Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia

8 p.

Autores:
Gutiérrez, Juan David
Martínez Vega, Ruth Aralí
Ramoni Perazzi, Josefa
Díaz Quijano, Fredi Alexander
Gutiérrez, Reinaldo
Ruiz, Freddy J
Botello, Hector A.
Gil, María
González, Juan
Palencia, Mario
Tipo de recurso:
Article of journal
Fecha de publicación:
2017
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/3414
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/3414
Palabra clave:
Cutaneous leishmaniasis
Determinants
Economics
Environmental
Negative binomial regression model
Social
Rights
openAccess
License
Derechos Reservados - Universidad de Santander, 2017
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network_name_str Repositorio Universidad de Santander
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dc.title.eng.fl_str_mv Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
title Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
spellingShingle Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
Cutaneous leishmaniasis
Determinants
Economics
Environmental
Negative binomial regression model
Social
title_short Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
title_full Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
title_fullStr Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
title_full_unstemmed Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
title_sort Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
dc.creator.fl_str_mv Gutiérrez, Juan David
Martínez Vega, Ruth Aralí
Ramoni Perazzi, Josefa
Díaz Quijano, Fredi Alexander
Gutiérrez, Reinaldo
Ruiz, Freddy J
Botello, Hector A.
Gil, María
González, Juan
Palencia, Mario
dc.contributor.author.spa.fl_str_mv Gutiérrez, Juan David
Martínez Vega, Ruth Aralí
Ramoni Perazzi, Josefa
Díaz Quijano, Fredi Alexander
Gutiérrez, Reinaldo
Ruiz, Freddy J
Botello, Hector A.
Gil, María
González, Juan
Palencia, Mario
dc.subject.proposal.eng.fl_str_mv Cutaneous leishmaniasis
Determinants
Economics
Environmental
Negative binomial regression model
Social
topic Cutaneous leishmaniasis
Determinants
Economics
Environmental
Negative binomial regression model
Social
description 8 p.
publishDate 2017
dc.date.issued.spa.fl_str_mv 2017-12
dc.date.accessioned.spa.fl_str_mv 2019-07-17T18:47:24Z
dc.date.available.spa.fl_str_mv 2019-07-17T18:47:24Z
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dc.identifier.doi.spa.fl_str_mv 10.1093/trstmh/try011
dc.identifier.issn.spa.fl_str_mv 1878-3503
0035-9203
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dc.language.iso.spa.fl_str_mv eng
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dc.relation.ispartof.eng.fl_str_mv Transactions of the Royal Society of Tropical Medicine and Hygiene
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spelling Gutiérrez, Juan David2af4e1ef-1e19-4238-b13d-6afa394c1296-1Martínez Vega, Ruth Aralí1862b300-45b4-48cc-b3fc-ab6ab14e63cc-1Ramoni Perazzi, Josefaf4605f8c-fde4-434d-867c-3ef0c7f89455-1Díaz Quijano, Fredi Alexander92e50902-7d2e-490c-a798-e53d2fcfdd85-1Gutiérrez, Reinaldodab031d7-a6ba-4fcc-a071-2a309c85d1a2-1Ruiz, Freddy Ja5b58f42-9505-4b39-b0a0-ef32766629b2-1Botello, Hector A.29a7c4db-04d6-4e33-ac40-0ae695c82811-1Gil, María31f41770-e558-4d5c-be19-07bbcf549e1f-1González, Juan784e6d79-f8db-4eb6-b5ba-9d8ff98e644a-1Palencia, Marioad8bd317-dd84-4e9d-b4ec-f28ee878a7de-12019-07-17T18:47:24Z2019-07-17T18:47:24Z2017-128 p.Background: Cutaneous leishmaniasis (CL) is a vector-borne disease that is widely distributed in most tropical regions. Colombia has experienced an important increase in its incidence during the last decade. There are CL transmission foci in the Colombian departments of Santander and Norte de Santander. Objectives: To identify environmental and socio-economic variables associated with CL incidence in the municipalities of the northeast of Colombia between 2007 and 2016. Methods: This was an ecological study of CL cases aggregated by municipality. The cases reported during the study period were analyzed with a negative binomial regression to obtain the adjusted incident rate ratio for environmental and socio-economic variables. Findings: During the study period, 10 924 cases of CL were reported, and 110 (86.6%) municipalities reported at least one CL case. The coverages of forest (aIRR 1.05, 95% CI 1.03–1.07), heterogeneous agricultural zones (aIRR 1.04, 95% CI 1.02–1.06) and permanent crops (aIRR 1.07, 95% CI 1.02–1.12) were associated with a higher incidence of CL. Conversely, urban functionality (aIRR 0.95, 95% CI 0.92–0.96), minimal-altitude above sea level (aIRR 0.84, 95% CI 0.79–0.90) and shrub coverage (aIRR 0.98, 95% CI 0.95–1.0) were negatively associated with the incidence of CL in the municipality. Main conclusions: Our results confirm the importance of environmental determinants, such as height above sea level, and coverage of forest, permanent crops and heterogeneous agricultural zones, for the occurrence of CL; these findings also suggest the importance of shrub coverage. 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