Spatial distribution of malaria problem in three regions of Ethiopia.

Spatial distribution of malaria problem in three regions of Ethiopia.
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DOI:
10.1186/1475-2875-12-207
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发表时间:
2013-06-17
期刊:
影响因子:
3
通讯作者:
Mwambi HG
Mwambi HG
中科院分区:
医学3区
文献类型:
--
作者:
Ayele DG;Zewotir TT;Mwambi HG

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疟疾的传播是埃塞俄比亚的主要公共卫生问题。在埃塞俄比亚的总面积中,超过75%是疟疾。本研究的目的是根据快速诊断测试(RDT)调查结果确定疟疾的社会经济,地理和人口危险因素,并绘制该地区的流行地图,说明疟疾风险的变化。本研究在评估社会经济、人口和地理因素对埃塞俄比亚疟疾流行率的影响时考虑了空间相关性。从埃塞俄比亚的阿姆哈拉、奥罗米亚和南方民族和人民地区共选出224个群组,每个群组约有25户家庭。使用具有空间协方差结构的广义线性混合模型来分析数据,其中响应变量是使用RDT的疟疾的存在或不存在。结果表明,南部各州、民族和人民区域的家庭比阿姆哈拉和奥罗米亚地区的家庭面临更大的风险。此外,设有厕所、清洁食水、较多房间及房间内有蚊帐的住户,其家庭成员对RDT呈阳性反应的机会较少。此外,从这项研究中可以看出,纳入空间变异性对于理解和制定最适当的战略以减少疟疾风险是必要的。
The transmission of malaria is the leading public health problem in Ethiopia. From the total area of Ethiopia, more than 75% is malarious. The aim of this study was to identify socio-economic, geographic and demographic risk factors of malaria based on the rapid diagnosis test (RDT) survey results and produce the prevalence map of the area illustrating variation in malaria risk. This study accounts for spatial correlation in assessing the effects of socio- economic, demographic and geographic factors on the prevalence of malaria in Ethiopia. A total of 224 clusters of about 25 households each were selected from the Amhara, Oromiya and Southern Nation Nationalities and People’s (SNNP) regions of Ethiopia. A generalized linear mixed model with spatial covariance structure was used to analyse the data where the response variable was the presence or absence of malaria using the RDT. The results showed that households in the SNNP region were found to be at more risk than Amhara and Oromiya regions. Moreover, households which have toilet facilities clean drinking water, and a greater number of rooms and mosquito nets in the rooms, have less chance of having household members testing positive for RDT. Moreover, from this study, it can be suggested that incorporating spatial variability is necessary for understanding and devising the most appropriate strategies to reduce the risk of malaria.
埃塞俄比亚疟疾的患病率和危险因素。
DOI: 10.1186/1475-2875-11-195
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作者:
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