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Environmental and socioeconomic determinants of leptospirosis incidence in Colombia

Bibliographic Data

ID5167359
AuthorsJuan David Gutiérrez (0000-0002-6120-941X, Universidad De Santander), Ruth Aralí Martínez-Vega (0000-0002-6477-334X, Universidad De Santander), Hector Botello (0000-0002-7795-2590, Universidad Nacional, Colombia; Universidad Industrial de Santander, Colombia), Freddy Jesús Ruiz-Herrera (0000-0003-4180-7145, Industrial University of Santander), Laura Carolina Arenas-López (0000-0001-8289-675X, Universidad De Santander), Karen Dayana Hernandez-Tellez (0000-0001-5203-1528, Universidad De Santander)
Year2019
Volume35
Issue3
Pagese00118417-e00118417
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00118417
PMID30916179
OpenAlexW2924052707
SCIELO_PIDS0102-311X2019000305007
LanguageEN
Citations received3
References cited31

Human leptospirosis is an infection that most often affects tropical countries. Since 2007, Colombia requires the notification of disease cases, enabling the observation of an increase in cases in recent years. The objectives of this article were to analyze environmental and socioeconomic variables and to evaluate their relationship with human leptospirosis cases. This is an ecological study on human leptospirosis cases aggregated by municipality and reported between 2007 and 2016. Spatial aggregation assessment was made using the Getis-Ord Gi method, and negative binomial regression was used to evaluate the relationship between environmental and socioeconomic variables with human leptospirosis. During the study period, 9,928 cases of human leptospirosis were reported, and 58.9% of municipalities reported at least one case. Four hotspots of human leptospirosis, including 18 municipalities, were identified. The results of the negative binomial model confirmed the importance of the effects of education, poverty and some climatic variables on the decadal incidence rate of human leptospirosis. Our results confirm the importance of socioeconomic determinants such as social marginality associated with violence and education, as well as ecological variables such as rainfall, height above sea level and forest coverage on the incidence rate of human leptospirosis at municipal scale

Ecological study · Economic growth · Economics · Environmental health · Geography · Incidence (geometry) · Leptospirosis · Population · Poverty · Socioeconomic status · Socioeconomics · Veterinary medicine · Demography · Leptospirosis research and findings · Medicine · Viral Infections and Vectors

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Unique citing works3
Citations per year0,5
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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