Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England
Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England
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DOI：
10.1017/s0950268813001015
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发表时间：
2014-02-01
影响因子：
4.2
通讯作者：
Spencer, D. A.
中科院分区：
文献类型：
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作者：
Blain, A. P.;Thomas, M. F.;Spencer, D. A.
本研究的目的是调查英格兰北部儿童肺炎和脓胸住院风险的空间变化及相关风险因素。诊断为肺炎或脓胸的儿童（0-14 岁）住院数据与邮政编码区相关。在使用邮政编码作为面积单位的基于区域的研究中，使用贝叶斯条件自回归模型来评估空间变化和特定空间协变量的相关性。在整个研究地区，因肺炎住院的风险存在六倍的差异。风险的变化与物质匮乏、儿童福祉指数（CWI）健康领域评分、需要地方当局支持的儿童数量以及到医院的距离有关。未发现脓胸风险存在显着的空间差异。
The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial covariates in an area-based study using postcode as the areal unit. There was a sixfold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support, and distance to hospital. No significant spatial variation in risk for empyema was found.