利用空间插补和连接点分析对俄克拉荷马州烟草热线注册进行时空分析。
Spatiotemporal Analysis of Oklahoma Tobacco Helpline Registrations Using Geoimputation and Joinpoint Analysis.
机构信息
Center for Spatial Analysis (Dr Dilekli) and Department of Geography and Environmental Sustainability (Drs Dilekli and Sabzi), The University of Oklahoma, Norman, Oklahoma; Department of Biostatistics and Epidemiology, Hudson College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Drs Janitz, Martinez, and Campbell and Mr Gopalani); and Oklahoma Area Tribal Epidemiology Center, Southern Plains Tribal Health Board, Oklahoma City, Oklahoma (Messrs Dougherty and Williams).
出版信息
J Public Health Manag Pract. 2019 Sep/Oct;25 Suppl 5, Tribal Epidemiology Centers: Advancing Public Health in Indian Country for Over 20 Years(Suppl 5 TRIBAL EPIDEMIOLOGY CENTERS ADVANCING PUBLIC HEALTH IN INDIAN COUNTRY FOR OVER 20 YEARS):S61-S69. doi: 10.1097/PHH.0000000000000996.
OBJECTIVE
Tobacco quitlines provide free smoking cessation telephone services to smokers interested in quitting tobacco. We aimed to explore spatial and temporal analyses of registrations to the Oklahoma Tobacco Helpline including those of any racial group and American Indians (AI) from January 1, 2006, to June 30, 2017. This will allow tribal and community organizations, such as the Oklahoma Tribal Epidemiology Center, to better implement and evaluate public health prevention efforts at a smaller geographic area using the larger geographic units that are publicly available.
DESIGN
Retrospective, descriptive study.
SETTING
Oklahoma.
PARTICIPANTS
Registrants to the Oklahoma Tobacco Helpline.
MAIN OUTCOME MEASURES
To evaluate the spatial distribution of Helpline participants using geoimputation methods and evaluate the presence of time trends measured through annual percent change (APC).
RESULTS
We observed increased density of participants in the major population centers, Oklahoma City and Tulsa. Density of AI registrations was higher in the rural areas of Oklahoma where there is a larger tribal presence compared with participants of any racial group. For all racial groups combined, we identified 3 significant trends increasing from July 2008 to March 2009 (APC: 10.9, 95% confidence interval [CI], 0.8-21.9), decreasing from March 2009 to May 2014 (APC: -0.8, 95% CI: -1.1 to -0.4), and increasing from May 2014 to June 2017 (APC: 0.8, 95% CI: 0.0-1.6). The number of AI registrations to the Helpline increased significantly from July 2008 to March 2009 (APC: 12.0, 95% CI: 2.0-22.9) and decreased from March 2009 to June 2014 (APC: -0.7, 95% CI: -1.0 to -0.3).
CONCLUSIONS
Results of this project will allow the Helpline to efficiently identify geographic areas to increase registrations and reduce commercial tobacco use among the AI population in Oklahoma through existing programs at the Oklahoma Tribal Epidemiology Center.
目的
戒烟热线为有意愿戒烟的吸烟者提供免费的戒烟电话服务。我们旨在探索俄克拉荷马州戒烟热线的注册者的时空分析，包括 2006 年 1 月 1 日至 2017 年 6 月 30 日期间任何种族和美洲印第安人（AI）的注册者。这将使部落和社区组织（如俄克拉荷马部落流行病学中心）能够使用更大的公共地理区域，在更小的地理区域内更好地实施和评估公共卫生预防工作。
设计
回顾性描述性研究。
地点
俄克拉荷马州。
参与者
俄克拉荷马州戒烟热线的注册者。
主要观察指标
使用地理插值方法评估热线参与者的空间分布，并通过年度百分比变化（APC）评估时间趋势的存在。
结果
我们观察到主要人口中心俄克拉荷马城和塔尔萨的参与者密度增加。与任何种族群体的参与者相比，俄克拉荷马州农村地区 AI 注册者的密度更高，那里有更多的部落存在。对于所有种族群体的组合，我们发现了从 2008 年 7 月到 2009 年 3 月增加的 3 个显著趋势（APC：10.9，95%置信区间[CI]，0.8-21.9），从 2009 年 3 月到 2014 年 5 月减少（APC：-0.8，95%CI：-1.1 至-0.4），以及从 2014 年 5 月到 2017 年 6 月增加（APC：0.8，95%CI：0.0-1.6）。从 2008 年 7 月到 2009 年 3 月，AI 热线注册者的数量显著增加（APC：12.0，95%CI：2.0-22.9），从 2009 年 3 月到 2014 年 6 月减少（APC：-0.7，95%CI：-1.0 至-0.3）。
结论
该项目的结果将使该热线能够通过俄克拉荷马部落流行病学中心现有的项目，有效地确定增加俄克拉荷马州 AI 人群注册者数量和减少商业烟草使用的地理区域。
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