在泰国男性中,与定期饮酒行为相关的空间自相关模式和因素
Naowarat Maneenin1, Warangkana Sungsitthisawad2, Chanwit Maneenin3
1Doctor of Public Health Program, Faculty of Public Health, Khon Kaen University, Khon Kaen; Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen.
Geospatial health
|September 30, 2025
概括
泰国的高酒精消费与出口密度和城市人口有关. 需要在高风险地区进行公共卫生干预,以应对成和疾病.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 环境健康 环境健康
背景情况:
- 在泰国,酒精消费对健康构成重大风险,导致成和疾病.
- 文化规范和环境因素对1700万经常饮酒的泰国男性的饮酒模式产生重大影响.
- 之前的地理信息系统 (GIS) 研究表明,酒精出口密度与酒精消费增加之间存在相关性.
研究的目的:
- 为了确定泰国酒精消费的空间集群.
- 分析酒精消费与诸如酒精出口密度,人口密度和医疗设施接入等因素之间的空间关系.
- 用空间回归模型确定影响酒精消费模式的关键因素.
主要方法:
- 利用莫兰的I和局部空间关联指标 (LISA) 来检测酒精消费的空间集群.
- 使用双变量分析来评估酒精消费和环境因素之间的空间自相关性.
- 应用空间回归模型,特别是空间滞后模型 (SLM),以确定酒精消费的重要预测因素.
主要成果:
- 在泰国各省确定了显著的酒精消费空间集群,Chonburi和Yala分别显示最高和最低的比例.
- 在泰国男性中发现了经常饮酒的正空间相关性 (莫兰的I=0.477).
- 在酒精消费和酒精出口密度 (0.301),人口密度 (0.237) 和医疗设施的准入 (0.290) 之间显示出显著的空间自相关性.
- 在城市化地区观察到高消费集群,而在南部地区发现低消费集群.
- 空间滞后模型显示,酒精出口密度,人口密度和人口与医疗机构的比例是影响酒精消费的重要因素,解释了49.2%的变化.
结论:
- 针对性公共卫生干预对于高风险地区至关重要,特别是那些酒精出售点和城市人口密集的地区.
- 政策制定应侧重于促进更健康的行为和限制酒精的可获得性,以减轻公共卫生问题.
- 了解酒精消费的空间模式对于泰国有效的公共卫生战略至关重要.
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