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 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
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
BACKGROUND Primary liver cancer(PLC)is a major contributor to cancer-related deaths.Data on global and country-specific levels and trends of PLC are essential for understanding the effects of this disease and helping ...BACKGROUND Primary liver cancer(PLC)is a major contributor to cancer-related deaths.Data on global and country-specific levels and trends of PLC are essential for understanding the effects of this disease and helping policymakers to allocate resources.AIM To investigate the association between the burden of PLC and socioeconomic development status.METHODS Cancer mortality and incidence rates were obtained from the Global Burden of Disease(GBD)2019,and the data were stratified by country and territory,sex,and the Socio-demographic Index(SDI)level.The association between the attributable etiology of PLC and socioeconomic development status,represented using the SDI,was described.The attributable etiology of PLC included hepatitis B,hepatitis C,alcohol use,and nonalcoholic steatohepatitis.The association between the attributable etiology of PLC and SDI was further stratified by sex and geographical location.A confidence analysis was also performed based on bootstrap draw.RESULTS The age-standardized incidence rate of PLC was 6.5[95%confidence intervals(CI):5.9-7.2]per 100000 person-years,which decreased by-27.5%(-37.0 to-16.6)from 1990 to 2019.Several countries located in East Asia,South Asia,West Africa,and North Africa shouldered the heaviest burden of PLC in 2019.In terms of incidence rates,the first leading underlying cause of PLC identified was hepatitis B,followed by hepatitis C,alcohol use,and nonalcoholic steatohepatitis.Regarding stratification using the SDI,the incidence rate of PLC was the highest for high and middle SDI locations.Further,the leading attributable etiologies of PLC were hepatitis B for the middle and high middle SDI locations while hepatitis C and nonalcoholic steatohepatitis for the high SDI locations.CONCLUSION The pronounced association between socioeconomic development status and PLC burden indicates socioeconomic development status affects attributable etiologies for PLC.GBD 2019 data are valuable for policymakers implementing PLC cost-effective interventions.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
Chronic Hepatitis B is a highly prevalent disease worldwide and is estimated to cause more than 800000 annual deaths from complications such as cirrhosis and hepatocellular carcinoma(HCC).Although universal hepatitis ...Chronic Hepatitis B is a highly prevalent disease worldwide and is estimated to cause more than 800000 annual deaths from complications such as cirrhosis and hepatocellular carcinoma(HCC).Although universal hepatitis B vaccination programs may have reduced the incidence and prevalence of chronic hepatitis B and related HCC,the disease still imposes a significant healthcare burden in many endemic regions such as Africa and the Asia-Pacific region.This is especially concerning given the global underdiagnosis of hepatitis B and the limited availability of vaccination,screening,and treatment in low-resource regions.Demographics including male gender,older age,ethnicity,and geographic location as well as low socioeconomic status are more heavily impacted by chronic hepatitis B and related HCC.Methods to mitigate this impact include increasing screening in high-risk groups according to national guidelines,increasing awareness and health literacy in vulnerable populations,and developing more robust vaccination programs in under-served regions.展开更多
Objective We aimed to investigate and interpret the associations between socioeconomic factors and the prevalence, awareness, treatment, and control of hypertension at the provincial level in China.Methods A nationall...Objective We aimed to investigate and interpret the associations between socioeconomic factors and the prevalence, awareness, treatment, and control of hypertension at the provincial level in China.Methods A nationally and provincially representative sample of 179,059 adults from the China Chronic Disease and Nutrition Surveillance study in 2015–2016 was used to estimate hypertension burden. The spatial Durbin error model was fitted to investigate socioeconomic factors associated with hypertension indicators.Results Overall, it was estimated that 29.20% of the participants were hypertensive nationwide,among whom, 34.32% were aware of their condition, 27.69% had received antihypertensive treatment,and 7.81% had controlled their condition. Per capita gross domestic product(GDP) was associated with hypertension prevalence(coefficient:-2.95, 95% CI:-5.46,-0.45) and