Identifying high occurrence areas of hospitalization and mortality from respiratory diseases in the Brazilian Legal Amazon: a space-time analysis.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Cadernos de saude publica Pub Date : 2024-11-25 eCollection Date: 2024-01-01 DOI:10.1590/0102-311XEN148023

Lucas de Oliveira do Couto, Ludmilla da Silva Viana Jacobson, Andre Reynaldo Santos Périssé, Sandra de Souza Hacon

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Abstract

Respiratory diseases pose a significant threat to the health of the Brazilian population, ranking among the leading causes of hospitalizations and deaths in the country. The most impacted demographics are children, adolescents, and older adults, who respectively have the highest rates of hospitalizations and deaths. An exploratory ecological study was conducted to assess the spatio-temporal distribution of hospitalizations and deaths due to respiratory diseases among children, adolescents, and older adults residing in municipalities in the Brazilian Legal Amazon. Moreover, the study aimed to identify priority municipalities within the detected clusters by employing composite synthetic municipal indices. These indices were estimated based on various socio-environmental and health indicators. The scan analysis identified clusters across various time periods but they mostly aligned with the disease trends in the region. We were able to identify clusters both near metropolitan areas and in remote locations, capturing two distinct patterns of cluster distribution. Moreover, the application of composite synthetic indices enabled a comprehensive identification of priority municipalities, considering various factors relevant to the health conditions of the population in the studied areas.

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确定巴西法定亚马逊河流域呼吸系统疾病住院和死亡高发区：时空分析。

呼吸系统疾病对巴西人口的健康构成严重威胁，是导致巴西人住院和死亡的主要原因之一。受影响最大的人群是儿童、青少年和老年人，他们的住院率和死亡率分别最高。我们开展了一项探索性生态研究，以评估居住在巴西法定亚马逊地区各城市的儿童、青少年和老年人因呼吸系统疾病住院和死亡的时空分布情况。此外，该研究还旨在通过使用综合合成城市指数，在检测到的集群中确定重点城市。这些指数是根据各种社会环境和健康指标估算出来的。扫描分析确定了不同时期的集群，但它们大多与该地区的疾病趋势一致。我们既能识别出大都市附近的集群，也能识别出偏远地区的集群，从而捕捉到两种截然不同的集群分布模式。此外，考虑到与研究地区人口健康状况相关的各种因素，综合合成指数的应用使我们能够全面确定重点城市。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cadernos de saude publica 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.30

自引率

7.10%

发文量

356

审稿时长

3-6 weeks

期刊介绍： Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ). The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care. All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.