与巴西结核病-糖尿病发病率相关的空间模式和因素
B V B Cabral1, G L A Monte1, M N Vasconcelos1
1Health Sciences Centre, State University of Ceará, Fortaleza, Ceará, Brazil.
Public health
|June 19, 2024
概括
社会不平等和医疗覆盖显著影响巴西结核病-糖尿病 (TB-DM) 发病率. 这项研究绘制了TB-DM的空间模式,揭示了影响疾病分布在各市区的关键因素.
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:
- 结核病 (TB) 和糖尿病 (DM) 是全球重要的健康挑战.
- 结核病和DM (TB-DM) 的同时发生使治疗复杂化,并增加死亡率.
- 了解TB-DM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:
- 分析2001年至2019年期间巴西TB-DM发病率的空间模式.
- 确定与TB-DM空间分布相关的因素.
- 为 TB-DM 控制的公共卫生战略提供信息.
主要方法:
- 使用巴西市政当局作为分析单位进行生态研究设计.
- 计算局部经验贝叶斯速率和空间自相关性.
- 应用莫兰 I 和 Getis-Ord Gi* 统计数据用于集群识别.
- 空间加权回归以确定影响因素.
主要成果:
- 在2001-2019年期间,巴西报告了总共75,021例新的TB-DM病例.
- 大多数市镇的平均TB-DM发病率为每10万居民1.0-2.0.
- 吉尼指数 (社会不平等) 和家庭健康战略覆盖率是对结核病-DM发病率最有影响的因素.
结论:
- 在巴西发现了TB-DM的空间集群.
- 社会不平等在很大程度上导致了TB-DM的发病率.
- 建议采取有针对性的干预措施,解决社会经济因素和加强医疗覆盖.
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