control(coefficient: 6.35, 95% CI:1.36, 11.34) among adjacent provinces and was also associated with awareness(coefficient: 2.93, 95%CI: 1.12, 4.74) and treatment(coefficient: 2.67, 95% CI: 1.21, 4.14) in local province. Beds of internal medicine(coefficient: 2.66, 95% CI: 1.08, 4.23) was associated with control in local province. Old dependency ratio(coefficient:-3.58, 95% CI:-5.35,-1.81) was associated with treatment among adjacent provinces and with control(coefficient:-1.69, 95% CI:-2.42,-0.96) in local province.Conclusion Hypertension indicators were not only directly influenced by socioeconomic factors of local area but also indirectly affected by characteristics of geographical neighbors. Population-level strategies should involve optimizing supportive socioeconomic environment by integrating clinical care and public health services to decrease hypertension burden.展开更多
AIM: To investigate the association between socioeconomic status(SES) and visual disability(VD) among older Chinese adults. METHODS: We obtained data from the Second National Sample Survey on Disability, conducted in ...AIM: To investigate the association between socioeconomic status(SES) and visual disability(VD) among older Chinese adults. METHODS: We obtained data from the Second National Sample Survey on Disability, conducted in China in 2006. A total number of 192 375 older adults(aged≥65 y) were screened for suspected VD via interviews with trained examiners. Those who screened positively for VD were referred to ophthalmologists to obtain a final diagnosis. RESULTS: VD was prevalent among 7.29% of Chinese adults aged 65 and older, and was higher in rural areas(8.71%) than in urban areas(4.82%). After adjusting for SES indicators and covariates, we found that lesseducated older adults were more likely to suffer from VD, with an odds ratio(OR) of 2.50(95%CI: 2.26-2.82) for illiterates, compared with those who graduated from senior high school or above. Older adults who were in the lowest income quintile were more at risk of VD, with an OR of 1.81(95%CI: 1.68-2.95), compared with adults in the highest income quintile. In urban areas, when compared with adults who graduated from senior high school or above, those who did not continue their education after junior high school, primary school, or those who were illiterate, were more likely to suffer from VD, with an OR of 1.35(95%CI: 1.51-1.59), 1.84(95%CI: 1.60-2.12), and 2.63(95%CI: 2.27-3.04), respectively. Lower levels of income were statistically significant when associated with VD. In rural areas, adults who were illiterate had an OR of 2.21(95%CI:1.75-2.79) when compared to adults with senior high school or above education level. Per capita, household income remained significantly associated with VD. Older adults who were ≥85, female, single, and residing in rural areas were associated with higher risks of VD. CONCLUSION: Individual-level SES among the elderly, in the form of education and income, is associated with VD among elderly Chinese adults in both urban and rural areas; however, the association is stronger in rural areas. Further studies are still required to explore the mechanism behind the relationships.展开更多
Objective To explore the association between socioeconomic status(SES)and postoperative outcomes in patients with chronic sinusitis(CRS)after functional endoscopic sinus surgery(ESS).Methods We conducted an observatio...Objective To explore the association between socioeconomic status(SES)and postoperative outcomes in patients with chronic sinusitis(CRS)after functional endoscopic sinus surgery(ESS).Methods We conducted an observational cohort study of 1,047 patients with CRS undergoing ESS.Discharged patients were followed up to 72 weeks for all-cause recurrence events.Baseline SES was established based on occupation,education level,and family income of the patients 1 year before the operation.Kaplan–Meier method was used to calculate the recovery rate after ESS,and Cox proportional hazards regression analysis was used to evaluate the relationship between SES and prognosis.Results Patients of middle SES had lower unadjusted all-cause recurrence than those of low or high SES;24-week overall recovery rate was 90.4%[95%confidence interval(CI):89.6%–91.2%]in patients of middle SES,13.5%(95%CI:12.8%–14.2%)in patients of low SES,and 31.7%(95%CI:30.7%–32.7%)in patients of high SES(both log-rank P<0.001).After adjustment for covariates,hazard ratios(HRs)were7.69(95%CI:6.17–9.71,Ptrend<0.001)for all-cause recurrence for low SES versus middle SES,and 6.19(95%CI:4.78–7.93,Ptrend<0.001)for middle SES versus high SES.Conclusion Low SES and high SES were more associated with the worse prognosis of CRS patients after ESS than middle SES.展开更多
