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社会经济地位和气旋后登革热脆弱性:中国南部知识和风险感知的调解作用

Yu Yan¹, Yan Li², Meng Zhang²

¹Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012,China; Shandong University Climate Change and Health Centre, Shandong University, Jinan, 250012, China.

Travel medicine and infectious disease

|January 29, 2026

概括

个人因素,如知识和风险感知显著影响热带气旋后登革热风险. 促进适应性实践和意识可以减轻脆弱社区的爆发.

科学领域:

公共卫生公共卫生
流行病学流行病学
环境健康环境健康

背景情况:

生态学研究主导着对热带气旋和登革热传播的研究.
影响风后登革热脆弱性的个人层面因素仍未得到充分研究.
调查社会经济地位,知识,态度,做法 (KAP) 和风险感知对于有针对性的干预至关重要.

研究的目的:

检查单个因素如何调节热带气旋后对登革热的脆弱性.
确定增加或减少登革热感染风险的特定决定因素.
为弱势群体制定有针对性的公共卫生干预措施提供信息.

主要方法:

一个1:1匹配的病例对照研究在广州,中山和佛山城市进行了超级台风Yagi之后.
通过当地监测确认了病例;通过社区抽样招募对照,根据年龄和性别匹配.
结构方程建模 (SEM) 分析了社会经济地位 (SES) 和脆弱性之间的调解途径.
多变量条件后勤回归确定了登革热感染的独立预测因素.

主要成果:

更高的SES预测了更多的知识,这与更强的预防实践有关.
对登革热的保护因素包括对实践,环境风险感知和知识的更高得分.
经常接触蚊子是最强烈的风险因素;与每周或更短时间相比,每天被蚊子咬伤的感染率翻了一番.

结论:

个别决定因素,特别是适应性实践和环境风险感知,关键介导气旋后登革热风险.
公共卫生干预应专注于加强这些保护性行为.
量身定制的干预措施可以减轻脆弱人群中登革热爆发的威胁.

关键词:

登革热是因为登革热.广东广东是什么意思广东广东是什么意思知识知识知识知识知识.风险感知风险感知个案控制研究研究.热带气旋是一个热带气旋.

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