巴西圣埃斯皮里图州与基孔肯雅病相关的空间和人口因素分析。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-23 DOI:10.1093/trstmh/trae019

Marcus Vinicius Salvador Clipes, Creuza Rachel Vicente, Theresa Cristina Cardoso da Silva, Lilyan Correia Resende, C. Cerutti Junior

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引用次数: 0

摘要

背景基孔肯雅病毒（CHIK）于 2014 年在巴西出现，自那时以来已观察到多次流行。本研究旨在描述圣埃斯皮里图州感染 CHIK 的个人的空间、社会和人口特征。方法利用 2018 年至 2020 年巴西圣埃斯皮里图州确诊 CHIK 的个人数据进行了横断面研究。计算了月发病率，并绘制了年度空间分布图。使用χ2检验进行统计分析，确定了疾病发生与社会人口变量之间的关联。结果在分析的时期和地区内，2020年发生了CHIK流行病，发病率为每10万居民219.8例。圣埃斯皮里图州南部和中部地区的发病风险是其他疫区的五倍。女性（几率比[OR] 1.65 [95% 置信区间{CI} 1.58 至 1.72]）、黑人（OR 1.22 [95% CI 1.13 至 1.33]）、教育程度≤11 年者（OR 1.48 [95% CI 1.37 至 1.61]）和老年人（OR 7.49 [95% CI 6.53 至 8.59]）的患病风险更高。2020 年，圣埃斯皮里图州爆发了大规模疫情，这可能是由于邻近各州爆发了疫情。考虑到该疾病的潜在发病率，在医疗保健中应优先考虑高危人群。

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Analysis of spatial and demographic factors associated with chikungunya in Espírito Santo state, Brazil.

BACKGROUND Chikungunya (CHIK) emerged in Brazil in 2014 and since then several epidemics have been observed. This study aims to describe the spatial, social and demographic characteristics of individuals affected by CHIK in Espírito Santo state. METHODS A cross-sectional study was performed using data from individuals with a confirmed diagnosis of CHIK in Espírito Santo state, Brazil, from 2018 to 2020. Monthly incidence was calculated and annual spatial distribution maps were constructed. Statistical analysis using the χ2 test identified associations between disease occurrence and sociodemographic variables. RESULTS In the period and area analysed, a CHIK epidemic occurred in 2020, with an incidence of 219.8 cases per 100 000 inhabitants. The southern and central regions of Espirito Santo state harboured a risk five times greater than the others in the epidemic region. Females (odds ratio [OR] 1.65 [95% confidence interval {CI} 1.58 to 1.72]), black people (OR 1.22 [95% CI 1.13 to 1.33]), individuals with ≤11 y of education (OR 1.48 [95% CI 1.37 to 1.61]) and the elderly (OR 7.49 [95% CI 6.53 to 8.59]) had a greater risk for the disease. CONCLUSIONS CHIK stands as an emerging public health problem in Brazil since its introduction in 2014. Espírito Santo suffered a substantial epidemic in 2020, possibly due to outbreaks in neighbouring states. The population at risk should be prioritized in healthcare, considering the morbidity potential of the disease.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.