An ecological study of chronic kidney disease in five Mesoamerican countries: associations with crop and heat.
An ecological study of chronic kidney disease in five Mesoamerican countries: associations with crop and heat.
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DOI：
10.1186/s12889-021-10822-9
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发表时间：
2021-05-01
影响因子：
4.5
通讯作者：
Jakobsson K
中科院分区：
文献类型：
--
作者：
Hansson E;Mansourian A;Farnaghi M;Petzold M;Jakobsson K
中美洲受到非传统来源的慢性肾脏病（CKDnt）流行病的严重影响，这种流行病在各国之间存在显著差异。我们试图描述中美洲CKDnt的空间分布，并研究区域水平的作物和气候风险因素。有五个国家的CKD死亡率或住院数据可用：墨西哥、危地马拉、萨尔瓦多、尼加拉瓜和哥斯达黎加，并与人口、作物和气候数据相关联。使用贝叶斯空间回归模型绘制地图。回归模型被用来分析区域层面的CKD负担和热量和种植四种作物：甘蔗，香蕉，水稻和咖啡之间的关联。在这五个国家中，每个国家都有CKD负担升高的地区。与甘蔗种植强度较低的同样炎热的城市和甘蔗种植强度相同的不那么炎热的地区相比，炎热地区和甘蔗种植较多的城市有较高的CKD负担，但在不同强度和热量水平下与其他作物的关联在各国并不一致。绘制常规收集的现有数据可能是确定CKD高负担地区的第一步。在所有五个国家重复的密集甘蔗种植的炎热地区发现CKD负担较高，这与将高温下的重体力劳动确定为关键CKDnt风险因素的个人水平研究一致。相比之下，没有观察到CKD负担和其他作物之间的关联。在线版本包含补充材料，可通过10.1186/s12889-021-10822-9获得。
Mesoamerica is severely affected by an epidemic of Chronic Kidney Disease of non-traditional origin (CKDnt), an epidemic with a marked variation within countries. We sought to describe the spatial distribution of CKDnt in Mesoamerica and examine area-level crop and climate risk factors. CKD mortality or hospital admissions data was available for five countries: Mexico, Guatemala, El Salvador, Nicaragua and Costa Rica and linked to demographic, crop and climate data. Maps were developed using Bayesian spatial regression models. Regression models were used to analyze the association between area-level CKD burden and heat and cultivation of four crops: sugarcane, banana, rice and coffee. There are regions within each of the five countries with elevated CKD burden. Municipalities in hot areas and much sugarcane cultivation had higher CKD burden, both compared to equally hot municipalities with lower intensity of sugarcane cultivation and to less hot areas with equally intense sugarcane cultivation, but associations with other crops at different intensity and heat levels were not consistent across countries. Mapping routinely collected, already available data could be a first step to identify areas with high CKD burden. The finding of higher CKD burden in hot regions with intense sugarcane cultivation which was repeated in all five countries agree with individual-level studies identifying heavy physical labor in heat as a key CKDnt risk factor. In contrast, no associations between CKD burden and other crops were observed. The online version contains supplementary material available at 10.1186/s12889-021-10822-9.
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影响因子：
4.9
作者：
Glaser, Jason;Hansson, Erik;Wegman, David H.
通讯作者：
Wegman, David H.
DOI：
10.1007/s00420-019-01426-3
发表时间：
2019-10-01
影响因子：
3
作者：
Butler-Dawson, Jaime;Krisher, Lyndsay;Newman, Lee S.
通讯作者：
Newman, Lee S.
DOI：
10.2215/cjn.13841215
发表时间：
2016-08-01
影响因子：
9.8
作者：
Glaser, Jason;Lemery, Jay;Johnson, Richard J.
通讯作者：
Johnson, Richard J.
DOI：
10.1002/joc.5086
发表时间：
2017-10-01
期刊：
INTERNATIONAL JOURNAL OF CLIMATOLOGY
影响因子：
--
作者：
Fick, Stephen E.;Hijmans, Robert J.
通讯作者：
Hijmans, Robert J.
影响因子：
13.2
作者：
Gallo-Ruiz, Lyanne;Sennett, Caryn M.;Scammell, Madeleine K.
通讯作者：
Scammell, Madeleine K.