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The urbanization process in Pudong has substantially impacted the disease spectrum. Considering that other transitioning regions are likely to undergo similar urbanization processes, insights into the burden of DM and trends in DM-related mortality in Pudong can inform the management and planning of health care services in these regions in the future [8].
Without sufficient studies on disease-related and specific deaths, estimating the true burden of a disease is challenging [9].
JMIR Public Health Surveill 2023;9:e43687
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Urbanization is a complex phenomenon that is associated with population density in an urban area. In this study, urbanization rate, defined as the percentage of population living in an urban area, was used to characterize the urbanization process. Urbanization can worsen an epidemic through a variety of mechanisms [4].
JMIR Public Health Surveill 2023;9:e41435
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