Spatial and Spatio-Temporal Epidemiology最新文献

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Geospatial correlations and variations in child mortality and stunting in South Africa: Evaluating distal vs structural determinants 南非儿童死亡率和发育迟缓的地理空间相关性和变化:评估远端与结构性决定因素
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-04-24 DOI: 10.1016/j.sste.2024.100653
Handan Wand , Jayajothi Moodley , Tarylee Reddy , Sarita Naidoo
{"title":"Geospatial correlations and variations in child mortality and stunting in South Africa: Evaluating distal vs structural determinants","authors":"Handan Wand ,&nbsp;Jayajothi Moodley ,&nbsp;Tarylee Reddy ,&nbsp;Sarita Naidoo","doi":"10.1016/j.sste.2024.100653","DOIUrl":"10.1016/j.sste.2024.100653","url":null,"abstract":"<div><p>South Africa has one of the highest child mortality and stunting rates in the world. Flexible geoadditive models were used to investigate the geospatial variations in child mortality and stunting in South Africa. We used consecutive rounds of national surveys (2008–2017). The child mortality declined from 31 % to 24 % over time. Lack of medical insurance, black ethnicity, low-socioeconomic conditions, and poor housing conditions were identified as the most significant correlates of child mortality. The model predicted degrees of freedom which was estimated as 19.55 (<em>p</em> &lt; 0.001), provided compelling evidence for sub-geographical level variations in child mortality which ranged from 6 % to 35 % across the country. Population level impact of the distal characteristics on child mortality and stunting exceeded that of other risk factors. Geospatial analysis can help in monitoring trends in child mortality over time and in evaluating the impact of health interventions.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"50 ","pages":"Article 100653"},"PeriodicalIF":3.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877584524000200/pdfft?md5=f912bad446e44f14aab36c799ef9b58e&pid=1-s2.0-S1877584524000200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatiotemporal Bayesian modeling of the risk of congenital syphilis in São Paulo, SP, Brazil 巴西圣保罗先天性梅毒风险的时空贝叶斯模型
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-04-22 DOI: 10.1016/j.sste.2024.100651
Renato Ferreira da Cruz , Joelma Alexandra Ruberti , Thiago Santos Mota , Liciana Vaz de Arruda Silveira , Francisco Chiaravalloti-Neto
{"title":"Spatiotemporal Bayesian modeling of the risk of congenital syphilis in São Paulo, SP, Brazil","authors":"Renato Ferreira da Cruz ,&nbsp;Joelma Alexandra Ruberti ,&nbsp;Thiago Santos Mota ,&nbsp;Liciana Vaz de Arruda Silveira ,&nbsp;Francisco Chiaravalloti-Neto","doi":"10.1016/j.sste.2024.100651","DOIUrl":"10.1016/j.sste.2024.100651","url":null,"abstract":"<div><p>The aim of this study is to analyze the spatiotemporal risk of congenital syphilis (CS) in high-prevalence areas in the city of São Paulo, SP, Brazil, and to evaluate its relationship with socioeconomic, demographic, and environmental variables. An ecological study was conducted based on secondary CS data with spatiotemporal components collected from 310 areas between 2010 and 2016. The data were modeled in a Bayesian context using the integrated nested Laplace approximation (INLA) method. Risk maps showed an increasing CS trend over time and highlighted the areas that presented the highest and lowest risk in each year. The model showed that the factors positively associated with a higher risk of CS were the Gini index and the proportion of women aged 18–24 years without education or with incomplete primary education, while the factors negatively associated were the proportion of women of childbearing age and the mean per capita income.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100651"},"PeriodicalIF":3.4,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting the odds of chronic wasting disease with Habitat Risk software 利用 Habitat Risk 软件预测慢性消耗性疾病的几率
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-04-11 DOI: 10.1016/j.sste.2024.100650
W. David Walter , Brenda Hanley , Cara E. Them , Corey I. Mitchell , James Kelly , Daniel Grove , Nicholas Hollingshead , Rachel C. Abbott , Krysten L. Schuler
{"title":"Predicting the odds of chronic wasting disease with Habitat Risk software","authors":"W. David Walter ,&nbsp;Brenda Hanley ,&nbsp;Cara E. Them ,&nbsp;Corey I. Mitchell ,&nbsp;James Kelly ,&nbsp;Daniel Grove ,&nbsp;Nicholas Hollingshead ,&nbsp;Rachel C. Abbott ,&nbsp;Krysten L. Schuler","doi":"10.1016/j.sste.2024.100650","DOIUrl":"https://doi.org/10.1016/j.sste.2024.100650","url":null,"abstract":"<div><p>Chronic wasting disease (CWD) is a transmissible spongiform encephalopathy that was first detected in captive cervids in Colorado, United States (US) in 1967, but has since spread into free-ranging white-tailed deer (<em>Odocoileus virginianus</em>) across the US and Canada as well as to Scandinavia and South Korea. In some areas, the disease is considered endemic in wild deer populations, and governmental wildlife agencies have employed epidemiological models to understand long-term environmental risk. However, continued rapid spread of CWD into new regions of the continent has underscored the need for extension of these models into broader tools applicable for wide use by wildlife agencies. Additionally, efforts to semi-automate models will facilitate access of technical scientific methods to broader users. We introduce software (<em>Habitat Risk</em>) designed to link a previously published epidemiological model with spatially referenced environmental and disease testing data to enable agency personnel to make up-to-date, localized, data-driven predictions regarding the odds of CWD detection in surrounding areas after an outbreak is discovered. <em>Habitat Risk</em> requires pre-processing publicly available environmental datasets and standardization of disease testing (surveillance) data, after which an autonomous computational workflow terminates in a user interface that displays an interactive map of disease risk. We demonstrated the use of the <em>Habitat Risk</em> software with surveillance data of white-tailed deer from Tennessee, USA.