抗毒品获取影响巴西蛇毒的严重程度:地理信息系统分析分析
Julia Elizabeth Isaacson1, Jinny Jing Ye2, Lincoln Luís Silva2,3
1Duke University School of Medicine, Durham, North Carolina, United States of America.
PLoS neglected tropical diseases
|June 21, 2023
概括
毒蛇咬伤 (SBE) 不成比例地影响了巴西北部地区,社会人口统计学和获得护理的因素影响了严重病例. 改善蛇的护理需要及时给予抗毒剂,以减少差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 地理空间分析的研究.
背景情况:
- 蛇咬毒 (SBE) 是一种被忽视的热带疾病,具有显著的残疾和死亡率,特别是在低收入和中等收入国家.
- 巴西面临着大量的SBE负担,需要了解其分布和风险因素.
研究的目的:
- 对巴西中度和重度蛇中毒 (SBE) 病例相关的社会人口统计和护理准入指标进行地理空间分析.
- 为了确定巴西SBE发病率和结果的区域差异.
主要方法:
- 用SINAN数据库对巴西SBE病例 (2014-2019) 的生态,横截面研究.
- 2010年巴西人口普查数据的主要组成部分分析,以得出健康,经济,职业,教育,基础设施和获得护理的变量.
- 地理加权普森回归用于评估指标和SBE事件之间的空间关联.
主要成果:
- 北部地区的SBE率最高 (47.83/100,000),死亡率最高 (0.18/100,000) 和中度/严重率最高 (22.96/100,000).
- 与严重的SBE积极相关的因素包括预期寿命,年轻人口,不平等,电力供应和长途旅行时间 (>3小时) 到医疗保健.
- 收入,文盲,卫生设施和获得护理的机会显示出负面关联,尽管一些指标在地理位置上有所不同.
结论:
- 在巴西,SBE发病率和结果存在显著的区域差异,北方地区受到影响最大.
- 社会人口统计和医疗保健准入指标与中度和严重的SBE事件有关.
- 改善蛇护理的有效策略必须优先考虑及时给予抗毒剂,以减轻差异.
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