investigates how high-speed rail(HSR)influences socioeconomic inequality by providing the first systematic bibliometric review of research trends,methodological approaches and thematic structures.It examines whether HSR fosters balanced regional development or reinforces spatial disparities.Design/methodology/approach–Using the Bibliometrix R package,237 records were retrieved from the Web of Science(1985–2024).Citation indicators,keyword co-occurrence and collaboration networks were combined with natural language processing(NLP)to classify studies by territorial scale,methodology,economic variables and inequality outcomes.Findings–The paper offers the first structured overview of how the literature conceptualizes the link between HSR and inequality.It highlights persistent gaps–scarcity of city-level analyses,limited socioeconomic indicators and reliance on Chinese case studies–providing a foundation for more comparative and interdisciplinary research.Originality/value–This paper contributes by offering a structured overview of how the literature has conceptualized and measured the relationship between HSR and inequality.By identifying persistent research gaps–such as the scarcity of city-level analyses,limited use of socioeconomic indicators,and overreliance on Chinese case studies–it provides a foundation for more comparative and interdisciplinary approaches.The study informs policymakers and researchers on how to design future infrastructure projects that balance efficiency with equity.
文摘The primary purpose of this study is to present mathematical modeling methods inspired by graph theory operations and logic as a tool to structurally analyze the socio-economic composition of a city based on the geographical lo-cation of the investigated areas.We’ve incorporated graph theory concepts like connectivity,subgraph,degree,tree,complete graph,and dual graph as our model’s main components.We applied these methods to study the geo-graphical distribution of food hardship in New York City,as well as housing prices in Boise,Idaho,and Miami,Florida.We conducted a structural analysis of our models and concluded several notable properties within the model results.We’ve also included the ocean’s current direction and location for the New York City model to speculate on the mechanism behind our results fur-ther.Graphs and quantitative data regarding each one of these factors are simulated and created through Gephi and R Studio,where the combination of these factors will be concluded and presented as the result of the study.In this way,the result of our model brings a step-by-step demonstration of how the graph theory and analysis techniques we’ve developed can be applied to any city with proper quantitative or qualitative data.The report in our pro-totype model focuses on population poverty and socio-economic conditions,emphasized and indicated through food hardship and the housing market within the area.We also discussed several plausible applications of our meth-ods,including topics like climate change and the real estate market.Consid-ering that our model is a skeletal position-based map exhibiting the func-tionality of the analysis techniques we’ve developed,the graph is a prototype for environmental science and mathematics researchers to examine,where they can further improve and optimize it for more accurate and informative results.
文摘The manuscript by Agidew et al,evaluates the critical role of family background and socioeconomic status in shaping breast cancer awareness,attitudes,and preventive behaviors,particularly in low-resource settings.Breast cancer continues to be a leading cause of cancer-related deaths globally,with a disproportionate impact on women in low-and middle-income countries.Recent research by Agidew et al underscores a significant association between family history of breast cancer and elevated levels of knowledge,positive attitudes,and proactive behaviors among women in Northeast Ethiopia.Building upon these findings,this editorial explores the psychological mechanisms and behavioral tendencies that drive greater awareness among women with familial exposure to the disease.Additionally,it highlights persistent socioeconomic challenges—such as limited healthcare access,education disparities,and cultural stigmas-that impede widespread preventive action,especially among women without a known family history.The editorial emphasizes the necessity of integrated public health strategies that combine culturally sensitive education,community outreach,and accessible screening services.Drawing from clinical and policy perspectives,it offers guidance on how to strengthen early detection and preventive care in under-resourced environments.Ultimately,the piece advocates for a more inclusive approach to breast cancer education and prevention that addresses both familial influence and systemic socioeconomic barriers.
文摘BACKGROUND Type 2 diabetes mellitus(T2DM)is increasing rapidly in Pakistan,especially among socioeconomically disadvantaged populations.While clinical care remains central,social determinants such as poverty,gender norms,and mistrust in healthcare critically shape disease outcomes.AIM To synthesize qualitative evidence on how these factors influence the experience and management of T2DM in Pakistan.METHODS Following PRISMA guidelines,a systematic review of qualitative studies published between 2000 and 2025 was conducted on February 25,2025 using PubMed,CINAHL,MEDLINE Plus,and PakMediNet.Eleven studies exploring socioeconomic influences on T2DM care and self-management in Pakistan were included.Thematic synthesis was used to identify key patterns.Quality was appraised using the Joanna Briggs Institute Checklist for Qualitative Research.RESULTS Three major themes were identified:(1)Economic insecurity.High cost of treatment,poor rural infrastructure,and food insecurity hinder access and adherence;(2)Sociocultural and gender norms.Restricted mobility of females,family control over health decisions,and fatalistic beliefs delay care;and(3)Knowledge gaps and mistrust.A lack of culturally appropriate education,reliance on traditional remedies,and distrust in public health systems reduce compliance.These intersecting barriers collectively impede effective diabetes management.CONCLUSION T2DM in Pakistan is driven by entrenched social and economic barriers.Addressing it requires culturally sensitive,equity-oriented strategies that go beyond biomedical models.Policy reforms should focus on affordability,rural outreach,and inclusive health education.Future research should engage marginalized voices through participatory methods.
