结核病与初级卫生保健网络的空间分析
Spatial analysis on tuberculosis and the network of primary health care.
作者信息
Leal Beatriz do Nascimento, Mesquita Cristal Ribeiro, Nogueira Laura Maria Vidal, Rodrigues Ivaneide Leal Ataide, Oliveira Lívia Félix de, Caldas Rosinelle Janayna Coelho
机构信息
Universidade do Estado do Pará. Belém, Pará, Brazil.
Instituto Evandro Chagas. Belém, Pará, Brazil.
出版信息
Rev Bras Enferm. 2019 Sep 16;72(5):1197-1202. doi: 10.1590/0034-7167-2017-0897.
OBJECTIVE
to analyze the spatial distribution of new cases of tuberculosis compared to the location of the Primary Healthcare Units that performed the compulsory notification.
METHOD
ecological study conducted in Belém, Pará, with 5,294 new cases of tuberculosis notified to Sistema de Informação de Agravos de Notificação for the period from 2010 to 2014. The cases were georeferenced using the software applications ArcGis 10.2 and TerraView 4.2.2. The techniques of Kernel density and global Moran geostatistics were used.
RESULTS
the incidence of tuberculosis cases did not vary significantly between the years studied, however there was a variation in incidence between neighborhoods. Health units that exhibited higher number of notifications can suffer great influence of migration from nearby neighborhoods.
CONCLUSION
the spatial dynamics of tuberculosis associated with health services allows to know the areas with increased risk of tuberculosis and the density of notifications of health units.
目的
将结核病新发病例的空间分布与进行强制通报的初级卫生保健单位的位置进行比较分析。
方法
在帕拉州贝伦市进行的生态研究，研究对象为2010年至2014年期间向疾病通报信息系统通报的5294例结核病新发病例。使用ArcGis 10.2和TerraView 4.2.2软件应用程序对病例进行地理定位。采用核密度和全局莫兰地统计学技术。
结果
在所研究的年份之间，结核病病例的发病率没有显著差异，但是不同社区之间的发病率存在差异。通报数量较多的卫生单位可能受到附近社区移民的很大影响。
结论
与卫生服务相关的结核病空间动态有助于了解结核病风险增加的区域以及卫生单位的通报密度。
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