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"登革热不仅仅是城市或农村:重新定义它的空间分类
James A Trostle1, Charlotte Robbins2, Betty Corozo Angulo3
1Anthropology Department, Trinity College, 300 Summit St, Hartford, CT, 06106, United states.
Social science & medicine (1982)
|October 11, 2024
概括
城市和农村空间的当地定义显著影响传染病风险,如登革热. 了解社区对环境特征的看法是有效公共卫生干预的关键.
科学领域:
- 空间流行病学空间流行病学
- 公共卫生 公共卫生
- 环境科学环境科学
背景情况:
- 传染病研究经常使用广泛的城市/农村定义.
- 这些定义可能无法捕捉微妙的空间风险因素.
- 登革热通常被视为具有农村联系的城市疾病.
研究的目的:
- 探索厄瓜多尔埃斯梅拉达斯城市和农村空间的当地定义.
- 评估这些地方空间概念如何影响登革热风险感知.
- 建议改进的框架,以了解疾病风险超出人口普查类别.
主要方法:
- 使用对住户和卫生人员的采访进行的定性研究 (n=94).
- 探索环境特征的当地术语 (例如",monte"",maleza").
- 分析社区对空间,环境和疾病风险的看法.
主要成果:
- 当地的空间定义包括环境服务,控制和"自然混乱" (草/杂草).
- 这些地方概念提供了比国家城市/农村分类更复杂的登革热风险理解.
- 社区的看法强调了与更高风险相关的特定环境特征.
结论:
- 重新思考城市/农村二分法对于传染病研究至关重要.
- 将登革热风险围绕特定的环境特征和高风险空间进行框架改进了干预策略.
- 根据社区的风险感知与社区合作,可以加强缓解努力.
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