A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001).
Identifieur interne : 000896 ( Main/Exploration ); précédent : 000895; suivant : 000897A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001).
Auteurs : Eric J. Crighton [Canada] ; Susan J. Elliott ; Rahim Moineddin ; Pavlos Kanaroglou ; Ross UpshurSource :
- Social science & medicine (1982) [ 0277-9536 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Comportement en matière de santé (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Environnement (MeSH), Facteurs sexuels (MeSH), Facteurs socioéconomiques (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Grippe humaine (ethnologie), Grippe humaine (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Indiens d'Amérique Nord (MeSH), Mâle (MeSH), Nourrisson (MeSH), Nouveau-né (MeSH), Ontario (épidémiologie), Pneumopathie infectieuse (ethnologie), Pneumopathie infectieuse (épidémiologie), Sujet âgé (MeSH), Études rétrospectives (MeSH).
- MESH :
- ethnologie : Grippe humaine, Pneumopathie infectieuse.
- statistiques et données numériques : Hospitalisation.
- épidémiologie : Grippe humaine, Ontario, Pneumopathie infectieuse.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement en matière de santé, Enfant, Enfant d'âge préscolaire, Environnement, Facteurs sexuels, Facteurs socioéconomiques, Facteurs âges, Femelle, Humains, Indiens d'Amérique Nord, Mâle, Nourrisson, Nouveau-né, Sujet âgé, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Child (MeSH), Child, Preschool (MeSH), Environment (MeSH), Female (MeSH), Health Behavior (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Indians, North American (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Influenza, Human (epidemiology), Influenza, Human (ethnology), Male (MeSH), Middle Aged (MeSH), Ontario (epidemiology), Pneumonia (epidemiology), Pneumonia (ethnology), Retrospective Studies (MeSH), Sex Factors (MeSH), Socioeconomic Factors (MeSH).
- MESH :
- geographic , epidemiology : Ontario.
- epidemiology : Influenza, Human, Pneumonia.
- ethnology : Influenza, Human, Pneumonia.
- statistics & numerical data : Hospitalization.
- Adolescent, Adult, Age Factors, Aged, Child, Child, Preschool, Environment, Female, Health Behavior, Humans, Indians, North American, Infant, Infant, Newborn, Male, Middle Aged, Retrospective Studies, Sex Factors, Socioeconomic Factors.
Abstract
Previous research on the determinants of pneumonia and influenza has focused primarily on the role of individual level biological and behavioural risk factors resulting in partial explanations and largely curative approaches to reducing the disease burden. This study examines the geographic patterns of pneumonia and influenza hospitalizations and the role that broad ecologic-level factors may have in determining them. We conducted a county level, retrospective, ecologic study of pneumonia and influenza hospitalizations in the province of Ontario, Canada, between 1992 and 2001 (N=241,803), controlling for spatial dependence in the data. Non-spatial and spatial regression models were estimated using a range of environmental, social, economic, behavioural, and health care predictors. Results revealed low education to be positively associated with hospitalization rates over all age groups and both genders. The Aboriginal population variable was also positively associated in most models except for the 65+-year age group. Behavioural factors (daily smoking and heavy drinking), environmental factors (passive smoking, poor housing, temperature), and health care factors (influenza vaccination) were all significantly associated in different age and gender-specific models. The use of spatial error regression models allowed for unbiased estimation of regression parameters and their significance levels. These findings demonstrate the importance of broad age and gender-specific population-level factors in determining pneumonia and influenza hospitalizations, and illustrate the need for place and population-specific policies that take these factors into consideration.
DOI: 10.1016/j.socscimed.2006.12.001
PubMed: 17250939
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Elliott</name></author><author><name sortKey="Moineddin, Rahim" sort="Moineddin, Rahim" uniqKey="Moineddin R" first="Rahim" last="Moineddin">Rahim Moineddin</name></author><author><name sortKey="Kanaroglou, Pavlos" sort="Kanaroglou, Pavlos" uniqKey="Kanaroglou P" first="Pavlos" last="Kanaroglou">Pavlos Kanaroglou</name></author><author><name sortKey="Upshur, Ross" sort="Upshur, Ross" uniqKey="Upshur R" first="Ross" last="Upshur">Ross Upshur</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17250939</idno><idno type="pmid">17250939</idno><idno type="doi">10.1016/j.socscimed.2006.12.001</idno><idno type="wicri:Area/Main/Corpus">000895</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000895</idno><idno type="wicri:Area/Main/Curation">000895</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000895</idno><idno type="wicri:Area/Main/Exploration">000895</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001).</title><author><name sortKey="Crighton, Eric J" sort="Crighton, Eric J" uniqKey="Crighton E" first="Eric J" last="Crighton">Eric J. Crighton</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geography, University of Ottawa, 60 University Avenue, Simard Hall Room 06, Ottawa, Ont., Canada K1N 6N5. eric.crighton@uottawa.ca</nlm:affiliation><country>Canada</country><wicri:regionArea>Department of Geography, University of Ottawa, 60 University Avenue, Simard Hall Room 06, Ottawa, Ont.</wicri:regionArea><wicri:noRegion>Ont.