AIM：To survey the prevalence and causes of visual impairment/blindness among elderly Chinese from different socioeconomic status in community-based design.METHODS：Cluster-sampling randomly selected residents from Bi...AIM：To survey the prevalence and causes of visual impairment/blindness among elderly Chinese from different socioeconomic status in community-based design.METHODS：Cluster-sampling randomly selected residents from Binhu and Funing District,two areas representing different socioeconomic levels in China with Binhu in an advanced status and Funing in lessdeveloped area.The participants subjected to ophthalmic examination.The presenting visual acuity（PVA） and best-corrected visual acuity（BCVA） were recorded.Visual impairment and blindness were defined according to World Health Organization criteria.The causes of visual impairment/blindness were identified by ophthalmic examination and/or questionnaire.The socioeconomic status included the per capita gross domestic product,numbers of hospital with ophthalmic service and the number of ophthalmologists per 1 million residents.RESULTS：We successfully included 12 867 participants form 2 areas in this study.The prevalence of PVA impairment（〈20/63 to ≥20/400） in the better eye was 5.4% in Binhu and 23.6% in Funing,while the prevalence of blindness（〈20/400） was 0.9% in Binhu and 2.3% in Funing.With BCVA,the prevalence of visual impairment was 2.4% in Binhu and 6.4% in Funing,while the prevalence of blindness was 0.8% in Binhu and 1.6% in Funing.The participants with older age and female gender had higher prevalence in visual impairment and blindness.The highest prevalences of vision impairment and blindness evaluated by BCVA at 〉80y age group reached 20.4% and 6.3% respectively.The prevalences of vision impairment and blindness evaluated by BCVA were 3.5% and 1.0% in male and 5.0% and 1.3% in female.The above differences were statistically significant（P〈0.05）.The predominant causes of visual impairment and blindness were cataract,retinal disorders and uncorrected refractive error in both areas.The socioeconomic status was associated with visual impairment and blindness.CONCLUSION：This community-based study build a sufficient sample size for an ophthalmic survey.Our data show the disparities on socioeconomic development and genders in visual impairment and blindness in China.Special emphasis of ophthalmic service should be placed on females and less-developed area.展开更多
The study explores inequalities in the utilization of delivery care services in different administrative divisions in Bangladesh, by key socioeconomic factors. It estimates the extent of the relationship between women...The study explores inequalities in the utilization of delivery care services in different administrative divisions in Bangladesh, by key socioeconomic factors. It estimates the extent of the relationship between women’s socioeconomic inequalities and their place of delivery during 2004 and 2007. Trends in relation to place of delivery in relation to residency and education over a period of thirteen years (1993-2007) have also been measured. The study analyzed the trends and patterns in utilization of institutional delivery care among mothers, using data from the Bangladesh Demographic Health Survey (BDHS) conducted during 1993-2007. The data was disaggregated by area of residence in different divisions in Bangladesh. Bi-variate analyses, concentration curves and multivariate logistic regression were employed in the analysis of the data. The study indicated slow progress in the utilization of institutional delivery care among mothers in Bangladesh between 1993 and 2007. Large variations in outcome measures were observed among the different divisions. Multivariate analyses suggested growing inequalities in utilization of delivery care services between different economic groups and parents with different educational levels. The use of institutional delivery care remains substantially lower among poor and less educated rural mothers in Bangladesh, irrespective of age and employment. Further studies are recommended to explore the specific causes relating to the non-utilization of institutional delivery care.展开更多
