巴西里约热内卢的寨卡病毒,登革热和奇孔古尼亚高风险空间群
Reinaldo Souza-Santos1, Andrea Sobral1, Andre Reynaldo Santos Périssé1
1Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Revista de saude publica
|June 7, 2023
概括
里约热内卢社会经济状况不佳的地区面临着更高的寨卡病毒,登革热和奇孔尼亚病毒 (ZDC) 感染风险. 这些树冠病毒不成比例地影响弱势群体,突显出严重的公共卫生差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 寨卡病毒,登革热和奇孔古尼亚病毒 (ZDC) 是具有重大公共卫生影响的重要树冠病毒.
- 了解与ZDC相关的空间分布和风险因素对于有效的控制策略至关重要.
研究的目的:
- 在里约热内卢分析寨卡病毒,登革热和奇孔古尼亚病毒 (ZDC) 的空间分布.
- 为了确定ZDC感染的高风险空间集群.
- 调查ZDC风险与社会经济地位之间的关系.
主要方法:
- 一项生态研究利用了2018年对2,114个人进行的血清流行调查数据.
- 空间分布分析的核心估计.
- 多变量扫描统计数据,以检测高风险的树冠病毒群.
- 社会发展指数 (SDI) 用于评估社会经济地位.
主要成果:
- 81.1%的参与者检测出至少一种树木病毒.
- 在北部和西部地区确定了高风险的树木病毒群,与社会经济地位低 (低或非常低的SDI) 相吻合.
- 显著的群体显示Zika病毒 (ZIKV) 和 chikungunya病毒 (CHIKV) 的相对风险较高,其中Flavivirus是最常见的结果.
结论:
- 在里约热内卢社会经济条件最差的地区,树冠病毒感染的风险增加.
- 相反,生活条件更好的地区有更高的树冠病毒阴性个体度.
- 调查结果强调了 arbovirus 负担的社会经济差异,并为有针对性的公共卫生干预提供了信息.
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