ArticleBMJ open2024
Urban-rural health disparity among patients with chronic kidney disease: a cross-sectional community-based study from 2012 to 2019.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Mortality trends involving chronic kidney disease and electrolyte and acid-base disorders in the United States, 1999-2023: a CDC WONDER analysis.Annals of medicine and surgery (2012) · 2026Article
- Household Fuel Use and Kidney Disease-Related Mortality: The Golestan Cohort Study.Environmental health perspectives · 2026Article
- Lower-sodium, potassium-enriched salt substitution: An opportunity for improving blood pressure in Jamaica?Public health in practice (Oxford, England) · 2026Article
- Effects of social determinants of health on the landscape of kidney disease.Nature reviews. Nephrology · 2026Review
- Understanding betel nut addiction: a review of harmful consequences, underlying neurobiology, and emerging intervention strategies.Translational psychiatry · 2026Review
- Mortality trends for chronic kidney disease and dementia in the United States, 1999-2020: a 22-year retrospective analysis.Annals of medicine and surgery (2012) · 2026Article
- New directions from the COMPASS study: A qualitative review of participation and communication in rural kidney health research.BMC nephrology · 2026Article
- Changes in primary health care service experiences and urban-suburban disparities among Shanghai residents: a two-year comparative study.International journal for equity in health · 2025Article
- Occurrence and prognosis of chronic kidney disease in Denmark - a nationwide population-based cohort study.Clinical kidney journal · 2025Article
- Population-level barriers to home hemodialysis implementation: a public health systems analysis of adoption readiness, health equity, and policy implications in China.Frontiers in public health · 2025Article
- Geographic Mobility of Urology Graduates From Residency to First Practice in the United States.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe incidence of chronic kidney disease (CKD) is increasing owing to the ageing population, resulting in an increased demand for dialysis and kidney transplantation, which can be costly. Current research lacks clarity regarding the relationship between residence setting and CKD prevalence or its related risk factors. This study explored the urban-rural disparities in CKD prevalence and risk factors in Taiwan. Our findings will aid the understanding of the distribution of CKD and the design of more effective prevention programmes.
designThis cross-sectional community-based study used the Renal Value Evaluation Awareness and Lift programme, which involves early screening and health education for CKD diagnosis and treatment. CKD prevalence and risk factors including alcohol consumption, smoking and betel nut chewing were compared between urban and rural areas.
settingUrbanisation levels were determined based on population density, education, age, agricultural population and medical resources.
participantsA total of 7786 participants from 26 urban and 15 rural townships were included.
resultsThe prevalence of CKD was significantly higher in rural (29.2%) than urban (10.8%) areas, representing a 2.7-fold difference (p<0.0001). Risk factors including diabetes (rural vs urban: 21.7% and 11.0%), hypertension (59.0% vs 39.9%), hyperuricaemia (36.7% vs 18.6%), alcohol consumption (29.0% vs 19.5%), smoking (15.9% vs 12.0%), betel nut chewing (12.6% vs 2.8%) and obesity (33.6% vs 19.4%) were significantly higher (p<0.0001) in rural areas.
conclusionsThe prevalence of CKD is three times higher in rural versus urban areas. Despite >99% National Health Insurance coverage, disparities in CKD prevalence persist between residential areas. Targeted interventions and further studies are crucial for addressing these disparities and enhancing CKD management across different settings.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.