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圣保罗州结核病合并精神障碍病例的空间分析。

Spatial analysis of cases of Tuberculosis with Mental Disorders in São Paulo.

作者信息

Arroyo Luiz Arroyo Henrique, Arcoverde Marcos Augusto Moraes, Alves Josilene Dália, Fuentealba-Torres Miguel, Cartagena-Ramos Denisse, Scholze Alessandro Rolim, Ramos Antônio Carlos Vieira, Arcêncio Ricardo Alexandre

机构信息

Universidade de São Paulo, Escola de Enfermagemde Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

Universidade Estadual do Norte do Paraná. Jacarezinho, Paraná, Brasil.

出版信息

Rev Bras Enferm. 2019 Jun 27;72(3):654-662. doi: 10.1590/0034-7167-2017-0949.

Abstract

OBJECTIVE

To analyze the spatial distribution of Tuberculosis cases with Mental Disorders, identifying factors that determine its occurrence.

METHOD

Ecological study, conducted in the municipalities of São Paulo State. Secondary data were used, with the incidence of Tuberculosis and Mental Disorders as dependent variables in the years 2012 to 2015 and independent variables, socioeconomic, health and income transfer data. The Geographically Weighted Regression was applied in this study.

RESULTS

It was observed a distinct distribution between cases of Tuberculosis and Mental Disorders in the municipalities of São Paulo State. Among the explanatory factors, the Primary Care Coverage, population of freedom and income inequality were spatially associated with Mental Illness (R2= 0.12); Alcoholism (R2= 0.12) Illicit Drugs (R2= 0.50) and Smoking (R2= 0.50).

CONCLUSION / FINAL CONSIDERATIONS: The study advances in knowledge by evidencing the spatial distribution of cases of Tuberculosis and Mental Disorders, evidencing the determining factors for its occurrence in São Paulo State.

摘要

目的

分析合并精神障碍的结核病病例的空间分布情况,确定其发病的决定因素。

方法

在圣保罗州各城市开展生态研究。使用二手数据,将2012年至2015年结核病和精神障碍的发病率作为因变量,将社会经济、健康和收入转移数据作为自变量。本研究采用地理加权回归分析。

结果

观察到圣保罗州各城市结核病病例和精神障碍病例的分布存在差异。在解释因素中,初级保健覆盖率、自由人口和收入不平等与精神疾病(R2 = 0.12)、酗酒(R2 = 0.12)、非法药物使用(R2 = 0.50)和吸烟(R2 = 0.50)在空间上相关。

结论/最终思考:本研究通过揭示结核病和精神障碍病例的空间分布情况,推进了相关知识,明确了圣保罗州其发病的决定因素。

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