巴西中部麻风病空间分布的城市内差异:地理空间技术作为监测的潜在工具
Amanda G Carvalho1, Carolina Lorraine H Dias2, David J Blok3
1School of Medicine, Faculty of Health Sciences, Federal University of Rondonópolis, Rondonópolis, Brazil; Post-Graduation Program in Health Sciences, Faculty of Medicine, Federal University of Mato Grosso, Cuiabá. amandagcarvalho@hotmail.com.
Geospatial health
|October 30, 2023
概括
巴西伦多诺波利斯的麻风病群与社会经济因素有关. 低识字率和高风险社区的低收入有助于这种疾病的发展.
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:
- * 麻风 (汉森病) 仍然是一个公共卫生问题,特别是在流行地区.
- *了解麻风的空间分布和社会经济决定因素对于有针对性的干预至关重要.
研究的目的:
- * 为了确定病的空间模式和群集,巴西伦多诺波利斯的新病例检测率 (NCDR).
- * 探索城市内社会经济差异与麻风病分布之间的关联.
主要方法:
- *生态研究利用伦敦波利斯2011-2017年麻风病例数据.
- * 扫描统计数据用于邻里层面的空间和空间时间集群检测.
- *使用地理加权回归 (GWR) 来建模NCDR与社会经济因素之间的关联.
主要成果:
- * 在84.1%的社区中检测到麻风病例,累计NCDR为57.9/100,000.
- *在西部和北部地区发现高风险麻风病群;在中部和南部地区风险较低.
- *GWR显示,低识字率和低平均月收入与较高的NCDR显著相关,特别是在高风险地区.
结论:
- * 在伦多诺波利斯,麻风病呈现异质的,外围的空间分布.
- *城市内部的社会经济不平等,包括贫困和恶劣的生活条件,似乎推动了麻风的传播.
- *研究结果支持针对社会经济决定因素的定制公共卫生监测和控制策略.
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