Exploring spatial patterns in the associations between local AIDS incidence and socioeconomic and demographic variables in the state of Rio de Janeiro, Brazil
Exploring spatial patterns in the associations between local AIDS incidence and socioeconomic and demographic variables in the state of Rio de Janeiro, Brazil
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DOI：
10.1016/j.sste.2016.04.008
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发表时间：
2016-05-01
影响因子：
3.4
通讯作者：
Waller, Lance A.
中科院分区：
文献类型：
--
作者：
Alves, Andre T. J.;Nobre, Flavio F.;Waller, Lance A.
自1996年以来，巴西普遍提供抗逆转录病毒疗法，降低了艾滋病或艾滋病相关并发症造成的总体发病率和死亡率，但在里约热内卢的一些城市，艾滋病发病率仍然很高。公共卫生监测仍然是了解当前艾滋病流行病学模式以及与发病率增加相关的当地社会经济和人口因素的宝贵工具。地理加权泊松回归（GWPR）探讨了这些因素在整个研究区域的空间变化的影响，重点关注当地的生态协会的变化。一套社会人口变量的考虑显示显着的协会与当地艾滋病的发病率和这些协会在整个研究地区的地理变化。我们发现，预测因子对艾滋病发病率的影响在全州范围内并不恒定，这与全球模型中的假设相反。我们观察并量化了该州不同地区艾滋病发病率的不同地方因素。(C)2016年6月，作者。爱思唯尔有限公司出版
Access to antiretroviral therapy (ART), universally provided in Brazil since 1996, resulted in a reduction in overall morbidity and mortality due to AIDS or AIDS-related complications, but in some municipalities of Rio de Janeiro, AIDS incidence remains high. Public health surveillance remains an invaluable tool for understanding current AIDS epidemiologic patterns and local socioeconomic and demographic factors associated with increased incidence. Geographically Weighted Poisson Regression (GWPR) explores spatial varying impacts of these factors across the study area focusing attention on local variations in ecological associations. The set of sociodemographic variables under consideration revealed significant associations with local AIDS incidence and these associations varied geographically across the study area. We find the effects of predictors on AIDS incidence are not constant across the state, contrary to assumptions in the global models. We observe and quantify different local factors driving AIDS incidence in different parts of the state. (C) 2016 The Authors. Published by Elsevier Ltd.