Hospitalisations for mycoses as an indicator of socio-environmental vulnerability in the Brazilian Amazon-Savanna transition region.
Brazil
/ epidemiology
Climate
Delivery of Health Care
/ statistics & numerical data
Demography
Hospitalization
/ statistics & numerical data
Humans
Incidence
Mycoses
/ epidemiology
Prevalence
Rain
Sanitation
/ statistics & numerical data
Seasons
Socioeconomic Factors
Spatio-Temporal Analysis
Statistics, Nonparametric
climate
mycoses
precipitation
socio-environmental
temperature
vulnerability
Journal
Mycoses
ISSN: 1439-0507
Titre abrégé: Mycoses
Pays: Germany
ID NLM: 8805008
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
13
08
2019
revised:
15
11
2019
accepted:
19
11
2019
pubmed:
24
11
2019
medline:
1
9
2020
entrez:
24
11
2019
Statut:
ppublish
Résumé
The infections caused by fungi represent a global concern and an important cause of hospital admissions in endemic areas. The influence of socio-environmental factors in infectious diseases has been documented; however, this phenomenon remains unclear regarding mycoses. This study aimed to analyse the spatio-temporal dynamics of hospitalisations for mycoses (HM) and the association with socio-economic and climate data in the Amazon-Savanna Transition Region in the state of Maranhão, Brazil. In this study, Spearman's correlation was applied to determine the correlation between HM, socio-economic and climatic data obtained from national databases in the period from 1998 to 2016. Hospitalisations for mycoses data were spatialised and analysed using the local Moran's index. Our data revealed a negative and significant correlation between HM and socio-economic data regarding population, demographic density, human development index, health facilities and sanitary sewage. Significant correlations were observed between HM and precipitation, maximum temperature and minimum temperature. The main modulating climatic variable was the minimum temperature. The spatial autocorrelation analysis showed the dynamics of HM in municipalities belonging to the different regions of the state influenced by socio-economic conditions. We observed the presence of municipalities with high incidence of HM surrounded by others with low HM cases and vice versa. Our results indicate that hospitalisations for mycoses represent an important indicator of socio-environmental vulnerability in the Amazon-Savanna transition region in Brazil. We encourage the adoption of measures to mitigate social and environmental impact on these diseases, especially in municipalities with low socio-economic status.
Sections du résumé
BACKGROUND
BACKGROUND
The infections caused by fungi represent a global concern and an important cause of hospital admissions in endemic areas. The influence of socio-environmental factors in infectious diseases has been documented; however, this phenomenon remains unclear regarding mycoses.
OBJECTIVES
OBJECTIVE
This study aimed to analyse the spatio-temporal dynamics of hospitalisations for mycoses (HM) and the association with socio-economic and climate data in the Amazon-Savanna Transition Region in the state of Maranhão, Brazil.
METHODS
METHODS
In this study, Spearman's correlation was applied to determine the correlation between HM, socio-economic and climatic data obtained from national databases in the period from 1998 to 2016. Hospitalisations for mycoses data were spatialised and analysed using the local Moran's index.
RESULTS
RESULTS
Our data revealed a negative and significant correlation between HM and socio-economic data regarding population, demographic density, human development index, health facilities and sanitary sewage. Significant correlations were observed between HM and precipitation, maximum temperature and minimum temperature. The main modulating climatic variable was the minimum temperature. The spatial autocorrelation analysis showed the dynamics of HM in municipalities belonging to the different regions of the state influenced by socio-economic conditions. We observed the presence of municipalities with high incidence of HM surrounded by others with low HM cases and vice versa.
CONCLUSIONS
CONCLUSIONS
Our results indicate that hospitalisations for mycoses represent an important indicator of socio-environmental vulnerability in the Amazon-Savanna transition region in Brazil. We encourage the adoption of measures to mitigate social and environmental impact on these diseases, especially in municipalities with low socio-economic status.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
151-161Subventions
Organisme : Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão
ID : Grant BEPP-02494/18
Organisme : Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão
ID : Grant UNIVERSAL-01164/17
Organisme : Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
ID : Postdoctoral fellowship: nº: 021/2017
Informations de copyright
© 2019 Blackwell Verlag GmbH.
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