Since market-oriented economy reform, China has experienced significant changes in urban landscapes and the internal structure of cities. Housing marketization provides an opportunity for households to choose their re...Since market-oriented economy reform, China has experienced significant changes in urban landscapes and the internal structure of cities. Housing marketization provides an opportunity for households to choose their residences. However, not all households benefit equally from residential relocation. Residential relocation in urban China has relatively strong association with the household’s position within the spectrum from state redistribution to market reward than with life cycles and consequent adjustment of housing demand, which are the primary reasons for residential mobility in a mature market. In this research we focused on social aspects, mainly relating to the impact of urban redevelopment in inner city of Ningbo and the resultant potential housing problem. This research is based on a questionnaire survey that was conducted in three neighborhoods redeveloped at different time periods in the past fifteen years. The findings suggest that new strategy of redevelopment of the integrated envi-ronment of the old city while still improving the living condition for its residents can be heard due to the efforts of many people at various positions. Yet, many things need to be done to change people’s ideas: information and education through newspapers, academic discussions through academic journals, conferences, and reports to decision makers.展开更多
The subject of this study is the microcredit market in the USA,more specifically in Florida.The justification for choosing this specific state is the massive presence of the Hispanic population.This will facilitate a ...The subject of this study is the microcredit market in the USA,more specifically in Florida.The justification for choosing this specific state is the massive presence of the Hispanic population.This will facilitate a generalization of the obtained results to the microcredit market in Latin American countries.Thus,the objective of this study is to analyze the profile of microcredit holders and their companies from socioeconomic and financial points of view.As our data also consider the degree of repayment of the microloans included in the sample,the clients’profile is related to the punctuality or default of their corresponding loan repayments using the methodology of multi-nomial logit regression.The variables used in this study refer to personal information concerning borrowers(gender,age,education level,and marital status),the economic situation of their respective companies(closeness to the lender,number of workers,and revenues),and the characteristics of granted loans(principal,term,and purpose).However,the results of the regression show that only two variables are significant at the 5%significance level:the borrower’s age,which has a positive effect on repay-ment punctuality,and the loan term,which exhibits a negative effect.The findings of this study have clear implications,as they can help lenders design suitable microloans adjusted to customer profiles.Finally,future research should include other demograph-ics and characteristics of affected companies.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 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Supported by the National Natural Science Foundation of China,No.81871645(to Pan JS).
文摘BACKGROUND Primary liver cancer(PLC)is a major contributor to cancer-related deaths.Data on global and country-specific levels and trends of PLC are essential for understanding the effects of this disease and helping policymakers to allocate resources.AIM To investigate the association between the burden of PLC and socioeconomic development status.METHODS Cancer mortality and incidence rates were obtained from the Global Burden of Disease(GBD)2019,and the data were stratified by country and territory,sex,and the Socio-demographic Index(SDI)level.The association between the attributable etiology of PLC and socioeconomic development status,represented using the SDI,was described.The attributable etiology of PLC included hepatitis B,hepatitis C,alcohol use,and nonalcoholic steatohepatitis.The association between the attributable etiology of PLC and SDI was further stratified by sex and geographical location.A confidence analysis was also performed based on bootstrap draw.RESULTS The age-standardized incidence rate of PLC was 6.5[95%confidence intervals(CI):5.9-7.2]per 100000 person-years,which decreased by-27.5%(-37.0 to-16.6)from 1990 to 2019.Several countries located in East Asia,South Asia,West Africa,and North Africa shouldered the heaviest burden of PLC in 2019.In terms of incidence rates,the first leading underlying cause of PLC identified was hepatitis B,followed by hepatitis C,alcohol use,and nonalcoholic steatohepatitis.Regarding stratification using the SDI,the incidence rate of PLC was the highest for high and middle SDI locations.Further,the leading attributable etiologies of PLC were hepatitis B for the middle and high middle SDI locations while hepatitis C and nonalcoholic steatohepatitis for the high SDI locations.CONCLUSION The pronounced association between socioeconomic development status and PLC burden indicates socioeconomic development status affects attributable etiologies for PLC.GBD 2019 data are valuable for policymakers implementing PLC cost-effective interventions.
