SOCIOECONOMIC-FACTORS ASSOCIATED WITH MALARIA IN COLOMBIA

SOCIOECONOMIC-FACTORS ASSOCIATED WITH MALARIA IN COLOMBIA
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DOI:
10.1016/0277-9536(84)90313-7
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发表时间:
1984-01-01
影响因子:
5.4
通讯作者:
BANGUERO, H
BANGUERO, H
中科院分区:
医学2区
文献类型:
--
作者:
BANGUERO, H

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尽管在控制热带病方面取得了进展,世界上许多发展中国家的发病率仍然很高。哥伦比亚自 1953 年起开始实施根除疟疾计划,直到 1971 年,疟疾发病率一直在下降。然而,近年来,该国受影响地区的疟疾发病率又开始上升。这种疾病的死灰复燃使人们认为控制该病的传统方法已接近饱和点,需要重新评估该问题的决定因素,以确定可能单独发挥重要作用或与疟疾相关的社会和经济因素。该疾病的流行病学或健康决定因素。本文的目的是提出一种用于分析哥伦比亚疟疾发病率的社会、经济和健康决定因素的方法。该模型理论上基于家政学框架。然而,对原始版本进行了扩展,以考虑到哥伦比亚案例中被认为很重要的社会和组织因素。模型测试中包含的经济变量包括收入、财富和职业。社会变量包括教育和住房条件。考虑的健康因素包括营养和健康服务。该模型使用 1982 年 7 月在哥伦比亚受疟疾影响最严重的地区之一收集的数据进行了测试,并给出了初步结果。
In spite of progress made to control tropical diseases many developing countries in the world still show high rates of incidence. A program for malaria eradication has been in operation in Colombia since 1953, and the malaria incidence rate was falling until 1971. However, in recent years the rate has begun to rise again in affected areas of the country.The resurgence of the disease leads one to think that traditional methods of controlling it are approaching the saturation point, and a reassessment of the determinants of the problem is needed in order to identify social and economic factors that might be playing an important role by themselves or in association with epidemiological or health determinants of the disease.The purpose of this paper is to present a methodology which is being applied to the analysis of social, economic and health determinants of malaria incidence in Colombia. The model is theoretically based on a home economics framework. However, an expansion of the original version is made to take into account social and organizational factors which are thought to be important in the Colombian case.Economic variables included in the testing of the model are income, wealth and occupation. Social variables include education and housing conditions. Health factors considered are nutrition and health services.The model is tested using data collected in July 1982 in one of the most malaria affected areas of Colombia, and preliminary results are presented.