在泰国,慢性病与社会经济因素之间的空间关联
Juree Sansuk1, Kittipong Sornlorm2
1Faculty of Nursing, Boromarajonani College of Nursing, Khon Kaen. juree.s@bcnkk.ac.th.
Geospatial health
|January 30, 2024
概括
空间分析显示,夜间光线与泰国的慢性病 (CKD) 率较高有关,而互联网接入和卫生人员人数显示出保护性关联. 这些发现突出了影响CKD流行率的社会经济和医疗服务因素.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性病 (CKD) 是一种进展性疾病,影响功能和整体健康.
- 了解CKD的空间分布和决定因素对于有针对性的干预至关重要.
研究的目的:
- 检查CKD患病率与夜间照明,互联网接入和泰国卫生人员分布等因素之间的空间关联.
- 确定空间集群和CKD的重要贡献因素.
主要方法:
- 利用了泰国公共卫生部最近的数据.
- 应用空间回归模型,包括空间错误模型 (SEM) 和空间滞后模型 (SLM),以及空间关联局部指标 (LISA).
- 分析了单变量莫兰的I用于空间自相对应和LISA用于集群识别.
主要成果:
- 对CKD观察到显著的正空间自相关性 (莫兰I = 0.393).
- 高高的CKD集群集中在北方,南方的低低集群.
- 夜间照明显示出与CKD的积极关联,而互联网接入和卫生工作人员/人口比例显示出负面关联.
结论:
- 社会经济和医疗服务因素对泰国的CKD患病率有很大影响.
- 需要有针对性的努力来改善医疗服务的获取,特别是在城市化地区,以解决CKD.
- 空间分析为CKD的地理模式和驱动因素提供了宝贵的见解.
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