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Modelling the Ecological Comorbidity of Acute Respiratory Infection, Diarrhoea and Stunting among Children Under the Age of 5 Years in Somalia
International Statistical Review ( IF 2 ) Pub Date : 2017-01-26 , DOI: 10.1111/insr.12206
Damaris K Kinyoki 1 , Samuel O Manda 2, 3 , Grainne M Moloney 4 , Elijah O Odundo 5 , James A Berkley 6, 7 , Abdisalan M Noor 1, 7 , Ngianga-Bakwin Kandala 3, 8, 9
Affiliation  

Summary The aim of this study was to assess spatial co‐occurrence of acute respiratory infections (ARI), diarrhoea and stunting among children of the age between 6 and 59 months in Somalia. Data were obtained from routine biannual nutrition surveys conducted by the Food and Agriculture Organization 2007–2010. A Bayesian hierarchical geostatistical shared component model was fitted to the residual spatial components of the three health conditions. Risk maps of the common spatial effects at 1×1 km resolution were derived. The empirical correlations of the enumeration area proportion were 0.37, 0.63 and 0.66 for ARI and stunting, diarrhoea and stunting and ARI and diarrhoea, respectively. Spatially, the posterior residual effects ranged 0.03–20.98, 0.16–6.37 and 0.08–9.66 for shared component between ARI and stunting, diarrhoea and stunting and ARI and diarrhoea, respectively. The analysis showed clearly that the spatial shared component between ARI, diarrhoea and stunting was higher in the southern part of the country. Interventions aimed at controlling and mitigating the adverse effects of these three childhood health conditions should focus on their common putative risk factors, particularly in the South in Somalia.

中文翻译:

模拟索马里 5 岁以下儿童急性呼吸道感染、腹泻和发育迟缓的生态共病

总结 本研究的目的是评估索马里 6 至 59 个月大的儿童急性呼吸道感染 (ARI)、腹泻和发育迟缓的空间共存情况。数据来自粮食及农业组织 2007-2010 年进行的每两年一次的例行营养调查。贝叶斯分层地质统计共享分量模型被拟合到三种健康状况的剩余空间分量。导出了 1×1 公里分辨率下常见空间效应的风险图。ARI与发育迟缓、腹泻与发育迟缓、ARI与腹泻的查点区比例的经验相关系数分别为0.37、0.63和0.66。在空间上,对于 ARI 和发育迟缓之间的共享分量,后遗症的范围为 0.03-20.98、0.16-6.37 和 0.08-9.66,分别为腹泻和发育迟缓以及 ARI 和腹泻。分析清楚地表明,该国南部的 ARI、腹泻和发育迟缓之间的空间共享分量较高。旨在控制和减轻这三种儿童健康状况不利影响的干预措施应侧重于它们共同的假定风险因素,特别是在索马里南部。
更新日期:2017-01-26
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