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.
文摘Chronic Hepatitis B is a highly prevalent disease worldwide and is estimated to cause more than 800000 annual deaths from complications such as cirrhosis and hepatocellular carcinoma(HCC).Although universal hepatitis B vaccination programs may have reduced the incidence and prevalence of chronic hepatitis B and related HCC,the disease still imposes a significant healthcare burden in many endemic regions such as Africa and the Asia-Pacific region.This is especially concerning given the global underdiagnosis of hepatitis B and the limited availability of vaccination,screening,and treatment in low-resource regions.Demographics including male gender,older age,ethnicity,and geographic location as well as low socioeconomic status are more heavily impacted by chronic hepatitis B and related HCC.Methods to mitigate this impact include increasing screening in high-risk groups according to national guidelines,increasing awareness and health literacy in vulnerable populations,and developing more robust vaccination programs in under-served regions.
基金supported by National Key Research&Development Program of Ministry of Science and Technology of People’s Republic of China[2018YFC1311703,2018YFC1311706]。
文摘Objective We aimed to investigate and interpret the associations between socioeconomic factors and the prevalence, awareness, treatment, and control of hypertension at the provincial level in China.Methods A nationally and provincially representative sample of 179,059 adults from the China Chronic Disease and Nutrition Surveillance study in 2015–2016 was used to estimate hypertension burden. The spatial Durbin error model was fitted to investigate socioeconomic factors associated with hypertension indicators.Results Overall, it was estimated that 29.20% of the participants were hypertensive nationwide,among whom, 34.32% were aware of their condition, 27.69% had received antihypertensive treatment,and 7.81% had controlled their condition. Per capita gross domestic product(GDP) was associated with hypertension prevalence(coefficient:-2.95, 95% CI:-5.46,-0.45) and control(coefficient: 6.35, 95% CI:1.36, 11.34) among adjacent provinces and was also associated with awareness(coefficient: 2.93, 95%CI: 1.12, 4.74) and treatment(coefficient: 2.67, 95% CI: 1.21, 4.14) in local province. Beds of internal medicine(coefficient: 2.66, 95% CI: 1.08, 4.23) was associated with control in local province. Old dependency ratio(coefficient:-3.58, 95% CI:-5.35,-1.81) was associated with treatment among adjacent provinces and with control(coefficient:-1.69, 95% CI:-2.42,-0.96) in local province.Conclusion Hypertension indicators were not only directly influenced by socioeconomic factors of local area but also indirectly affected by characteristics of geographical neighbors. Population-level strategies should involve optimizing supportive socioeconomic environment by integrating clinical care and public health services to decrease hypertension burden.
