Geospatial Health最新文献

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Spatial association and modelling of under-5 mortality in Thailand, 2020. 2020年泰国5岁以下儿童死亡率的空间关联和建模。
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-08-31 DOI: 10.4081/gh.2023.1220
Suparerk Suerungruang, Kittipong Sornlorm, Wongsa Laohasiriwong, Roshan Kumar Mahato
{"title":"Spatial association and modelling of under-5 mortality in Thailand, 2020.","authors":"Suparerk Suerungruang,&nbsp;Kittipong Sornlorm,&nbsp;Wongsa Laohasiriwong,&nbsp;Roshan Kumar Mahato","doi":"10.4081/gh.2023.1220","DOIUrl":"https://doi.org/10.4081/gh.2023.1220","url":null,"abstract":"<p><p>Under-5 mortality rate (U5MR) is a key indicator of child health and overall development. In Thailand, despite significant steps made in child health, disparities in U5MR persist across different provinces. We examined various socio-economic variables, health service availability and environmental factors impacting U5MR in Thailand to model their influences through spatial analysis. Global and Local Moran's I statistics for spatial autocorrelation of U5MR and its related factors were used on secondary data from the Ministry of Public Health, National Centers for Environmental Information, National Statistical Office, and the Office of the National Economic and Social Development Council in Thailand. The relationships between U5MR and these factors were modelled using ordinary least squares (OLS) estimation, spatial lag model (SLM) and spatial error model (SEM). There were significant spatial disparities in U5MR across Thailand. Factors such as low birth weight, unemployment rate, and proportion of land use for agricultural purposes exhibited significant positive spatial autocorrelation, directly influencing U5MR, while average years of education, community organizations, number of beds for inpatients per 1,000 population, and exclusive breastfeeding practices acted as protective factors against U5MR (R2 of SEM = 0.588).The findings underscore the need for comprehensive, multi-sectoral strategies to address the U5MR disparities in Thailand. Policy interventions should consider improving socioeconomic conditions, healthcare quality, health accessibility, and environmental health in high U5M areas. Overall, this study provides valuable insights into the spatial distribution of U5MR and its associated factors, which highlights the need for tailored and localized health policies and interventions.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction. Spatial cluster analysis of COVID-19 in Malaysia (Mar-Sep, 2020). 修正。2020年3 - 9月马来西亚新冠肺炎疫情空间聚类分析
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-08-01 DOI: 10.4081/gh.2023.1233
The Publisher
{"title":"Correction. <i>Spatial cluster analysis of COVID-19 in Malaysia (Mar-Sep, 2020)</i>.","authors":"The Publisher","doi":"10.4081/gh.2023.1233","DOIUrl":"https://doi.org/10.4081/gh.2023.1233","url":null,"abstract":"<p><p>In the Article titled \"Spatial cluster analysis of COVID-19 in Malaysia (Mar-Sep, 2020).\" published May 5th, 2021, in Vol. 16(1) of Geospatial Health, an author's name was misspelled. The seventh author's name should be \"Alamgir\".   Reference: Ullah S, Mohd Nor NH, Daud H, Zainuddin N, Gandapur MS J, Ali I, Khalil A, 2021. Spatial cluster analysis of COVID-19 in Malaysia (Mar-Sep, 2020). Geospatial Health, 16:961. https://doi.org/10.4081/gh.2021.961.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction. Detecting space-time disease clusters with arbitrary shapes and sizes using a co-clustering approach.. 修正。利用共聚类方法检测任意形状和大小的时空疾病簇
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-08-01 DOI: 10.4081/gh.2023.1232
The Publisher
{"title":"Correction. <i>Detecting space-time disease clusters with arbitrary shapes and sizes using a co-clustering approach.</i>.","authors":"The Publisher","doi":"10.4081/gh.2023.1232","DOIUrl":"https://doi.org/10.4081/gh.2023.1232","url":null,"abstract":"<p><p>In the Article titled \"Detecting space-time disease clusters with arbitrary shapes and sizes using a co-clustering approach.\" published November 6th, 2017, in Vol 12(2) of Geospatial Health, an author's name was misspelled. The fifth author's name should be \"Alamgir\". Reference: Ullah S, Daud H, Dass SC, Khan HN, Khalil A, 2017. Detecting space-time disease clusters with arbitrary shapes and sizes using a co-clustering approach. Geospatial Health, 12:567. https://doi.org/10.4081/gh.2017.567.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geospatial analysis in the United States reveals the changing roles of temperature on COVID-19 transmission. 美国的地理空间分析揭示了温度在COVID-19传播中的作用变化。
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-07-20 DOI: 10.4081/gh.2023.1213
Ruiwen Xiong, Xiaolong Li
