Gabriel Pavinati, Lucas Vinícius de Lima, Isadora Gabriella Silva Palmieri, Gabriela Tavares Magnabosco
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引用次数: 0
Abstract
Objective: to analyze the distribution and spatial autocorrelation of hepatitis B and C detection rates in the state of Paraná, Brazil.
Methods: this was an ecological study of hepatitis B and C notifications held on the Notifiable Health Conditions Information System, between 2011 and 2019. Percentage change in detection rates between the first and last three-year periods was estimated. Spatial autocorrelation was analyzed using Moran's index.
Results: there were 16,699 notifications of hepatitis B, with a greater reduction in detection in the North (-30.0%) and Northwest (-25.9%) macro-regions. There were clusters of high occurrence in the Foz do Iguaçu, Francisco Beltrão and Cascavel regions between 2011 and 2019. There were 10,920 notifications of hepatitis C, with a greater reduction in detection in the Northwest macro-region (-18.9%) and an increase in the West (51.1%). The Paranaguá region recorded a high detection cluster between 2011 and 2016.
Conclusion: hepatitis B and C showed heterogeneous distribution between health regions.
目的：分析巴西巴拉那州乙型肝炎和丙型肝炎检测率的分布和空间自相关。估计了第一个和最后三年期间检测率的百分比变化。空间自相关分析采用莫兰指数。结果：共有16699例乙型肝炎通知，其中北方（-30.0%）和西北（-25.9%）宏观地区的检测率下降幅度更大。2011年至2019年间，Foz do Iguaçu、Francisco Beltrão和Cascavel地区出现了聚集性高发病率。共有10920份丙型肝炎通知，西北宏观地区的检测减少幅度更大（-18.9%），西部地区的检测增加幅度更高（51.1%）。巴拉那瓜地区在2011年至2016年期间记录了高检测集群。结论：乙型和丙型肝炎在健康地区之间呈异质分布。
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