基金Supported by Sichuan Research Center for Coordinated Development of TCM Culture,No.2022XT12.
文摘BACKGROUND Previous observational studies have shown that the prevalence of gastroesophageal reflux disease(GERD)and Barrett’s esophagus(BE)is associated with socioeconomic status.However,due to the methodological limitations of traditional observational studies,it is challenging to definitively establish causality.AIM To explore the causal relationship between the prevalence of these conditions and socioeconomic status using Mendelian randomization(MR).METHODS We initially screened single nucleotide polymorphisms(SNPs)to serve as proxies for eight socioeconomic status phenotypes for univariate MR analysis.The inverse variance weighted(IVW)method was used as the primary analytical method to estimate the causal relationship between the eight socioeconomic status phenotypes and the risk of GERD and BE.We then collected combinations of SNPs as composite proxies for the eight socioeconomic phenotypes to perform multivariate MR(MVMR)analyses based on the IVW MVMR model.Furthermore,a two-step MR mediation analysis was used to examine the potential mediation of the associations by body mass index,major depressive disorder(MDD),smoking,alcohol consumption,and sleep duration.RESULTS The study identified three socioeconomic statuses that had a significant impact on GERD.These included household income[odds ratio(OR):0.46;95% confidence interval(95%CI):0.31-0.70],education attainment(OR:0.23;95%CI:0.18-0.29),and the Townsend Deprivation Index at recruitment(OR:1.57;95%CI:1.04-2.37).These factors were found to independently and predominantly influence the genetic causal effect of GERD.Furthermore,the mediating effect of educational attainment on GERD was found to be mediated by MDD(proportion mediated:10.83%).Similarly,the effect of educational attainment on BE was mediated by MDD(proportion mediated:10.58%)and the number of cigarettes smoked per day(proportion mediated:3.50%).Additionally,the mediating effect of household income on GERD was observed to be mediated by sleep duration(proportion mediated:9.75%)CONCLUSION This MR study shed light on the link between socioeconomic status and GERD or BE,providing insights for the prevention of esophageal cancer and precancerous lesions.
基金supported by National Health and Research Council of Australia Leadership Investigator Grants (NHMRCAPP1194679)+1 种基金the ACPCC has received equipment and a funding contribution from Roche Molecular Diagnostics USAco-PI on a major implementation programme Elimination of Cervical Cancer in the Western Pacific,which has received support from the Minderoo Foundation。
文摘Objective: Improvement in cancer survival over recent decades has not been accompanied by a narrowing of socioeconomic disparities. This study aimed to quantify the loss of life expectancy(LOLE) resulting from a cancer diagnosis and examine disparities in LOLE based on area-level socioeconomic status(SES).Methods: Data were collected for all people between 50 and 89 years of age who were diagnosed with cancer, registered in the NSW Cancer Registry between 2001 and 2019, and underwent mortality follow-up evaluations until December 2020. Flexible parametric survival models were fitted to estimate the LOLE by gender and area-level SES for 12 common cancers.Results: Of 422,680 people with cancer, 24% and 18% lived in the most and least disadvantaged areas, respectively. Patients from the most disadvantaged areas had a significantly greater average LOLE than patients from the least disadvantaged areas for cancers with high survival rates, including prostate [2.9 years(95% CI: 2.5±3.2 years) vs. 1.6 years(95% CI: 1.3±1.9 years)] and breast cancer [1.6 years(95% CI: 1.4±1.8 years) vs. 1.2 years(95% CI: 1.0±1.4 years)]. The highest average LOLE occurred in males residing in the most disadvantaged areas with pancreatic [16.5 years(95% CI: 16.1±16.8 years) vs. 16.2 years(95% CI: 15.7±16.7 years)] and liver cancer [15.5 years(95% CI: 15.0±16.0 years) vs. 14.7 years(95% CI: 14.0±15.5 years)]. Females residing in the least disadvantaged areas with thyroid cancer [0.9 years(95% CI: 0.4±1.4 years) vs. 0.6 years(95% CI: 0.2±1.0 years)] or melanoma [0.9 years(95% CI: 0.8±1.1 years) vs. 0.7 years(95% CI: 0.5±0.8 years)] had the lowest average LOLE.Conclusions: Patients from the most disadvantaged areas had the highest LOLE with SES-based differences greatest for patients diagnosed with cancer at an early stage or cancers with higher survival rates, suggesting the need to prioritise early detection and reduce treatment-related barriers and survivorship challenges to improve life expectancy.