{"title":"Geospatial analysis in the United States reveals the changing roles of temperature on COVID-19 transmission.","authors":"Ruiwen Xiong,&nbsp;Xiaolong Li","doi":"10.4081/gh.2023.1213","DOIUrl":"https://doi.org/10.4081/gh.2023.1213","url":null,"abstract":"<p><p>Environmental factors are known to affect outbreak patterns of infectious disease, but their impacts on the spread of COVID-19 along with the evolution of this relationship over time intervals and in different regions are unclear. This study utilized 3 years of data on COVID-19 cases in the continental United States from 2020 to 2022 and the corresponding weather data. We used regression analysis to investigate weather impacts on COVID-19 spread in the mainland United States and estimate the changes of these impacts over space and time. Temperature exhibited a significant and moderately strong negative correlation for most of the US while relative humidity and precipitation experienced mixed relationships. By regressing temperature factors with the spreading rate of waves, we found temperature change can explain over 20% of the spatial-temporal variation in the COVID-19 spreading, with a significant and negative response between temperature change and spreading rate. The pandemic in the continental United States during 2020-2022 was characterized by seven waves, with different transmission rates and wave peaks concentrated in seven time periods. When repeating the analysis for waves in the seven periods and nine climate zones, we found temperature impacts evolve over time and space, possibly due to virus mutation, changes in population susceptibility, social behavior, and control measures. Temperature impacts became weaker in 6 of 9 climate zones from the beginning of the epidemic to the end of 2022, suggesting that COVID-19 has increasingly adapted to wider weather conditions.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Where to place emergency ambulance vehicles: use of a capacitated maximum covering location model with real call data. 在何处放置紧急救护车辆:使用具有真实呼叫数据的可容最大覆盖位置模型。
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-07-20 DOI: 10.4081/gh.2023.1198
Soheil Hashtarkhani, Stephen A Matthews, Ping Yin, Alireza Mohammadi, Shahab MohammadEbrahimi, Mahmood Tara, Behzad Kiani
{"title":"Where to place emergency ambulance vehicles: use of a capacitated maximum covering location model with real call data.","authors":"Soheil Hashtarkhani,&nbsp;Stephen A Matthews,&nbsp;Ping Yin,&nbsp;Alireza Mohammadi,&nbsp;Shahab MohammadEbrahimi,&nbsp;Mahmood Tara,&nbsp;Behzad Kiani","doi":"10.4081/gh.2023.1198","DOIUrl":"https://doi.org/10.4081/gh.2023.1198","url":null,"abstract":"<p><p>This study integrates geographical information systems (GIS) with a mathematical optimization technique to enhance emergency medical services (EMS) coverage in a county in the northeast of Iran. EMS demand locations were determined through one-year EMS call data analysis. We formulated a maximal covering location problem (MCLP) as a mixed-integer linear programming model with a capacity threshold for vehicles using the CPLEX optimizer, an optimization software package from IBM. To ensure applicability to the EMS setting, we incorporated a constraint that maintains an acceptable level of service for all EMS calls. Specifically, we implemented two scenarios: a relocation model for existing ambulances and an allocation model for new ambulances, both using a list of candidate locations. The relocation model increased the proportion of calls within the 5-minute coverage standard from 69% to 75%. With the allocation model, we found that the coverage proportion could rise to 84% of total calls by adding ten vehicles and eight new stations. The incorporation of GIS techniques into optimization modelling holds promise for the efficient management of scarce healthcare resources, particularly in situations where time is of the essence.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of socioeconomic indicators with COVID-19 mortality in Brazil: a population-based ecological study. 巴西社会经济指标与 COVID-19 死亡率的关系:一项基于人口的生态研究。
IF 1 4区 医学
Geospatial Health Pub Date : 2023-07-13 DOI: 10.4081/gh.2023.1206
João Batista Cavalcante Filho, Marco Aurélio de Oliveira Góes, Damião da Conceição Araújo, Marcus Valerius da Silva Peixoto, Marco Antônio Prado Nunes
{"title":"Association of socioeconomic indicators with COVID-19 mortality in Brazil: a population-based ecological study.","authors":"João Batista Cavalcante Filho, Marco Aurélio de Oliveira Góes, Damião da Conceição Araújo, Marcus Valerius da Silva Peixoto, Marco Antônio Prado Nunes","doi":"10.4081/gh.2023.1206","DOIUrl":"10.4081/gh.2023.1206","url":null,"abstract":"<p><p>The article presents an analysis of the spatial distribution of mortality from COVID-19 and its association with socioeconomic indicators in the north-eastern region of Brazil - an area particularly vulnerable with regard to these indicators. This populationbased ecology study was carried out at the municipal level in the years 2020 and 2021, with analyses performed by spatial autocorrelation, multiple linear regression and spatial autoregressive models. The results showed that mortality from COVID-19 in this part of Brazil was higher in the most populous cities with better socioeconomic indicators. Factors such as the onset of the COVID-19 pandemic in large cities, the agglomerations existing within them, the pressure to maintain economic activities and mistakes in the management of the pandemic by the Brazilian federal Government were part of the complex scenario related to the spread of COVID-19 in the country and this study was undertaken in an attempt to understand this situation. Analysing the different scenarios is essential to face the challenges posed by the pandemic to the world's health systems.