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在拉丁美洲和加勒比地区为登革热病毒传播开发生态生物社会概念框架:e-Delphi研究
Aisha Barkhad1, Natacha Lecours2, Lawrence Mbuagbaw3,4,5,6,7,8
1Mary Heersink School of Global Health and Social Medicine, McMaster University, Hamilton, Ontario, Canada.
PLOS global public health
|September 16, 2025
概括
这项研究开发了一个生态生物社会框架,以了解拉丁美洲和加勒比海地区登革热病毒 (DENV) 传播. 该框架确定了关键的生态,生物和社会因素,以指导预防和控制战略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境科学 环境科学
背景情况:
- 登革热病毒 (DENV) 是拉丁美洲和加勒比地区 (LAC) 一种重要的树状病毒疾病.
- 登革热的流行程度受到复杂的生态,生物和社会 (生态-生物-社会) 因素的影响.
- 现有的战略需要加强,以应对区域传输动态.
研究的目的:
- 开发一个全面的生态-生物-社会概念框架,用于对LAC的登革热传播.
- 建立基于证据的研究和政策议程,以预防和控制该地区的登革热.
主要方法:
- 一个连续的,多方法的研究,利用一个三轮的e-Delphi方法.
- 参与了来自七个LAC国家的11名登革热专业人员,问卷被翻译成西班牙语和葡萄牙语.
- 共识被定义为小组成员在框架组件和议程上达成70%的协议.
主要成果:
- 确定了登革热传播的关键决定因素:季节性天气,城市微气候,载体容量,城市化和土地利用.
- 在一个包含16个生态,11个生物和28个社会因素的框架上达成共识.
- 制定了一个由三个主题组成的研究议程和一个由四个类别组成的政策/计划议程.
结论:
- 基于共识的生态生物社会框架和议程为LAC的登革热预防和控制提供了新的战略.
- 该框架解决了特定的社区需求和经验,提供了变革性的潜力.
- 88%的小组成员同意,拟议的议程可以改善登革热预防和控制工作.
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