Quantification of urbanization in relation to chronic diseases in developing countries : a systematic review

Allender, Steven, Foster, Charles, Hutchinson, Lauren and Arambepola, Carukshi 2008, Quantification of urbanization in relation to chronic diseases in developing countries : a systematic review, Journal of urban health, vol. 85, no. 6, pp. 938-951.

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Title Quantification of urbanization in relation to chronic diseases in developing countries : a systematic review
Author(s) Allender, Steven
Foster, Charles
Hutchinson, Lauren
Arambepola, Carukshi
Journal name Journal of urban health
Volume number 85
Issue number 6
Start page 938
End page 951
Publisher Springer New York
Place of publication New York, N.Y.
Publication date 2008-11
ISSN 1099-3460
1468-2869
Keyword(s) urbanization
chronic disease
systematic review
developing countries
Summary During and beyond the twentieth century, urbanization has represented a major demographic shift particularly in the developed world. The rapid urbanization experienced in the developing world brings increased mortality from lifestyle diseases such as cancer and cardiovascular disease. We set out to understand how urbanization has been measured in studies which examined chronic disease as an outcome. Following a pilot search of PUBMED, a full search strategy was developed to identify papers reporting the effect of urbanization in relation to chronic disease in the developing world. Full searches were conducted in MEDLINE, EMBASE, CINAHL, and GLOBAL HEALTH. Of the 868 titles identified in the initial search, nine studies met the final inclusion criteria. Five of these studies used demographic measures (such as population density) at an area level to measure urbanization. Four studies used more complicated summary measures of individual and area level data (such as distance from a city, occupation, home and land ownership) to define urbanization. The papers reviewed were limited by using simple area level summary measures (e.g., urban rural dichotomy) or having to rely on preexisting data at the individual level. Further work is needed to develop a measure of urbanization that treats urbanization as a process and which is sensitive enough to track changes in “urbanicity” and subsequent emergence of chronic disease risk factors and mortality.
Notes Electronic supplementary material The online version of this article doi:10.1007/s11524-008-9325-4 contains supplementary material, which is available to authorized users.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Springer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30020455

Document type: Journal Article
Collection: Public Health Research, Evaluation, and Policy Cluster
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