巴西亚马逊巴拉州皮肤莱什曼病的模糊和空间分析:生态和探索性研究
Simone Bn Costa1, Claudia do Sc Miranda1, Bruna C De Souza1
1Amazon Epidemiology and Geoprocessing Laboratory, Faculty of Medicine, Pará State University, Belém, Brazil.
Journal of infection in developing countries
|July 30, 2024
概括
森林砍伐是巴西帕拉州皮肤莱什曼病的主要危险因素. 一个模糊的系统确定了环境和社会经济条件,这些条件有助于微区域的疾病风险.
科学领域:
- 流行病学 流行病学
- 环境科学 环境科学
- 公共卫生 公共卫生
背景情况:
- 皮肤雷什曼病在巴西帕拉州构成了重大公共卫生挑战.
- 了解流行病学,环境和社会经济因素的相互作用对于疾病控制至关重要.
- 之前的研究没有全面分析这些关系在微区域一级.
研究的目的:
- 分析皮肤莱什曼病及其流行病学,环境和社会经济条件之间的关系.
- 确定帕拉州22个小区域内的关键风险因素和脆弱区域.
- 开发和应用一种新的风险评估模糊系统.
主要方法:
- 使用微区域作为空间单位进行生态和探索性研究.
- 来自官方信息系统 (卫生部,INPE,IBGE) 的数据.
- 使用Python和双变的Global Moran空间分析开发了一个模糊系统.
主要成果:
- 阿尔塔米拉微区域的疾病风险最高;布雷夫斯的疾病风险最低.
- 土地使用/覆盖模式,人口统计,生活条件,教育和公共卫生政策是重要的条件因素.
- 在微区域之间观察到因子相关性的显著差异.
结论:
- 模糊系统有效地识别了与森林砍伐,牧场,贫困,文盲和医疗服务覆盖率相关的健康脆弱度梯度.
- 森林砍伐被证实是皮肤莱什曼病的主要危险因素.
- 开发的系统对环境和流行病学监测有价值.
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