文摘AIM: To investigate the association between socioeconomic status(SES) and visual disability(VD) among older Chinese adults. METHODS: We obtained data from the Second National Sample Survey on Disability, conducted in China in 2006. A total number of 192 375 older adults(aged≥65 y) were screened for suspected VD via interviews with trained examiners. Those who screened positively for VD were referred to ophthalmologists to obtain a final diagnosis. RESULTS: VD was prevalent among 7.29% of Chinese adults aged 65 and older, and was higher in rural areas(8.71%) than in urban areas(4.82%). After adjusting for SES indicators and covariates, we found that lesseducated older adults were more likely to suffer from VD, with an odds ratio(OR) of 2.50(95%CI: 2.26-2.82) for illiterates, compared with those who graduated from senior high school or above. Older adults who were in the lowest income quintile were more at risk of VD, with an OR of 1.81(95%CI: 1.68-2.95), compared with adults in the highest income quintile. In urban areas, when compared with adults who graduated from senior high school or above, those who did not continue their education after junior high school, primary school, or those who were illiterate, were more likely to suffer from VD, with an OR of 1.35(95%CI: 1.51-1.59), 1.84(95%CI: 1.60-2.12), and 2.63(95%CI: 2.27-3.04), respectively. Lower levels of income were statistically significant when associated with VD. In rural areas, adults who were illiterate had an OR of 2.21(95%CI:1.75-2.79) when compared to adults with senior high school or above education level. Per capita, household income remained significantly associated with VD. Older adults who were ≥85, female, single, and residing in rural areas were associated with higher risks of VD. CONCLUSION: Individual-level SES among the elderly, in the form of education and income, is associated with VD among elderly Chinese adults in both urban and rural areas; however, the association is stronger in rural areas. Further studies are still required to explore the mechanism behind the relationships.
文摘Objective To explore the association between socioeconomic status(SES)and postoperative outcomes in patients with chronic sinusitis(CRS)after functional endoscopic sinus surgery(ESS).Methods We conducted an observational cohort study of 1,047 patients with CRS undergoing ESS.Discharged patients were followed up to 72 weeks for all-cause recurrence events.Baseline SES was established based on occupation,education level,and family income of the patients 1 year before the operation.Kaplan–Meier method was used to calculate the recovery rate after ESS,and Cox proportional hazards regression analysis was used to evaluate the relationship between SES and prognosis.Results Patients of middle SES had lower unadjusted all-cause recurrence than those of low or high SES;24-week overall recovery rate was 90.4%[95%confidence interval(CI):89.6%–91.2%]in patients of middle SES,13.5%(95%CI:12.8%–14.2%)in patients of low SES,and 31.7%(95%CI:30.7%–32.7%)in patients of high SES(both log-rank P<0.001).After adjustment for covariates,hazard ratios(HRs)were7.69(95%CI:6.17–9.71,Ptrend<0.001)for all-cause recurrence for low SES versus middle SES,and 6.19(95%CI:4.78–7.93,Ptrend<0.001)for middle SES versus high SES.Conclusion Low SES and high SES were more associated with the worse prognosis of CRS patients after ESS than middle SES.
基金Supported by the National Natural Science Foundation of China(No.81070718)the 333 Project of Jiangsu Province,China(No.BRA2010173)
文摘AIM：To survey the prevalence and causes of visual impairment/blindness among elderly Chinese from different socioeconomic status in community-based design.METHODS：Cluster-sampling randomly selected residents from Binhu and Funing District,two areas representing different socioeconomic levels in China with Binhu in an advanced status and Funing in lessdeveloped area.The participants subjected to ophthalmic examination.The presenting visual acuity（PVA） and best-corrected visual acuity（BCVA） were recorded.Visual impairment and blindness were defined according to World Health Organization criteria.The causes of visual impairment/blindness were identified by ophthalmic examination and/or questionnaire.The socioeconomic status included the per capita gross domestic product,numbers of hospital with ophthalmic service and the number of ophthalmologists per 1 million residents.RESULTS：We successfully included 12 867 participants form 2 areas in this study.The prevalence of PVA impairment（〈20/63 to ≥20/400） in the better eye was 5.4% in Binhu and 23.6% in Funing,while the prevalence of blindness（〈20/400） was 0.9% in Binhu and 2.3% in Funing.With BCVA,the prevalence of visual impairment was 2.4% in Binhu and 6.4% in Funing,while the prevalence of blindness was 0.8% in Binhu and 1.6% in Funing.The participants with older age and female gender had higher prevalence in visual impairment and blindness.The highest prevalences of vision impairment and blindness evaluated by BCVA at 〉80y age group reached 20.4% and 6.3% respectively.The prevalences of vision impairment and blindness evaluated by BCVA were 3.5% and 1.0% in male and 5.0% and 1.3% in female.The above differences were statistically significant（P〈0.05）.The predominant causes of visual impairment and blindness were cataract,retinal disorders and uncorrected refractive error in both areas.The socioeconomic status was associated with visual impairment and blindness.CONCLUSION：This community-based study build a sufficient sample size for an ophthalmic survey.Our data show the disparities on socioeconomic development and genders in visual impairment and blindness in China.Special emphasis of ophthalmic service should be placed on females and less-developed area.
