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沙特阿拉伯吉达市登革热地理分布的时空模式。

Temporal and spatial patterns of dengue geographical distribution in Jeddah, Saudi Arabia.

机构信息

Epidemiologist, Department of Communicable Diseases Control, Public Health Authority, Riyadh, Saudi Arabia; Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Public Health, Public Health Authority, Riyadh, Saudi Arabia.

出版信息

J Infect Public Health. 2022 Sep;15(9):1025-1035. doi: 10.1016/j.jiph.2022.08.003. Epub 2022 Aug 10.

Abstract

INTRODUCTION

Dengue fever disease is affected by many scoioeconomic and enviromental factors throughout endemic areas globally. These factors contribute to increase the incidence of endemic dengue endemic in Jeddah, Saudi Arabia.

OBJECTIVES

This study aimed to investigate the distribution and spatial patterns of dengue fever cases in Jeddah, and to determine if there is an association between dengue fever and the following environmental factors: temperature, humidity, land cover, climate, rainfall, epicenter of reproduction, and socioeconomic factors.

METHODS

A descriptive and analytical cross-sectional study was conducted in Jeddah in 2020. The study included all reported suspected and confirmed dengue cases. The sample size was 1458 cases. Data were obtained from the Dengue Active Surveillance System and the confirmed cases were geo-distributed in areas by QGIS. All significant variables were included in the logistic regression table.

RESULTS

The majority (61.9 %) were suspected cases and 38.1 % confirmed cases. The majority of the cases were male. The highest spatial distribution was in the middle of Jeddah and the lowest in the south. The highest temporal distribution for confirmed cases was in June, and for suspected cases in December. Age, gender, occupation, and area were all significantly associated with the dengue reported cases. Most all the enviromental factors were not statistically significant.

CONCLUSION

The study showed three clusters of dengue fever and infection concentrated in the middle and east of Jeddah. The lack of investigation in the environmental factors regarding the dengue distribution and its impact on the population area has to be taken seriously and dengue intervention programs should be implemented to reduce the endemic dengue in Jeddah.

摘要

引言

登革热疾病在全球流行地区受到许多社会经济和环境因素的影响。这些因素导致沙特阿拉伯吉达的地方性登革热发病率上升。

目的

本研究旨在调查吉达登革热病例的分布和空间模式,并确定登革热是否与以下环境因素有关:温度、湿度、土地覆盖、气候、降雨量、繁殖中心和社会经济因素。

方法

2020 年在吉达进行了一项描述性和分析性的横断面研究。研究包括所有报告的疑似和确诊登革热病例。样本量为 1458 例。数据来自登革热主动监测系统,确诊病例在 QGIS 中按地区地理分布。所有显著变量均纳入逻辑回归表。

结果

大多数(61.9%)为疑似病例,38.1%为确诊病例。大多数病例为男性。空间分布最高的是吉达中部,最低的是南部。确诊病例的最高时间分布在 6 月,疑似病例在 12 月。年龄、性别、职业和地区均与报告的登革热病例显著相关。大多数环境因素均无统计学意义。

结论

研究显示,吉达有三个登革热感染簇,集中在吉达中部和东部。必须认真对待有关登革热分布及其对人口地区影响的环境因素调查不足的问题,并应实施登革热干预计划,以减少吉达的地方性登革热。

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