Lisa Strouss Wallace, Ololade Okito, Kelsi Mellin, Lamia Soghier
Associations between Parental Engagement in the Neonatal Intensive Care Unit and Neighborhood-level Socioeconomic Status
American journal of perinatology
dengue acute viral disease major relevance impact public health causing major epidemics around world especially tropical regions aimed analyse temporal trend spatial risk well social vulnerability factors associated occurrence dengue state bahia brazil 2009 2018 ecological study carried suspected cases dengue bahia 2009 2018 data obtained national notifiable diseases information system available website health department state bahia brazilian institute geography statistics used joinpoint regression model local empirical bayesian model smoothing global local moran statistics spatial scanning statistics relationship dengue incidence rate social determinants tested using morans bivariate correlation study period 451 847 probable dengue cases registered bahia declining trend observed 3928 n11 states health regions 6071 n17 showed stationary tendency spatiotemporal scanning statistic showed nine clusters dengue occurrence largest cluster radius 34214 km consisting 160 municipalities 120 094 cases 71020 cases100 000 inhabitants relative risk 280 multivariate regression model 11 variables showed significant association social vulnerability index svi municipal human development index mhdi svi urban infrastructure svi human capital mhdi longevity mhdi education proportion people living households per capita income less half minimum wage 2010 spend 1 h commuting proportion mothers heads household complete elementary school children 15 age activity rate persons ages 1014 per capita income analysis spatial distribution areas risk disease transmission throughout state identified results provide subsidies strategic planning actions well implementation programs andor public policies order control incidence dengue population