文摘Despite colorectal cancer’s(CRC)high global incidence,residents of low-and middle-income countries,as well as low-income minorities in advanced economies have low screening rates.Observational studies demonstrate that in these groups higher incidence of CRC is observed,yet screening rates remain low for consistent reasons.Low income,low educational background,and lack of awareness in combination with inadequate social security of certain population groups impede access and compliance rates to CRC screening.On the other hand,despite the global availability of multiple screening approaches(colonoscopy,sigmoidoscopy,faecal occult blood test,faecal immunochemical test,computed tomography-colonography,etc.)with proven diagnostic validity,many low-income countries still lack established screening programs.The absence of screening guidelines in these countries along with the heterogeneity of guidelines in the rest of the world,demonstrate the need for global measures to tackle this issue comprehensively.An essential step forward is to develop a global approach that will link specific elements of screening with the incidence and available resources in each country,to ensure the achievement of at least a minimum screening program in low-income countries.Utilizing cheaper,cost-effective techniques,which can be carried out by less specialized healthcare providers,might not be equivalent to endoscopy for CRC screening but seems more realistic for areas with fewer resources.Awareness has been highlighted as the most pivotal element for the effective implementation of any screening program concerning CRC.Moreover,multiple studies have demonstrated that outreach strategies and community-based educational programs are associated with encouraging outcomes,yet a centrally coordinated expansion of these programs could provide more consistent results.Additionally,patient navigator programs,wherever implemented,have increased CRC screening and improved follow-up.Therefore,global coordination and patient education seem to be the main areas on which policy making needs to focus.
文摘BACKGROUND Despite advances in detection and treatments,biliary tract cancers continue to have poor survival outcomes.Currently,there is limited data investigating the significance of socioeconomic status,race/ethnicity,and environmental factors in biliary tract cancer survival.Data from the Surveillance,Epidemiology,and End Results database for biliary and gallbladder adenocarcinomas were extracted from 1975 to 2016.Socioe-conomic data included smoking,poverty level,education,adjusted household income,and percentage of foreign-born persons and urban population.Survival was calculated with Cox proportional hazards models for death in the 5-year period following diagnosis.RESULTS Our study included 15883 gallbladder,11466 intrahepatic biliary,12869 extrahepatic biliary and 7268 ampulla of Vater adenocarcinoma cases.When analyzing county-specific demographics,patients from counties with higher incomes were associated with higher survival rates[hazard ratio(HR)=0.97,P<0.05].Similarly,counties with a higher percentage of patients with a college level education and counties with a higher urban population had higher 5-year survival rates(HR=0.96,P=0.002 and HR=0.97,P=0.004,respectively).CONCLUSION Worse survival outcomes were observed in lower income counties while higher income and education level were associated with higher 5-year overall survival among gallbladder and biliary malignancies.
文摘This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.
