1. The role of deforestation on American cutaneous leishmaniasis incidence: spatial-temporal distribution, environmental and socioeconomic factors associated in the Brazilian Amazon.
- Author
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Rodrigues, Maria Gabriela de Almeida, Sousa, José Diego de Brito, Dias, Ádila Liliane Barros, Monteiro, Wuelton Marcelo, and Sampaio, Vanderson de Souza
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CUTANEOUS leishmaniasis , *SOCIOECONOMIC factors , *HUMAN Development Index , *THEMATIC maps , *REGRESSION analysis - Abstract
Objective: To analyse the temporal and spatial distribution as well as the environmental and socioeconomic factors associated with cutaneous leishmaniasis incidence in the state of Amazonas, Brazil from 2007 to 2015.Methods: Spatial and temporal distribution was evaluated from sequential thematic maps of the mean incidence rates of the disease. A negative binomial regression analysis was performed to evaluate the association of the factors studied with the mean incidence rate of ACL.Results: The average proportion of deforestation was negatively associated with the average incidence rate of cutaneous leishmaniasis in municipalities (β = -2.178; P = 0.019; 95%CI -3.996, -0.361), and the health system performance index (effectiveness) (β = -0.852; P = 0.008; 95%CI -1.481, -0.225). Conversely, the municipal human development index (MHDI) was a factor positively related to the average incidence among the municipalities (β = 7.728; P = 0.003; 95%CI 2.716, 12.738).Conclusion: Our study shows the important impact of socioeconomic and environmental factors on ACL incidence in the Amazonas State. [ABSTRACT FROM AUTHOR]- Published
- 2019
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