巴基斯坦南旁遮普邦的肺炎发病率和决定因素 (2016-2020年):在Tehsil级的空间流行病学研究
Ömer Ünsal1, Oliver Gruebner2, Munazza Fatima3
1Department of Geography, Bursa Uludağ University, 16059, Bursa, Türkiye. ounsal@uludag.edu.tr.
International journal of health geographics
|October 23, 2025
概括
巴基斯坦的肺炎发病率受到社会生态因素的影响,在空间和时间上有所不同. 公共卫生干预措施必须在当地定制,以减少脆弱人群的肺炎.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 空间分析 空间分析
背景情况:
- 肺炎是疾病和死亡的重要原因,特别是在像巴基斯坦这样的低收入和中等收入国家.
- 了解空间和时间性肺炎模式对于有效的公共卫生战略至关重要.
研究的目的:
- 调查巴基斯坦南旁遮普省肺炎发病率的空间和时间分布.
- 分析肺炎发病率与社会生态因素之间的关系.
主要方法:
- 使用的地区卫生信息系统 (DHIS) 数据为2016-2020年.
- 采用了空间自相关性 (摩兰的I),热点分析和新兴热点分析 (EHSA).
- 应用通用线性回归 (GLR) 和多尺度地理加权回归 (MGWR) 用于因子分析.
主要成果:
- 没有显著的全球肺炎集群;在DG Khan确定了一个低低的集群和Rajanpur的一个热点.
- 证实了季节性肺炎的显著变化和Tehsils的发病率变化.
- MGWR显示,女性识字率降低了肺炎发病率,而住房质量差则增加了肺炎发病率,特别是在南旁遮普西南部.
结论:
- 社会生态变量显著影响肺炎发病率,具有空间和时间的变化.
- 强调必须采取本地公共卫生干预措施,打击巴基斯坦的肺炎.
- 空间流行病学方法可以适应其他地区和环境.
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