文摘The study explores inequalities in the utilization of delivery care services in different administrative divisions in Bangladesh, by key socioeconomic factors. It estimates the extent of the relationship between women’s socioeconomic inequalities and their place of delivery during 2004 and 2007. Trends in relation to place of delivery in relation to residency and education over a period of thirteen years (1993-2007) have also been measured. The study analyzed the trends and patterns in utilization of institutional delivery care among mothers, using data from the Bangladesh Demographic Health Survey (BDHS) conducted during 1993-2007. The data was disaggregated by area of residence in different divisions in Bangladesh. Bi-variate analyses, concentration curves and multivariate logistic regression were employed in the analysis of the data. The study indicated slow progress in the utilization of institutional delivery care among mothers in Bangladesh between 1993 and 2007. Large variations in outcome measures were observed among the different divisions. Multivariate analyses suggested growing inequalities in utilization of delivery care services between different economic groups and parents with different educational levels. The use of institutional delivery care remains substantially lower among poor and less educated rural mothers in Bangladesh, irrespective of age and employment. Further studies are recommended to explore the specific causes relating to the non-utilization of institutional delivery care.
基金Project (No. 50238010) supported by the National Natural ScienceFoundation of China
文摘Since market-oriented economy reform, China has experienced significant changes in urban landscapes and the internal structure of cities. Housing marketization provides an opportunity for households to choose their residences. However, not all households benefit equally from residential relocation. Residential relocation in urban China has relatively strong association with the household’s position within the spectrum from state redistribution to market reward than with life cycles and consequent adjustment of housing demand, which are the primary reasons for residential mobility in a mature market. In this research we focused on social aspects, mainly relating to the impact of urban redevelopment in inner city of Ningbo and the resultant potential housing problem. This research is based on a questionnaire survey that was conducted in three neighborhoods redeveloped at different time periods in the past fifteen years. The findings suggest that new strategy of redevelopment of the integrated envi-ronment of the old city while still improving the living condition for its residents can be heard due to the efforts of many people at various positions. Yet, many things need to be done to change people’s ideas: information and education through newspapers, academic discussions through academic journals, conferences, and reports to decision makers.
基金funded by the Spanish Ministry of Economy and Competitiveness,Grant No.DER2016-76053R.
文摘The subject of this study is the microcredit market in the USA,more specifically in Florida.The justification for choosing this specific state is the massive presence of the Hispanic population.This will facilitate a generalization of the obtained results to the microcredit market in Latin American countries.Thus,the objective of this study is to analyze the profile of microcredit holders and their companies from socioeconomic and financial points of view.As our data also consider the degree of repayment of the microloans included in the sample,the clients’profile is related to the punctuality or default of their corresponding loan repayments using the methodology of multi-nomial logit regression.The variables used in this study refer to personal information concerning borrowers(gender,age,education level,and marital status),the economic situation of their respective companies(closeness to the lender,number of workers,and revenues),and the characteristics of granted loans(principal,term,and purpose).However,the results of the regression show that only two variables are significant at the 5%significance level:the borrower’s age,which has a positive effect on repay-ment punctuality,and the loan term,which exhibits a negative effect.The findings of this study have clear implications,as they can help lenders design suitable microloans adjusted to customer profiles.Finally,future research should include other demograph-ics and characteristics of affected companies.
