2013年巴西帕拉州的社会剥夺指数与麻风病：空间分析
Social deprivation index and leprosy in Pará State, Brazil, in 2013: spatial analysis.
作者信息
Chaves Emanuele Cordeiro, Costa Samara Viana, Flores Rute Leila Dos Reis, Neves Eula Oliveira Santos das
机构信息
Secretaria Municipal de Saúde de Belém, Núcleo de Promoção à Saúde, Belém-PA, Brasil.
Secretaria Municipal de Saúde de Belém, Núcleo de Planejamento, Belém-PA, Brasil.
出版信息
Epidemiol Serv Saude. 2017 Oct-Dec;26(4):807-816. doi: 10.5123/S1679-49742017000400012.
OBJECTIVE
to analyze the ecological association between the condition of social deprivation and leprosy detection rate in Pará State, Brazil.
METHODS
cross-sectional ecological study with data from the Information System for Notifiable Diseases (Sinan); global and local bivariate Moran's factor analysis and autocorrelation were used to identify spatial patterns associated with the distribution of the social deprivation index (SDI) and leprosy detection rate (LDR).
RESULTS
in 2013, 3,358 new cases of leprosy were reported in Pará, with LDR of 41.98 cases/100,000 inhabitants; higher rates were observed in the municipalities of the Araguaia region; 17.5% of the 143 municipalities of the state were considered hyperendemic (LDR>40.00) and 30.8% presented poor SDI; there was spatial autocorrelation between LDR and SDI (p<0.05).
CONCLUSION
there was spatial association between SDI and LDR, with higher leprosy detection in the municipalities with higher social deprivation.
目的
分析巴西帕拉州社会剥夺状况与麻风病检出率之间的生态关联。
方法
采用横断面生态研究，数据来源于法定传染病信息系统（Sinan）；运用全局和局部双变量莫兰因子分析及自相关分析，以确定与社会剥夺指数（SDI）和麻风病检出率（LDR）分布相关的空间模式。
结果
2013年，帕拉州报告了3358例新麻风病病例，LDR为41.98例/10万居民；阿拉瓜亚地区各市的发病率较高；该州143个市中有17.5%被视为高度流行区（LDR>40.00），30.8%的市社会剥夺指数较低；LDR与SDI之间存在空间自相关（p<0.05）。
结论
SDI与LDR之间存在空间关联，社会剥夺程度较高的市麻风病检出率更高。
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