制定加勒比地区贫困传染病空间脆弱性指数的研究议定书。

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Action Pub Date : 2025-12-01 Epub Date: 2025-02-11 DOI:10.1080/16549716.2025.2461867
Behzad Kiani, Beatris Mario Martin, Angela Cadavid Restrepo, Helen J Mayfield, Eloise Skinner, Ana Karina Maldonado Alcaíno, Eric J Nilles, Colleen L Lau, Benn Sartorius
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引用次数: 0

摘要

贫困传染病对资源有限和边缘化人群的影响尤为严重,导致不同地理区域的脆弱性空间格局。目前,还没有空间指数可以在国家(如市或省)的精细地理层面上量化易受IDoP影响的程度。如果没有这样一个指数,政策制定者就无法有效地在最脆弱的地区分配资源或采取有针对性的干预措施。本协议旨在指定一种方法学方法来测量IDoP脆弱性的空间变化。我们将利用多米尼加共和国(DR)的监测和血清流行率数据对这一方法学方法进行评估,作为为加勒比地区制定区域指数的更广泛努力的一部分。这项研究将由三个主要部分组成。第一个组成部分是通过范围审查,并辅以专家征求的意见,确定与加勒比区域境内发展中国家有关的有关因素。第二部分将使用模糊层次分析法来权衡上述因素,并利用开放数据和刚果民主共和国现有的全国调查,开发一个空间复合指数。最后一部分,我们将利用2021年全国实地研究和其他国家监测项目的血清患病率数据,通过分析刚果民主共和国至少三种IDoPs在细粒度市政一级的患病率,来评估和验证该指数。本研究开发的空间脆弱性指数框架将根据每个国家的数据可得性,评估不同地理尺度对IDoP的脆弱性程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A study protocol for developing a spatial vulnerability index for infectious diseases of poverty in the Caribbean region.

Infectious diseases of poverty (IDoP) affect disproportionately resource-limited and marginalized populations, resulting in spatial patterns of vulnerability across various geographical areas. Currently, no spatial indices exist to quantify vulnerability to IDoP at a fine geographical level within countries, such as municipalities or provinces. Without such an index, policymakers cannot effectively allocate resources or target interventions in the most vulnerable areas. This protocol aims to specify a methodological approach to measure spatial variation in vulnerability to IDoP. We will evaluate this methodological approach using surveillance and seroprevalence data from the Dominican Republic (DR) as part of a broader effort to develop a regional index for the Caribbean region. The study will consist of three main components. The first component involves identifying the relevant factors associated with IDoP in the Caribbean region through a scoping review, supplemented by expert-elicited opinion. The second component will apply a Fuzzy Analytic Hierarchy Process to weigh the aforementioned factors and develop a spatial composite index, using open data and available national surveys in the DR. In the final component, we will evaluate and validate the index by analysing the prevalence of at least three IDoPs at a fine-grained municipal level in the DR, using seroprevalence data from a 2021 national field study and other national surveillance programs. The spatial vulnerability index framework developed in this study will assess the degree of vulnerability to IDoP across different geographical scales, depending on data availability in each country.

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来源期刊
Global Health Action
Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.10
自引率
3.80%
发文量
108
审稿时长
16 weeks
期刊介绍: Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.
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