在肺结核易患地区的社会保护:在圣路易斯,马拉纳州的一项混合方法研究
Francisca Bruna Arruda Aragão1, Mellina Yamamura Calori2, Thais Zamboni Berra1
1Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
Revista brasileira de enfermagem
|June 19, 2024
概括
社会保护福利对马拉纳州圣路易斯的结核病患者的康复产生了积极的影响. 确定高风险的地理区域对于有针对性的公共卫生监测和干预策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 结核病 (TB) 仍然是一个重大的公共卫生挑战,特别是在城市地区.
- 了解结核病的空间分布和社会经济因素的影响对于有效的控制策略至关重要.
研究的目的:
- 为了确定在圣路易斯,马拉纳的结核病高风险的地理区域.
- 分析社会保护计划对结核病患者治疗和治疗结果的影响.
主要方法:
- 解释性顺序混合方法研究设计.
- 定量阶段:从可通报疾病信息系统 (2010-2019) 获取地理参考数据,以确定结核病风险的空间集群.
- 定性阶段:与接受社会福利的个人进行半结构面试,以探索治疗经验.
主要成果:
- 7,381个结核病例的地理编码确定了13个不同的空间风险集群.
- 定性分析显示,获得社会福利和改善患者结果之间存在正相关性.
- 空间分析强调了地理因素对结核病脆弱性的重要性.
结论:
- 地理空间和社会决定因素是理解和解决结核病健康疾病过程的关键因素.
- 结核病监测行动应重新定位,以纳入空间分析和社会保护方面的考虑.
- 针对环境和社会经济因素的综合战略是有效控制结核病的必要条件.
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