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100650"},"PeriodicalIF":3.4,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877584524000170/pdfft?md5=96dd911de16a4c27fc0d85c91dd0d6fe&pid=1-s2.0-S1877584524000170-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140555243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Restricted spatial models for the analysis of geographic and racial disparities in the incidence of low birthweight in Pennsylvania 用于分析宾夕法尼亚州出生体重不足发生率的地域和种族差异的限制性空间模型
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-03-23 DOI: 10.1016/j.sste.2024.100649
Guangzi Song , Loni Philip Tabb , Harrison Quick
{"title":"Restricted spatial models for the analysis of geographic and racial disparities in the incidence of low birthweight in Pennsylvania","authors":"Guangzi Song ,&nbsp;Loni Philip Tabb ,&nbsp;Harrison Quick","doi":"10.1016/j.sste.2024.100649","DOIUrl":"10.1016/j.sste.2024.100649","url":null,"abstract":"<div><p>The incidence of low birthweight is a common measure of public health due to the increased risk of complications associated with infants having low and very low birthweights. Moreover, many factors that increase the risk of an infant having a low birthweight can be linked to the mother’s socioeconomic status, leading to large racial/ethnic disparities in its incidence. Our objective is thus to analyze the incidence of low and very low birthweight in Pennsylvania counties by race/ethnicity. Due to the small number of births in many Pennsylvania counties when stratified by race/ethnicity, our methods must walk a fine line: While we wish to leverage spatial structure to improve the precision of our estimates, we also wish to avoid oversmoothing the data, which can yield spurious conclusions. As such, we develop a framework by which we can measure (and control) the informativeness of our spatial model. To analyze the data, we first model the Pennsylvania birth data using the conditional autoregressive model to demonstrate the extent to which it can lead to oversmoothing. We then reanalyze the data using our proposed framework and highlight its ability to detect (or not detect) evidence of racial/ethnic disparities in the incidence of low birthweight.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100649"},"PeriodicalIF":3.4,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The complex link between socioeconomic deprivation and COVID-19. Evidence from small areas of Catalonia 社会经济贫困与 COVID-19 之间的复杂联系。来自加泰罗尼亚小地区的证据
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-03-18 DOI: 10.1016/j.sste.2024.100648
Enrique López-Bazo
{"title":"The complex link between socioeconomic deprivation and COVID-19. Evidence from small areas of Catalonia","authors":"Enrique López-Bazo","doi":"10.1016/j.sste.2024.100648","DOIUrl":"10.1016/j.sste.2024.100648","url":null,"abstract":"<div><p>This ecological study assesses the association between the incidence rate of COVID-19 confirmed cases and socioeconomic deprivation in the Catalan small areas for the first six waves of the pandemic. The association is estimated using Poisson regressions and, in contrast to previous studies, considering that the relationship is not linear but rather depends on the degree of deprivation. The results show that the association between deprivation and incidence varied between waves, not only in intensity but also in its sign. Although it was insignificant in the first, third and fourth waves, the association was positive and significant in the second, becoming significantly negative in the fifth and sixth waves. Interestingly, the evidence suggests that the link between both magnitudes was not homogeneous throughout the distribution of deprivation, the pattern also varying between waves. The results are discussed in view of the role of non-pharmacological interventions and vaccination, as well as potential biases (for example that associated with differences between population groups in the propensity to be tested in each wave).</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100648"},"PeriodicalIF":3.4,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877584524000157/pdfft?md5=009e9437b68e204ea4e4ef2c19b9d541&pid=1-s2.0-S1877584524000157-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140197141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prediction of the size and spatial distribution of free-roaming dog populations in urban areas of Nepal 预测尼泊尔城市地区自由放养狗群的规模和空间分布
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-03-12 DOI: 10.1016/j.sste.2024.100647
Sarah Tavlian , Mark A. Stevenson , Barbara Webb , Khageshwaar Sharma , Jim Pearson , Andrea Britton , Caitlin N. Pfeiffer