文摘The study comparatively analysed the socioeconomic characteristics and digital literacy level of Agricultural Extension personnel (AEP) in Ebonyi and Imo States, South-East, Nigeria. The specific objectives were to describe the socioeconomic characteristics of agricultural extension personnel in Ebonyi and Imo States, and to ascertain the digital literacy level of AEP in the studied states. Purposive sampling technique was used to select 312 Agricultural Extension personnel (132 from Ebonyi State Agricultural Development Program and 180 from Imo State Agricultural Development Program) for the study. Data were collected through the use of validated and structured questionnaire, and administered through the help of well-trained enumerators. Data were analysed using simple descriptive statistical tools such as percentages mean score, standard deviation and weighted mean. Findings indicated that they were more male in the both States (55.3% and 57.8%) for Ebonyi and Imo State respectively and that the average age of AEP in Ebonyi and Imo States were 44.7 years and 49.2 years respectively. It was further revealed that the majority (77.3% and 82.8%) had B.Sc./HND as their highest academic qualifications, belonged to professional organisations (62.1% and 75%), and were earning an average monthly income of N58,798 and N62,648 for Ebonyi and Imo State respectively. Also, it was revealed that their mean years of service were 12.4 years and 13.4 years for Ebonyi and Imo State respectively. Almost all of them (87.9% and 95.0%) own a smartphone, had access to the internet (80.3% and 90.0%), but do not own a laptop/ipad (82.6% and 72.8%) for Ebon-yi and Imo State respectively. Results further revealed that Agricultural extension personnel in both Ebonyi and Imo State respectively had low digital literacy level ( = 2.41 and 2.32). The study concluded that AEP in Ebonyi and Imo State respectively had similar socioeconomic characteristics and low level of digital literacy. The study recommended that the management of ADPs in both Ebonyi and Imo State should ensure the training of AEP in digital skills to enhance their digital literacy level to enable them use digital technologies in their work.
文摘Research Background: Atopic dermatitis (AD) is a chronic inflammatory skin condition in children that significantly impacts physical health and quality of life. Adherence to treatment regimens is crucial for effective disease management but is often hindered by various psychosocial and socioeconomic barriers. Parental mental health issues, family dynamics, financial constraints, and limited access to specialized care contribute to inconsistent treatment adherence, exacerbating the condition. Purpose/Aim: The aim of this study is to explore the multifaceted barriers to treatment adherence in children with AD and evaluate the effectiveness of current interventions targeting these challenges. The study seeks to identify strategies that can improve adherence and health outcomes by addressing psychosocial and socioeconomic factors. Method: The method involves a comprehensive review of existing literature on the impact of psychosocial and socioeconomic factors on treatment adherence in children with AD. The study also examines various interventions designed to address these barriers, including community support programs, family-centered interventions, financial aid, integrated care models, and telehealth solutions. Results: Results indicate that psychosocial barriers, such as parental anxiety and depression, significantly hinder effective disease management. Family dynamics, including poor communication and single-parent households, complicate adherence efforts. Socioeconomic factors, such as financial constraints and limited healthcare access, further impede adherence. Interventions that address these barriers show promise in improving treatment adherence and health outcomes. Community support programs and family-centered interventions enhance parental mental health and family communication. Financial aid programs and integrated care models help mitigate economic and logistical challenges. Telehealth solutions improve access to specialized care, particularly in underserved areas. Conclusion: The study concludes that a holistic approach integrating medical treatment with psychosocial and socioeconomic support is essential for managing pediatric AD effectively. Policy recommendations include increased funding for community support programs, expanded telehealth services, and the integration of social services with medical care. Addressing these barriers comprehensively can enhance treatment adherence and improve the quality of life for children with AD. Further research should focus on long-term outcomes and diverse populations to refine these interventions and ensure they meet the needs of all affected children.
文摘Diabetes is a growing global issue,with socioeconomic status(SES)influencing the incidence and prevalence of the condition.Adults with lower incomes are more likely to develop diabetes and experience higher rates of complications and mortality.In SES assessments,education quality is considered more important than quantity.High-income individuals are less likely to develop diabetes due to their ability to afford balanced diets and medications.Long work hours and illiteracy also contribute to the onset of diabetes.Research conducted in Bahawalpur,Pakistan,found that socioeconomic factors significantly affect diabetes patients,with poor economic status and inadequate diabetic education being more prevalent.Physical inactivity and lack of life insurance further contribute to the condition.In Bahawalpur,a cross-sectional study involving 374 participants from diverse social and economic backgrounds examined the impact of socioeconomic factors on diabetes management and outcomes across different age and gender groups.Among the participants,60%were male and 39.39%were female,with 66.80%over the age of 50.Out of the 374 participants,236(63.10%)were unemployed.Additionally,41.97%of participants had limited knowledge about diabetes.Due to poor knowledge,economic constraints,and lack of physical activity,participants experienced poor diabetes management,leading to negative outcomes.
