在美国阿拉巴马州,对健康和高艾滋病毒发病率的社会和结构性决定因素的地理空间分析
K A Johnson1, J T McDaniel2, H K Graham3
1School of Social Work, The University of Alabama, Tuscaloosa, AL, USA.
Journal of community health
|November 30, 2023
概括
地理空间分析确定了阿拉巴马州的艾滋病毒热点. 这些地区的教育程度较低,贫困程度较低,有助于针对性地分配资源来打击艾滋病毒疫情.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 地理空间分析的研究.
背景情况:
- 人类免疫缺陷病毒 (HIV) 疫情持续,特别是在美国. 在南方的深处.
- 了解艾滋病毒的地理分布对于有效的公共卫生干预至关重要.
研究的目的:
- 利用地理空间分析技术检查阿拉巴马州的艾滋病毒热点.
- 利用医疗补助使用数据来确定艾滋病毒流行率高的地区.
主要方法:
- 一项使用阿拉巴马州医疗补助行政索赔数据 (2016-2020) 的横截面研究.
- 使用了地理空间分析,包括地方空间协会指标 (LISA) 和地方莫兰的I.
- 每10万名成年医疗补助接收者HIV感染率计算,并使用合唱地图绘制地图.
主要成果:
- 阿拉巴马州的11个县的艾滋病毒感染率超过了每10万名成年医疗补助受益人中的100%.
- 确定了三个不同的地理热点艾滋病病毒.
- 与其他地区相比,艾滋病毒热点与较低的教育程度和较不严重的贫困相关.
结论:
- 阿拉巴马州的艾滋病毒群体的特点是教育程度较低,贫困程度较低.
- 这些发现可以为战略性资源配置提供信息,以打击深南地区的艾滋病毒流行.
- 地理空间分析为有针对性的公共卫生战略提供了宝贵的见解.
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