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatiotemporal distribution and geostatistically interpolated mapping of the melioidosis risk in an endemic zone in Thailand. 泰国某流行区类鼻疽病风险的时空分布和地理统计插值图。
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-07-05 DOI: 10.4081/gh.2023.1189
Jaruwan Wongbutdee, Jutharat Jittimanee, Wacharapong Saengnill
{"title":"Spatiotemporal distribution and geostatistically interpolated mapping of the melioidosis risk in an endemic zone in Thailand.","authors":"Jaruwan Wongbutdee,&nbsp;Jutharat Jittimanee,&nbsp;Wacharapong Saengnill","doi":"10.4081/gh.2023.1189","DOIUrl":"https://doi.org/10.4081/gh.2023.1189","url":null,"abstract":"<p><p>Melioidosis, a bacterial, infectious disease contracted from contaminated soil or water, is a public health problem identified in tropical regions and endemic several regions of Thailand. Surveillance and prevention are important for determining its distribution patterns and mapping its risk, which have been analysed in the present study. Case reports in Thailand were collected from 1 January 2016 to 31 December 2020. Spatial autocorrelation was analyzed using Moran's I and univariate local Moran's I. Spatial point data of melioidosis incidence were calculated, with riskmapping interpolation performed by Kriging. It was highest in 2016, at 32.37 cases per 100,000 people, and lowest in 2020, at 10.83 cases per 100,000 people. General observations revealed that its incidence decreased slightly from 2016 to 2018 and drastically in 2019 and 2020. The Moran's I values for melioidosis incidence exhibited a random spatial pattern in 2016 and clustered distribution from 2017 to 2020. The risk and variance maps show interval values. These findings may contribute to the monitoring and surveillance of melioidosis outbreaks.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacts of sample ratio and size on the performance of random forest model to predict the potential distribution of snail habitats. 样本比例和大小对随机森林模型预测蜗牛生境潜在分布性能的影响。
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-07-03 DOI: 10.4081/gh.2023.1151
Yuanhua Liu, Jun Zhang, Michael P Ward, Wei Tu, Lili Yu, Jin Shi, Yi Hu, Fenghua Gao, Zhiguo Cao, Zhijie Zhang
{"title":"Impacts of sample ratio and size on the performance of random forest model to predict the potential distribution of snail habitats.","authors":"Yuanhua Liu,&nbsp;Jun Zhang,&nbsp;Michael P Ward,&nbsp;Wei Tu,&nbsp;Lili Yu,&nbsp;Jin Shi,&nbsp;Yi Hu,&nbsp;Fenghua Gao,&nbsp;Zhiguo Cao,&nbsp;Zhijie Zhang","doi":"10.4081/gh.2023.1151","DOIUrl":"https://doi.org/10.4081/gh.2023.1151","url":null,"abstract":"<p><p>Few studies have considered the impacts of sample size and sample ratio of presence and absence points on the results of random forest (RF) testing. We applied this technique for the prediction of the spatial distribution of snail habitats based on a total of 15,000 sample points (5,000 presence samples and 10,000 control points). RF models were built using seven different sample ratios (1:1, 1:2, 1:3, 1:4, 2:1, 3:1, and 4:1) and the optimal ratio was identified via the Area Under the Curve (AUC) statistic. The impact of sample size was compared by RF models under the optimal ratio and the optimal sample size. When the sample size was small, the sampling ratios of 1:1, 1:2 and 1:3 were significantly better than the sample ratios of 4:1 and 3:1 at all four levels of sample sizes (p<0.01) and there was no significant difference among the ratios of 1:1, 1:2 and 1:3 (p>0.05). The sample ratio of 1:2 appeared to be optimal for a relatively large sample size with the lowest quartile deviation. In addition, increasing the sample size produced a higher AUC and a smaller slope and the most suitable sample size found in this study was 2400 (AUC=0.96). This study provides a feasible idea to select an appropriate sample size and sample ratio for ecological niche modelling (ENM) and also provides a scientific basis for the selection of samples to accurately identify and predict snail habitat distributions.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing allocation of colorectal cancer screening hospitals in Shanghai: a geospatial analysis. 上海市结直肠癌筛查医院优化配置的地理空间分析
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-07-03 DOI: 10.4081/gh.2023.1152
Jiaqi Huang, Yichen Chen, Gu Liu, Wei Tu, Robert Bergquist, Michael P Ward, Jun Zhang, Shuang Xiao, Jie Hong, Zheng Zhao, Xiaopan Li, Zhijie Zhang