基金The Strategic Priority Research Program of the Chinese Academy of Sciences,No.XDA20010203The Second Tibetan Plateau Scientific Expedition and Research Program,No.2019QZKK1006+1 种基金National Natural Science Foundation of China,No.42130508The Chinese Academy of Sciences,No.ZDRW-XH-2021-3。
文摘Recent years have witnessed rapid and widespread economic growth in regions involved in China’s Belt and Road Initiative(BRI),mainly due to the construction of six economic corridors.This paper aims to quantify the levels of six economic corridors according to the socioeconomic development levels in the BRI regions.Here,a gridded socioeconomic development index was first created,and a dividing line was drawn to reveal the distribution characteristics of socioeconomic development in the BRI regions.A classification method was then applied to identify local development levels.Finally,we created an economic corridor development index(ECDI)to evaluate the progress of six economic corridors.The results reveal spatial heterogeneity within the socioeconomic groups of BRI regions,which can be roughly divided into offshore(or Part A,50.54%)and inland(or Part B,49.46%)areas.Although both parts comprise roughly the same area,over 95%of the population is located in offshore regions.The China–Mongolia–Russia Economic Corridor has the highest development index due to a stable political environment and long-running cooperation.The China–Pakistan Economic Corridor suffers from the lowest ECDI but with strong development potential.Our methods can provide critical reference and practice for the future evaluation of the level of regional development.The results of this study can offer policymakers some insight into reducing socioeconomic inequality in the BRI regions.
基金supported by a grant from the National Natural Science Foundation of China No. 81673133 and No.81273034。
文摘Objective To assess the association of socioeconomic status with the burden of cataract blindness in terms of year lived with disability(YLD) rates and to determine whether ultraviolet radiation(UVR) levels modify the effect of socioeconomic status on this health burden.Methods National and subnational age-standardized YLD rates associated with cataract-related blindness were derived from the Global Burden of Disease(GBD) study 2017. The human development index(HDI) from the Human Development Report was used as a measure of socioeconomic status.Estimated ground-level UVR exposure was obtained from the Ozone Monitoring Instrument(OMI)dataset of the National Aeronautics and Space Administration(NASA).Results Across 185 countries, socioeconomic status was inversely associated with the burden of cataract blindness. Countries with a very high HDI had an 84% lower age-standardized YLD rate [95%confidence interval(CI): 60%–93%, P < 0.001] than countries with a low HDI;for high-HDI countries, the proportion was 76%(95% CI: 53%–88%, P < 0.001), and for medium-HDI countries, the proportion was48%(95% CI: 15%–68%, P = 0.010;P for trend < 0.001). The interaction analysis showed that UVR exposure played an interactive role in the association between socioeconomic status and cataract blindness burden(P value for interaction = 0.047).Conclusion Long-term high-UVR exposure amplifies the association of poor socioeconomic status with the burden of cataract-related blindness. The findings emphasize the need for strengthening UVR exposure protection interventions in developing countries with high-UVR exposure.
文摘The countries throughout the Belt and Road region account for more than 60%of the world’s population and half of the global economy.Future changes in this area will have significant influences on the global economic growth,industrial structure and resource allocation.In this study,the proportion of the urban population to the total population and the gross domestic product were used to represent the levels of urbanization and economic development,respectively.The population,urbanization and economic levels of the Belt and Road countries for 2020-2050 were projected under the framework of the IPCC's shared socioeconomic pathways(SSPs),and the following conclusions are drawn.(1)The population,urbanization and economic levels in the Belt and Road region will likely increase under all five pathways.The population will increase by 2%-8%/10a during 2020-2050 and reach 5.0-6.0 billion in 2050.Meanwhile,the urbanization rate will increase by 1.4%-7.5%/10a and reach 49%-75%.The GDP will increase by 17%-34%/10a and reach 134-243 trillion USD.(2)Large differences will appear under different scenarios.The SSP1 and SSP5 pathways demonstrate relatively high urbanization and economic levels,but the population size is comparatively smaller;SSP3 shows the opposite trend.Meanwhile,the economy develops slowly under SSP4,but it has a relatively high urbanization level,while SSP2 exhibits an intermediate trend.(3)In 2050,the population will increase relative to 2016 in most countries,and population size in the fastest growing country in Central Asia and the Middle East countries will be more than double.Urbanization will develop rapidly in South Asia,West Asia and Central Asia,and will increase by more than 150%in the fastest growing countries.The economy will grow fastest in South Asia,Southeast Asia and West Asia,and increase by more than 10 times in some counties with rapid economic development.
