| Autor: |
Phung, Dung1,2 d.phung@griffith.edu.au, Nguyen, Huong Xuan1, Nguyen, Huong Lien Thi3, Do, Cuong Manh3, Tran, Quang Dai4, Chu, Cordia1 |
| Předmět: |
|
| Zdroj: |
Science of the Total Environment. Jan2018, Vol. 610/611, p983-991. 9p. |
| Abstrakt: |
Background Hand-foot-and-mouth disease (HFMD) is a significant public health issue in Asia-pacific countries. Numerous studies have examined the relationship between socio-ecological factors and HFMD however the research findings were inconsistent. This study examined the association between socio-ecologic factors and HFMD in multiple provinces across Vietnam. Methods We applied a spatial autoregressive model using a Bayesian framework to examine the relationship between HFMD and socio-demographic factors. We used a Generalized Linear Model (GLD) with Poisson family to examine the province-specific association between monthly HFMD and climatic factors while controlling for spatial lag, seasonality and long-term trend of HFMD. Then, we used a random-effect meta-analysis to generate pooled effect size of climate-HFMD association for regional and country scale. Results One percent increase in newborn breastfed within 1 h of birth, households with permanent houses, and households accessed to safe water resulted in 1.57% (95% CI: − 2.25, − 0.93), 0.96% (− 1.66, − 0.23), and 1.13% (− 2.16, − 0.18) reduction in HFMD incidence, respectively. At the country-level, HFMD increased 7% (RR: 1.07; 95%CI: 1.052–1.088) and 3.1% (RR: 1.031, 95%CI: 1.024–1.039) for 1 °C increase in monthly temperature above 26 °C and 1% increase in monthly humidity above 76%. Whereas, HFMD decreased 3.1% associated with 1 mm increase in monthly cumulative rainfalls. The climate-HFMD relationship was varied by regions and provinces across the country. Conclusions The findings reflect an important implication for the climate change adaptation strategies and public-health decision, of which development of weather-based early warning systems should be considered to strengthen communicable disease prevention system. [ABSTRACT FROM AUTHOR] |
| Databáze: |
GreenFILE |
| Externí odkaz: |
|
Full Text from ScienceDirect