荷兰1905-1925年历史喉病和红热病报告率的区域差异:一个时空分析
Scott A McDonald1, Maarten van Wijhe2, Hester de Melker1
1Centre for Infectious Disease Control, Netherlands National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Royal Society open science
|November 30, 2023
概括
20世纪初,荷兰的白喉病和红热病发病率在空间上有所不同. 较高的通知率与人口密度增加和生活条件恶化有关.
科学领域:
- 流行病学 流行病学
- 公共卫生史 公共卫生史
背景情况:
- 在荷兰 (1905-1925年) 检查了白喉病和红热病报告率的空间变化.
- 研究了影响不同地区疾病发病率差异的潜在因素.
研究的目的:
- 分析报告疾病发生率的区域差异.
- 确定疾病分布的社会经济和环境决定因素.
主要方法:
- 根据省份和人口密度将每周汇总的通知数据分为27个空间单位.
- 采用了通用的附加回归模型来评估与人口密度,婴儿死亡率和收入的关联.
主要成果:
- 这两种疾病的通知率在1918/1919年左右达到顶峰.
- 与低密度地区相比,高密度和中密度地区观察到更高的白喉病和红热病报告率.
- 在疾病发病率与人口密度,婴儿死亡率和家庭收入之间发现了重要的关联.
结论:
- 疾病发病率的空间变化很大,部分原因是生活条件和社会经济因素.
- 这些发现有助于了解呼吸道感染传播的历史模式.
- 为传染病控制的当代公共卫生战略提供信息.
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