基金Key Program of National Natural Science Foundation of China,No.41430636Youth Program of the Humanities and Social Science Research of Ministry of Education,No.16YJC790056
文摘Air pollution is a serious problem brought by the rapid urbanization and economic development in China, imposing great challenges and threats to population health and the sustainability of the society. Based on the real-time air quality monitoring data obtained for each Chinese city from 2013 to 2014, the spatiotemporal characteristics of air pollution are analyzed using various exploratory spatial data analysis tools. With spatial econometric models, this paper further quantifies the influences of socioeconomic factors on air quality at both the national and regional scales. The results are as follows： （1） From 2013 to 2014, the percentage of days compliance of urban air quality increased but air pollution deteriorated and the worsening situation in regions with poor air quality became more obvious. （2） Changes of air quality show a clear temporal coupling with regional socioeconomic activities, basically ＂relatively poor at daytime and relatively good at night＂. （3） Urban air pollution shows a spatial pattern of ＂heavy in the east and light in the west, and heavy in the north and light in the south＂. （4） The overall extent and distribution of regional urban air pollution have clearly different characteristics. The formation and evolution of regional air pollution can be basically induced as ＂the pollution of key cities is aggravated--pollution of those cities spreads-- regional overall pollution is aggravated--the key cities lead in pollution governance--regional pollution joint prevention and control is implemented--regional overall pollution is reduced＂. （5） At the national level, energy consumption, industrialization and technological progress are the major factors in the worsening of urban air quality, economic development is a significant driver for the improvement of that quality. （6） Influenced by resources, environment and the development stage, the socioeconomic factors had strongly variable impacts on air quality, in both direction and intensity in different regions. Based on the conclusion, the regional differ- entiation and development idea of the relationship between economic development and en- vironmental changes in China are discussed.
基金supported by the National Natural Science Foundation of China (Grant Nos. 41005078 and 41175127)
文摘Abstract Chinese air pollution has increased in this century along with the rapid socioeconomic development and resulting anthropogenic emissions. While recent emission control measures have shown encouraging re sults and have reduced the levels of sulfur dioxide and primary aerosols, the concentrations of other air pollutants continue to grow, particularly secondary pollutants in cluding ozone and secondary aerosols. Meanwhile, a va riety of intentional and unintentional socioeconomic events have temporarily changed the pace, and even the signs, of growth of air pollution. These events include the short-term emission restrictions imposed during the Sino-African Summit, the Beijing Olympics and Para lympics, the Shanghai World Exposition （Shanghai Expo）, the Guangzhou Asian Olympics, and the Shenzhen Uni versiade, as well as the unintentional emission reductions associated with the recent economic recession and the annual Chinese New Year. This paper presents a brief overview of trends and temporary perturbations of Chi nese air pollution since 2000, summarizing studies on anthropogenic emission inventories, atmospheric meas urements, and inverse modeling. It concludes with rec ommendations for future research.
基金National Science and Technology Major Project,No.2009ZX07210-010Supported by Program B for Outstanding Ph D Candidate of Nanjing University
文摘There have been substantial conflicts in the human-water relationship in the Huaihe River Basin （HRB）. To achieve sustainable economic development without degrading the water environment in the HRB, we develop a three-dimensional water environmental sup- porting capacity （WESC） model based on water environmental carrying capacity （WECC）, water environmental pressure （WEP）, and water pollution prevention and control capacity （WPPC）. Geographic information systems spatial analysis with the analytical hierarchy process method and dynamic weighted summation is applied. Several proposals for suitable locations for industry and environmental protection strategies for water were presented. The following results were obtained. （1） The spatial differences in WECC are substantial; areas with high-value WECC zones are mainly located along the main stream of the Huaihe River on the south side. WEP is generally high, with an overall low level of pollution prevention and control in the whole HRB. WPPC and WEP show high spatial overlapping due to the fact that areas with higher environmental pollution usually have high level of economic development, and thus have a strong capacity for pollution control. （2） Overall, WESC is moderate in the HRB. In particular, areas with a high WESC value only account for 56.24% of the HRB in 2010 Distinct differences in WESC also exist between areas located in the south compared with in the north of the basin, and areas alongside the downstream region compared with alongside the upstream and midstream regions. （3） Consequently, according to the guidance for indus- try zoning in the HRB, the areas in the south and alongside the downstream and sub-streams with a low WEP value and high WECC and WPPC, traditional industries should be developed based on strict environmental access and pollution emission standards. While for the areas along the midstream of the HRB and along the whole Yishusi River Basin, which have a high WEP value, industrial restructuring and technological upgrading are suggested. Action should be taken to limit development and protect the environment in the upstream region of the basin which is a key source of drinking water, in the eastern route along the line of the South-toNorth Water Diversion Project, and in the ecologically fragile region alongside the basin. This will ensure good environmental functionality including subsistent provision of clean water, while at the same time satisfying the urgent need to adjust, transform, and upgrade the industrial structure.
