Khazaie Habibolah, Zanganeh Alireza, Ziapour Arash, Teimouri Raziyeh, Saeidi Shahram, Zakiei Ali, Salimi Saeed, Moghadam Shahrzad, Pourmirza Kalhori Reza, Khezeli Mehdi, Farahmandmoghadam Naser
Department of Psychiatry, School of Medicine Sleep Disorders Research Center, Research Institute for Health, Farabi Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Public Health Res. 2023 Jun 10;12(2):22799036231181175. doi: 10.1177/22799036231181175. eCollection 2023 Apr.
Apnea disorder is influenced by social and environmental factors. By assessing its hot spots and geography, the foci of this disorder and its at-risk groups can be identified for health interventions. This study was conducted to investigate the spatial pattern of apnea disorder using GIS in the Kermanshah metropolis.
In cross-sectional study was conducted in kermanshah, the statistical population were 119 people (73.95% male and 26.05% female) of Kermanshah residents, which referred to the sleep center from 2012 to 2018 due to apnea disorder. Information was collected from the records of patients referred to the Sleep Disorder Center of Farabi Hospital, which is the only service center in the west part of Iran. The statistical tests were the mean center, standard distance, Getis-Ord Gi * index, nearest neighbor index, and kernel density estimation test in GIS software.
The spatial pattern of patients with apnea disorder has cluster formation in the Kermanshah metropolis. The age group of 50-54 had more apnea disorder than other age groups. In this age group, women were more prone to apnea than men. In terms of education, people with high education are more affected by this disorder; So that with the increase in education level, apnea disorder had also increased. Also, the findings showed that the disorder was more common in unemployed, married, overweight people with BMI (25-30), and obese people (30-40).
The spatial pattern of patients with apnea disorder was clustered and does not correspond to the high population density centers located in the marginal and slum areas of the city. These can be used by stakeholders, including governmental organizations and health authorities at the national-regional level.
睡眠呼吸暂停障碍受社会和环境因素影响。通过评估其热点和地理分布，可确定该障碍的重点区域及其高危人群，以便进行健康干预。本研究旨在利用地理信息系统（GIS）调查克尔曼沙赫市睡眠呼吸暂停障碍的空间模式。
在克尔曼沙赫进行了一项横断面研究，统计人群为119名克尔曼沙赫居民（男性占73.95%，女性占26.05%），他们在2012年至2018年期间因睡眠呼吸暂停障碍前往睡眠中心就诊。信息收集自转诊至法拉比医院睡眠障碍中心的患者记录，该中心是伊朗西部唯一的服务中心。统计测试包括GIS软件中的平均中心、标准距离、Getis-Ord Gi*指数、最近邻指数和核密度估计测试。
在克尔曼沙赫市，睡眠呼吸暂停障碍患者的空间模式呈现出聚集现象。50 - 54岁年龄组的睡眠呼吸暂停障碍患者比其他年龄组更多。在这个年龄组中，女性比男性更容易患睡眠呼吸暂停。在教育方面，高学历人群受该障碍影响更大；随着教育水平的提高，睡眠呼吸暂停障碍也有所增加。此外，研究结果表明，该障碍在失业、已婚、体重指数（BMI）在25 - 30之间的超重人群以及肥胖人群（BMI在30 - 40之间）中更为常见。
睡眠呼吸暂停障碍患者的空间模式呈聚集状，与位于城市边缘和贫民窟地区的高人口密度中心不相符。这些结果可供包括国家和地区层面的政府组织及卫生当局在内的利益相关者使用。
