Giardiasis notifications are associated with socioeconomic status in Sydney, Australia: a spatial analysis
| Autor: | Patricia Zajaczkowski, Stephanie M. Fletcher‐Lartey, Soumya Mazumdar, Bin Jalaludin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Giardiasis medicine.medical_specialty Adolescent 030309 nutrition & dietetics Disease cluster Young Adult 03 medical and health sciences Health services 0302 clinical medicine Environmental health medicine Humans 030212 general & internal medicine Child Disease Notification Socioeconomic status Aged Spatial Analysis 0303 health sciences Incidence Public health Incidence (epidemiology) Australia Infant Newborn Public Health Environmental and Occupational Health Infant Middle Aged Disadvantaged Giardia intestinalis Infection Geography Social Class Child Preschool Developed country |
| Zdroj: | Australian and New Zealand Journal of Public Health. 44:508-513 |
| ISSN: | 1326-0200 |
| DOI: | 10.1111/1753-6405.13019 |
| Popis: | OBJECTIVE In developed countries prolonged symptoms due to, or following, Giardia intestinalis infection can have a significant impact on the quality of life. In this research, we investigate the presence of a socioeconomic status (SES) gradient in the reporting of giardiasis in South West Sydney Local Health District (SWSLHD), New South Wales (NSW), Australia, across geographic scales. METHODS We used a large database, spatial-cluster analysis and a linear model. RESULTS Firstly, we found one spatial cluster of giardiasis in one of the most advantaged neighbourhoods of SWSLHD. Secondly, rates of giardiasis notifications were significantly and consistently lower in SWSLHD compared to an unnamed advantaged Local Health District and NSW over multiple years. Finally, we found an overall significant positive dose-response relationship between counts of giardiasis and area-level SES. CONCLUSIONS Lower reporting in disadvantaged areas may represent true differences in incidence across SES groups or may result from differential use of health services and reporting. Implications for public health: If the disparities result from differential use of health services, research should be directed toward identifying barriers and facilitators of use. If disparities result from a true difference in incidence, then the behavioural mediators between SES and giardiasis should be identified and addressed. |
| Databáze: | OpenAIRE |
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