{"title":"Prediction of the size and spatial distribution of free-roaming dog populations in urban areas of Nepal","authors":"Sarah Tavlian ,&nbsp;Mark A. Stevenson ,&nbsp;Barbara Webb ,&nbsp;Khageshwaar Sharma ,&nbsp;Jim Pearson ,&nbsp;Andrea Britton ,&nbsp;Caitlin N. Pfeiffer","doi":"10.1016/j.sste.2024.100647","DOIUrl":"10.1016/j.sste.2024.100647","url":null,"abstract":"<div><p>A factor constraining the elimination of dog-mediated human rabies is limited information on the size and spatial distribution of free-roaming dog populations (FRDPs). The aim of this study was to develop a statistical model to predict the size of free-roaming dog populations and the spatial distribution of free-roaming dogs in urban areas of Nepal, based on real-world dog census data from the Himalayan Animal Rescue Trust (HART) and Animal Nepal. Candidate explanatory variables included proximity to roads, building density, specific building types, human population density and normalised difference vegetation index (NDVI). A multivariable Poisson point process model was developed to estimate dog population size in four study locations in urban Nepal, with building density and distance from nearest retail food establishment or lodgings as explanatory variables. The proposed model accurately predicted, within a 95 % confidence interval, the surveyed FRDP size and spatial distribution for all four study locations. This model is proposed for further testing and refinement in other locations as a decision-support tool alongside observational dog population size estimates, to inform dog health and public health initiatives including rabies elimination efforts to support the ‘zero by 30′ global mission.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100647"},"PeriodicalIF":3.4,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877584524000145/pdfft?md5=366670866d5c699f5b8990eb65839b3e&pid=1-s2.0-S1877584524000145-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140154935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Residuals in space: Potential pitfalls and applications from single-institution survival analysis 空间残差:单一机构生存分析的潜在陷阱和应用
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-03-02 DOI: 10.1016/j.sste.2024.100646
Sophia D. Arabadjis, Stuart H. Sweeney
{"title":"Residuals in space: Potential pitfalls and applications from single-institution survival analysis","authors":"Sophia D. Arabadjis,&nbsp;Stuart H. Sweeney","doi":"10.1016/j.sste.2024.100646","DOIUrl":"10.1016/j.sste.2024.100646","url":null,"abstract":"<div><p>In practice, survival analyses appear in pharmaceutical testing, procedural recovery environments, and registry-based epidemiological studies, each reasonably assuming a known patient population. Less commonly discussed is the additional complexity introduced by non-registry and spatially-referenced data with time-dependent covariates in observational settings. In this short report we discuss residual diagnostics and interpretation from an extended Cox proportional hazard model intended to assess the effects of wildfire evacuation on risk of a secondary cardiovascular events for patients of a specific healthcare system on the California’s central coast. We describe how traditional residuals obscure important spatial patterns indicative of true geographical variation, and their impacts on model parameter estimates. We briefly discuss alternative approaches to dealing with spatial correlation in the context of Bayesian hierarchical models. Our findings/experience suggest that careful attention is needed in observational healthcare data and survival analysis contexts, but also highlights potential applications for detecting observed hospital service areas.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100646"},"PeriodicalIF":3.4,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877584524000133/pdfft?md5=187718cf09593783fdc63ce47348fb41&pid=1-s2.0-S1877584524000133-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140070562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
JAGS model specification for spatiotemporal epidemiological modelling 用于时空流行病学建模的 JAGS 模型规范
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-02-28 DOI: 10.1016/j.sste.2024.100645
Dinah Jane Lope, Haydar Demirhan
{"title":"JAGS model specification for spatiotemporal epidemiological modelling","authors":"Dinah Jane Lope,&nbsp;Haydar Demirhan","doi":"10.1016/j.sste.2024.100645","DOIUrl":"https://doi.org/10.1016/j.sste.2024.100645","url":null,"abstract":"<div><p>Bayesian inference in modelling infectious diseases using Bayesian inference using Gibbs Sampling (<span>BUGS</span>) is notable in the last two decades in parallel with the advancements in computing and model development. The ability of <span>BUGS</span> to easily implement the Markov chain Monte Carlo (MCMC) method brought Bayesian analysis to the mainstream of infectious disease modelling. However, with the existing software that runs MCMC to make Bayesian inferences, it is challenging, especially in terms of computational complexity, when infectious disease models become more complex with spatial and temporal components, in addition to the increasing number of parameters and large datasets. This study investigates two alternative subscripting strategies for creating models in Just Another Gibbs Sampler (<span>JAGS</span>) environment and their performance in terms of run times. Our results are useful for practitioners to ensure the efficiency and timely implementation of Bayesian spatiotemporal infectious disease modelling.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100645"},"PeriodicalIF":3.4,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877584524000121/pdfft?md5=377cf61a1a26199f88493cbb44914a46&pid=1-s2.0-S1877584524000121-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140016358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modelling the spatial risk pattern of dementia in Denmark using residential location data: A registry-based national cohort 利用居住地数据模拟丹麦痴呆症的空间风险模式:基于登记的全国队列
