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在巴西南部,社会地理因素和对白病的脆弱性

Alessandra Jacomelli Teles¹, Bianca Conrad Bohm², Suellen Caroline M Silva³

¹Municipal Health Department of Herval, Rio Grande Do Sul, Brazil.

BMC public health

|July 7, 2023

概括

巴西南部里约格兰德州的白病发病率与社会脆弱性有关. 中心地区的疾病发病率较高,这凸显了针对性公共卫生干预措施的必要性.

科学领域:

流行病学流行病学
公共卫生公共卫生
传染性疾病传染性疾病

背景情况:

莱普托斯皮罗斯是一种由莱普托斯皮拉菌引起的急性传染病.
传播是通过接触受污染的土壤或水而发生的.
这种疾病具有广泛的临床状况.

研究的目的:

评估巴西里约格兰德杜苏尔州 (Rio Grande do Sul,巴西) (2010-2019) 勒螺杆菌病例和死亡人数的分布.
分析勒螺杆菌病与社会脆弱性之间的关联.
确定影响疾病发病率和死亡率的人口和环境因素.

主要方法:

奇平方测试用于分析人口统计因素 (性别,年龄,教育,肤色) 的死亡率和发病率.
空间回归分析检查了环境决定因素,社会脆弱性和白病发病率之间的关系.
数据涵盖了2010-2019年期间在南里约格兰德州.

主要成果:

记录了4,760个病例和238人死于白螺旋菌病.
平均发病率为4.06例/100,000人口;平均死亡率为5%.
白人,男性,工作年龄和受教育程度较低的人更容易受到影响;黑皮肤的人死亡率更高. 与动物,污水和垃圾的直接接触是死亡的主要危险因素.
社会脆弱性与白病发病率有着积极的关联,特别是在市中心.

结论:

莱普托西症的发病率与人口脆弱性有显著的关系.
健康脆弱性指数是评估白病例的重要工具.
该指数可以帮助市政当局确定针对性干预和资源分配的高风险地区.

关键词:

流行病学流行病学健康的脆弱性健康的脆弱性公共卫生监督是对公共卫生的监督.在西南,西南人.

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