OBJECTIVE To quantify the barriers to practising as a rural consultant physician. DESIGN Cross-sectional postal survey. PARTICIPANTS All 981 practising consultant physicians in Victoria, Australia, who were Fellows of the Royal Australasian College of Physicians in 1999; 52 (100%) of rural physicians and 634 (68.2%) of metropolitan physicians completed the survey. MAIN OUTCOME MEASURES De...

BACKGROUND Travel time and distance are barriers to care for HIV-infected children in rural sub-Saharan Africa. Decentralization of care is one strategy to scale-up access to antiretroviral therapy (ART), but few programs have been evaluated. We compared outcomes for children receiving care in mobile and hospital-affiliated HIV clinics in rural Zambia. METHODS Outcomes were measured within an...

The prevalence of being overweight during childhood continues to increase in the USA and Canada and children living in rural areas are more at risk than their urban counterparts. The objectives of this study were to evaluate how well the parent's perception of their child's weight status correlated with objectively measured weight status among a group of rural children and to identify predictor...

An epidemic of whooping cough occurred in a rural practice in Shetland, containing 144 children under 16. Before July 1974 all children were immunised against pertussis, but after that date immunisation was stopped. Of the 134 children studied, 93 had been immunised. Sixty-five of the children developed whooping cough. The incidence of infection was similar in those who had and had not been imm...

Sucrose intake was assessed for 675 Blatk and 463 White South African preschool children of ̂ T6 years, using a die­ tary questionnaire. Mean daily sucrose intakes were high­ est in White children, namely, 88 g, lower in urban Black, {62 g), and lowest in rural Black children, (52 g). Individual intakes were very variable and standard deviations were large in all groups. In rural and urban Black...

Traditional foods and food sharing are important components of Aboriginal culture, helping to create, maintain, and reinforce social bonds. However, limitations in food access and availability may have contributed to food insecurity among Aboriginal people. The present article takes a closer examination of coping strategies among food insecure households in urban and rural settings in Canada. T...

OBJECTIVE Despite concerted policy efforts, a sizeable percentage of children lack health insurance coverage. This article examines the impact of the health care safety net and health care market structure on the use of health care by uninsured children. METHODS We used the Medical Expenditure Panel Survey linked with data from multiple sources to analyze health care utilization among uninsur...

STUDY OBJECTIVE Comparison of children's nutritional status in refugee populations with that of local host populations, one year after outbreak refugee crisis in the North Kivu region of Democratic Republic of Congo. DESIGN Cross sectional surveys. SETTING Temporary and other settlements, in the town of Goma and surrounding rural areas. SUBJECTS Anthropometric indicators of nutritional st...

The Chinese state's commitment to improve teaching quality in rural regions is a key component of national efforts to close the rural–urban education gap. In this paper, we investigate an understudied but critical dimension of quality teaching: teacher expectations. We employ longitudinal data gathered in Gansu Province in 2000 and 2007 to first examine whether teacher expectations for rural yo...

OBJECTIVE To analyze and assess secular change in stature in rural children and adolescents in China from 1985 to 2010. METHODS Data were obtained from the 6 rounds of the Chinese National Survey on Student's Constitution and Health. The subjects enrolled in the study were children and adolescents aged 7-18 years in rural areas of provincial capitals. RESULTS An overall positive secular tre...