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-02-09 DOI: 10.1016/j.sste.2024.100643
Prince M. Amegbor , Clive E. Sabel , Laust H. Mortensen , Amar J. Mehta
{"title":"Modelling the spatial risk pattern of dementia in Denmark using residential location data: A registry-based national cohort","authors":"Prince M. Amegbor ,&nbsp;Clive E. Sabel ,&nbsp;Laust H. Mortensen ,&nbsp;Amar J. Mehta","doi":"10.1016/j.sste.2024.100643","DOIUrl":"https://doi.org/10.1016/j.sste.2024.100643","url":null,"abstract":"<div><p>Dementia is a major global public health concern that is increasingly leading to morbidity and mortality among older adults. While studies have focused on the risk factors and care provision, there is currently limited knowledge about the spatial risk pattern of the disease. In this study, we employ Bayesian spatial modelling with a stochastic partial differential equation (SPDE) approach to model the spatial risk using complete residential history data from the Danish population and health registers. The study cohort consisted of 1.6 million people aged 65 years and above from 2005 to 2018. The results of the spatial risk map indicate high-risk areas in Copenhagen, southern Jutland and Funen. Individual socioeconomic factors and population density reduce the intensity of high-risk patterns across Denmark. The findings of this study call for the critical examination of the contribution of place of residence in the susceptibility of the global ageing population to dementia.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100643"},"PeriodicalIF":3.4,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139737907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaemia prevalence and socio-demographic factors among women of reproductive age (WRA): A geospatial analysis of empowered action group (EAG) states in India "育龄妇女(WRA)中的贫血患病率和社会人口因素:印度赋权行动小组(EAG)各邦的地理空间分析"
IF 3.4
Spatial and Spatio-Temporal Epidemiology Pub Date : 2024-02-09 DOI: 10.1016/j.sste.2024.100644
Manabindra Barman
{"title":"Anaemia prevalence and socio-demographic factors among women of reproductive age (WRA): A geospatial analysis of empowered action group (EAG) states in India","authors":"Manabindra Barman","doi":"10.1016/j.sste.2024.100644","DOIUrl":"10.1016/j.sste.2024.100644","url":null,"abstract":"<div><p>Anaemia remains a major nutritional-related health concern for women under reproductive age (WRA) in developing nations like India as well as the Indian EAG states. According to NFHS round-5, EAG states constitute 57% of WRA having any form of anaemia, higher than many other states of India and other developed and developing nations. This study aimed to assess the frequency of anaemia among the WRA in India's eight EAG states. Also, it attempts to analyse the causes associated with anaemia by the women's background characteristics with spatial correlation with its co-variates across 291 districts of the EAG states. One of the most current Demographic and Health Survey's (DHS) cross-sectional data is the NFHS-5th (2019–21) round taken, conducted by the IIPS under the administration of MoHFW, India. This study only included 315,069 women under reproductive age (WRA). The variables related to anaemia among women's (WRA) background socio-demographic characteristics were assessed using bivariate statistics and multinominal logistic regression analysis to comprehend the spatial correlation between women and their determinant factors. Among the EAG states, the overall prevalence of anaemia was 57%, varying from 42.6% in Uttarakhand to 65.3% in Jharkhand. Multinominal logistic regression analyses reveal that the chances of anaemia are remarkably more prevalent in younger women (15–19 years of age), women living in rural areas, no educated and primary level educated women, women belonging to the middle to poorest wealth quintile, women no longer living together, women of the Christian religion, women who are not exposed to reading newspapers, underweight BMI women, and scheduled tribe women. Mainly, the prevalence is observed in the North-eastern and southeastern states of Bihar, Jharkhand, Odisha, Chhattisgarh, some parts of Madhya Pradesh, Uttar Pradesh, and Rajasthan, which is shown by the hotspot map. According to the findings of this study, numerous factors like family, socioeconomic, educational, awareness, and individual characteristics such as caste and domicile all lead to a risk of anaemia. The WRA suffers from anaemia as a result of their socioeconomic background and awareness, which leads to a lack of nourishment, and they seek nutrient deficiencies. To overcome this anaemia, multiple discipline policies and initiatives need to be taken targeting women's wellness and nutritional status by increasing women's education and socioeconomic status.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"49 ","pages":"Article 100644"},"PeriodicalIF":3.4,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139883098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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