{"title":"Optimizing allocation of colorectal cancer screening hospitals in Shanghai: a geospatial analysis.","authors":"Jiaqi Huang,&nbsp;Yichen Chen,&nbsp;Gu Liu,&nbsp;Wei Tu,&nbsp;Robert Bergquist,&nbsp;Michael P Ward,&nbsp;Jun Zhang,&nbsp;Shuang Xiao,&nbsp;Jie Hong,&nbsp;Zheng Zhao,&nbsp;Xiaopan Li,&nbsp;Zhijie Zhang","doi":"10.4081/gh.2023.1152","DOIUrl":"https://doi.org/10.4081/gh.2023.1152","url":null,"abstract":"<p><p>Screening programmes are important for early diagnosis and treatment of colorectal cancer (CRC) but they are not equally efficient in all locations. Depending on which hospital people belong to, they often are not willing to follow up even after a positive result, resulting in a lower-than-expected overall detection rate. Improved allocation of health resources would increase the program's efficiency and assist hospital accessibility. A target population exceeding 70,000 people and 18 local hospitals were included in the investigation of an optimization plan based on a locationallocation model. We calculated the hospital service areas and the accessibility for people in communities to CRC-screening hospitals using the Huff Model and the Two-Step Floating Catchment Area (2SFCA) approach. We found that only 28.2% of the residents with initially a positive screening result had chosen followup with colonoscopy and significant geographical differences in spatial accessibility to healthcare services indeed exist. The lowest accessibility was found in the Southeast, including the Zhangjiang, Jichang and Laogang communities with the best accessibility mainly distributed near the city centre of Lujiazui; the latter also had relatively a high level of what is called \"ineffective screening\" as it represents wasteful resource allocation. It is recommended that Hudong Hospital should be chosen instead of Punan Hospital as the optimization, which can improve the service population of each hospital and the populations served per colonoscope. Based on our results, changes in hospital configuration in colorectal cancer screening programme are needed to achieve adequate population coverage and equitable facility accessibility. Planning of medical services should be based on the spatial distribution trends of the population served.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal and spatial analyses of colorectal cancer incidence in Yogyakarta, Indonesia: a cross-sectional study. 印度尼西亚日惹市结直肠癌发病率的时空分析:一项横断面研究。
IF 1.7 4区 医学
Geospatial Health Pub Date : 2023-05-25 DOI: 10.4081/gh.2023.1186
Juan Adrian Wiranata, Herindita Puspitaningtyas, Susanna Hilda Hutajulu, Jajah Fachiroh, Nungki Anggorowati, Guardian Yoki Sanjaya, Lutfan Lazuardi, Patumrat Sripan
{"title":"Temporal and spatial analyses of colorectal cancer incidence in Yogyakarta, Indonesia: a cross-sectional study.","authors":"Juan Adrian Wiranata,&nbsp;Herindita Puspitaningtyas,&nbsp;Susanna Hilda Hutajulu,&nbsp;Jajah Fachiroh,&nbsp;Nungki Anggorowati,&nbsp;Guardian Yoki Sanjaya,&nbsp;Lutfan Lazuardi,&nbsp;Patumrat Sripan","doi":"10.4081/gh.2023.1186","DOIUrl":"https://doi.org/10.4081/gh.2023.1186","url":null,"abstract":"<p><p>We aimed to explore the district-level temporal dynamics and sub-district level geographical variations of colorectal cancer (CRC) incidence in the Special Region of Yogyakarta Province. We performed a cross-sectional study using data from the Yogyakarta population-based cancer registry (PBCR) comprised of 1,593 CRC cases diagnosed in 2008-2019. The age-standardized rates (ASRs) were determined using 2014 population data. The temporal trend and geographical distribution of cases were analysed using joinpoint regression and Moran's I statistics. During 2008-2019, CRC incidence increased by 13.44% annually. Joinpoints were identified in 2014 and 2017, which were also the periods when annual percentage change (APC) was the highest throughout the observation periods (18.84). Significant APC changes were observed in all districts, with the highest in Kota Yogyakarta (15.57). The ASR of CRC incidence per 100,000 person- years was 7.03 in Sleman, 9.20 in Kota Yogyakarta, and 7.07 in Bantul district. We found a regional variation of CRC ASR with a concentrated pattern of hotspots in the central sub-districts of the catchment areas and a significant positive spatial autocorrelation of CRC incidence rates in the province (I=0.581, p<0.001). The analysis identified four high-high clusters sub-districts in the central catchment areas. This is the first Indonesian study reported from PBCR data, showing an increased annual CRC incidence during an extensive observation period in the Yogyakarta region. A heterogeneous distribution map of CRC incidence is included. These findings may serve as basis for CRC screening implementation and healthcare services improvement.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9932353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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