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[巴西登革热学校教育与死亡率之间的关联]
Lucas Melo Guimarães1, Geraldo Marcelo da Cunha2, Iuri da Costa Leite2
1Fundação Municipal de Saúde, Teresina, Brasil.
Cadernos de saude publica
|October 4, 2023
概括
巴西的登革热死亡率不成比例地影响着受教育程度较低的个人,在2010-2018年间,差距不断扩大. 教育的改善并没有减少登革热的死亡,尤其影响了年轻,受教育程度较低的人口.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 登革热在全球范围内构成了重大公共卫生挑战.
- 个人层面的因素,如教育程度,可能会影响登革热的风险和结果.
- 社会经济差异可能会加剧健康不平等,包括与传染病有关的健康不平等.
研究的目的:
- 调查巴西受教育程度最低和最高的人口之间登革热死亡率的差异.
- 根据2010年至2018年的教育水平,分析登革热死亡率的趋势.
- 检查登革热死亡率的差异是如何根据年龄,性别和地理区域 (联邦单位) 不同的.
主要方法:
- 追溯式生态研究设计.
- 使用引导和多次归算用于学校数据,对多层结构进行核算.
- 应用多层Poisson回归模型来分析死亡率.
主要成果:
- 在2010年至2018年期间,巴西观察到登革热死亡率的整体增加.
- 在受教育程度较低的群体和受教育程度较高的群体之间发现登革热死亡率的差异越来越大.
- 在受教育程度较低的人群中,持续观察到较高的登革热死亡率,特别影响年轻人群.
结论:
- 巴西的教育改善与登革热死亡率的降低没有相关性.
- 登革热死亡率仍然存在显著差异,受教育程度较低的人面临更高的风险.
- 低教育程度是登革热死亡率的一个明显的风险因素,特别是在年轻人群中.
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