Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America
Objective. Determine and characterize potential risk areas for the occurrence of cutaneous leishmaniasis (CL) in Latin America (LA). Method. Ecological observational study with observation units defined by municipalities with CL transmission between 2014-2018. Environmental and socioeconomic variabl...
Published in: | Revista Panamericana de Salud Pública |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2021
|
Subjects: | |
Online Access: | https://doi.org/10.26633/RPSP.2021.83 https://doaj.org/article/d1b54ffe8364439889299afd68804f7f |
id |
ftdoajarticles:oai:doaj.org/article:d1b54ffe8364439889299afd68804f7f |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:d1b54ffe8364439889299afd68804f7f 2023-05-15T15:10:48+02:00 Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America Ana Nilce. S. Maia-Elkhoury Daniel Magalhães Lima Oscar Daniel Salomón Lia Puppim Buzanovsky Martha Idalí Saboyá-Díaz Samantha Y.O.B. Valadas Manuel J. Sanchez-Vazquez 2021-07-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.83 https://doaj.org/article/d1b54ffe8364439889299afd68804f7f EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/54428 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.83 https://doaj.org/article/d1b54ffe8364439889299afd68804f7f Revista Panamericana de Salud Pública, Vol 45, Iss 83, Pp 1-10 (2021) cutaneous leishmaniasis cluster analysis latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.83 2022-12-31T14:33:38Z Objective. Determine and characterize potential risk areas for the occurrence of cutaneous leishmaniasis (CL) in Latin America (LA). Method. Ecological observational study with observation units defined by municipalities with CL transmission between 2014-2018. Environmental and socioeconomic variables available for at least 85% of the municipalities were used, combined in a single database, utilizing the R software. The principal component analysis methodology was combined with a hierarchical cluster analysis to group clusters of municipalities based on their similarity. The V-test was estimated to define the positive or negative association of the variables with the clusters and separation by natural breaks was used to determine which ones contributed the most to each cluster. Information on cases was also incorporated in the analyses to attribute CL risk for each cluster. Results. This study included 4,951 municipalities with CL transmission (36.5% of the total in LA) and seven clusters were defined by their association with 18 environmental and socioeconomic variables. The historical risk of CL is positively associated with the Amazonian, Andean and Savannah clusters in a decreasingly manner; and negatively associated with the Forest evergreen, Forest/crop and Forest/populated clusters. The Agricultural cluster did not reveal any association with the CL cases. Conclusions. The study made it possible to identify and characterize the CL risk by clusters of municipalities and to recognize the epidemiological distribution pattern of transmission, which provides managers with better information for intersectoral interventions to control CL. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
cutaneous leishmaniasis cluster analysis latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
cutaneous leishmaniasis cluster analysis latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Ana Nilce. S. Maia-Elkhoury Daniel Magalhães Lima Oscar Daniel Salomón Lia Puppim Buzanovsky Martha Idalí Saboyá-Díaz Samantha Y.O.B. Valadas Manuel J. Sanchez-Vazquez Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America |
topic_facet |
cutaneous leishmaniasis cluster analysis latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. Determine and characterize potential risk areas for the occurrence of cutaneous leishmaniasis (CL) in Latin America (LA). Method. Ecological observational study with observation units defined by municipalities with CL transmission between 2014-2018. Environmental and socioeconomic variables available for at least 85% of the municipalities were used, combined in a single database, utilizing the R software. The principal component analysis methodology was combined with a hierarchical cluster analysis to group clusters of municipalities based on their similarity. The V-test was estimated to define the positive or negative association of the variables with the clusters and separation by natural breaks was used to determine which ones contributed the most to each cluster. Information on cases was also incorporated in the analyses to attribute CL risk for each cluster. Results. This study included 4,951 municipalities with CL transmission (36.5% of the total in LA) and seven clusters were defined by their association with 18 environmental and socioeconomic variables. The historical risk of CL is positively associated with the Amazonian, Andean and Savannah clusters in a decreasingly manner; and negatively associated with the Forest evergreen, Forest/crop and Forest/populated clusters. The Agricultural cluster did not reveal any association with the CL cases. Conclusions. The study made it possible to identify and characterize the CL risk by clusters of municipalities and to recognize the epidemiological distribution pattern of transmission, which provides managers with better information for intersectoral interventions to control CL. |
format |
Article in Journal/Newspaper |
author |
Ana Nilce. S. Maia-Elkhoury Daniel Magalhães Lima Oscar Daniel Salomón Lia Puppim Buzanovsky Martha Idalí Saboyá-Díaz Samantha Y.O.B. Valadas Manuel J. Sanchez-Vazquez |
author_facet |
Ana Nilce. S. Maia-Elkhoury Daniel Magalhães Lima Oscar Daniel Salomón Lia Puppim Buzanovsky Martha Idalí Saboyá-Díaz Samantha Y.O.B. Valadas Manuel J. Sanchez-Vazquez |
author_sort |
Ana Nilce. S. Maia-Elkhoury |
title |
Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America |
title_short |
Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America |
title_full |
Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America |
title_fullStr |
Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America |
title_full_unstemmed |
Interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in Latin America |
title_sort |
interaction between environmental and socioeconomic determinants for cutaneous leishmaniasis risk in latin america |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.83 https://doaj.org/article/d1b54ffe8364439889299afd68804f7f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 83, Pp 1-10 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/54428 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.83 https://doaj.org/article/d1b54ffe8364439889299afd68804f7f |
op_doi |
https://doi.org/10.26633/RPSP.2021.83 |
container_title |
Revista Panamericana de Salud Pública |
container_volume |
45 |
container_start_page |
1 |
_version_ |
1766341751697571840 |