</wicri:noRegion></affiliation></author><author><name sortKey="Elliott, Susan J" sort="Elliott, Susan J" uniqKey="Elliott S" first="Susan J" last="Elliott">Susan J. Elliott</name></author><author><name sortKey="Moineddin, Rahim" sort="Moineddin, Rahim" uniqKey="Moineddin R" first="Rahim" last="Moineddin">Rahim Moineddin</name></author><author><name sortKey="Kanaroglou, Pavlos" sort="Kanaroglou, Pavlos" uniqKey="Kanaroglou P" first="Pavlos" last="Kanaroglou">Pavlos Kanaroglou</name></author><author><name sortKey="Upshur, Ross" sort="Upshur, Ross" uniqKey="Upshur R" first="Ross" last="Upshur">Ross Upshur</name></author></analytic><series><title level="j">Social science & medicine (1982)</title><idno type="ISSN">0277-9536</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Environment (MeSH)</term><term>Female (MeSH)</term><term>Health Behavior (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Indians, North American (MeSH)</term><term>Infant (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (ethnology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Ontario (epidemiology)</term><term>Pneumonia (epidemiology)</term><term>Pneumonia (ethnology)</term><term>Retrospective Studies (MeSH)</term><term>Sex Factors (MeSH)</term><term>Socioeconomic Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Comportement en matière de santé (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Environnement (MeSH)</term><term>Facteurs sexuels (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (ethnologie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Indiens d'Amérique Nord (MeSH)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Ontario (épidémiologie)</term><term>Pneumopathie infectieuse (ethnologie)</term><term>Pneumopathie infectieuse (épidémiologie)</term><term>Sujet âgé (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Pneumonia</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Grippe humaine</term><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Influenza, Human</term><term>Pneumonia</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Ontario</term><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Environment</term><term>Female</term><term>Health Behavior</term><term>Humans</term><term>Indians, North American</term><term>Infant</term><term>Infant, Newborn</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sex Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement en matière de santé</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Environnement</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Indiens d'Amérique Nord</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous research on the determinants of pneumonia and influenza has focused primarily on the role of individual level biological and behavioural risk factors resulting in partial explanations and largely curative approaches to reducing the disease burden. This study examines the geographic patterns of pneumonia and influenza hospitalizations and the role that broad ecologic-level factors may have in determining them. We conducted a county level, retrospective, ecologic study of pneumonia and influenza hospitalizations in the province of Ontario, Canada, between 1992 and 2001 (N=241,803), controlling for spatial dependence in the data. Non-spatial and spatial regression models were estimated using a range of environmental, social, economic, behavioural, and health care predictors. Results revealed low education to be positively associated with hospitalization rates over all age groups and both genders. The Aboriginal population variable was also positively associated in most models except for the 65+-year age group. Behavioural factors (daily smoking and heavy drinking), environmental factors (passive smoking, poor housing, temperature), and health care factors (influenza vaccination) were all significantly associated in different age and gender-specific models. The use of spatial error regression models allowed for unbiased estimation of regression parameters and their significance levels. These findings demonstrate the importance of broad age and gender-specific population-level factors in determining pneumonia and influenza hospitalizations, and illustrate the need for place and population-specific policies that take these factors into consideration.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17250939</PMID><DateCompleted><Year>2007</Year><Month>06</Month><Day>05</Day></DateCompleted><DateRevised><Year>2007</Year><Month>03</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0277-9536</ISSN><JournalIssue CitedMedium="Print"><Volume>64</Volume><Issue>8</Issue><PubDate><Year>2007</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Social science & medicine (1982)</Title><ISOAbbreviation>Soc Sci Med</ISOAbbreviation></Journal><ArticleTitle>A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001).</ArticleTitle><Pagination><MedlinePgn>1636-50</MedlinePgn></Pagination><Abstract><AbstractText>Previous research on the determinants of pneumonia and influenza has focused primarily on the role of individual level biological and behavioural risk factors resulting in partial explanations and largely curative approaches to reducing the disease burden. This study examines the geographic patterns of pneumonia and influenza hospitalizations and the role that broad ecologic-level factors may have in determining them. We conducted a county level, retrospective, ecologic study of pneumonia and influenza hospitalizations in the province of Ontario, Canada, between 1992 and 2001 (N=241,803), controlling for spatial dependence in the data. Non-spatial and spatial regression models were estimated using a range of environmental, social, economic, behavioural, and health care predictors. Results revealed low education to be positively associated with hospitalization rates over all age groups and both genders. The Aboriginal population variable was also positively associated in most models except for the 65+-year age group. Behavioural factors (daily smoking and heavy drinking), environmental factors (passive smoking, poor housing, temperature), and health care factors (influenza vaccination) were all significantly associated in different age and gender-specific models. The use of spatial error regression models allowed for unbiased estimation of regression parameters and their significance levels. These findings demonstrate the importance of broad age and gender-specific population-level factors in determining pneumonia and influenza hospitalizations, and illustrate the need for place and population-specific policies that take these factors into consideration.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Crighton</LastName><ForeName>Eric J</ForeName><Initials>EJ</Initials><AffiliationInfo><Affiliation>Department of Geography, University of Ottawa, 60 University Avenue, Simard Hall Room 06, Ottawa, Ont., Canada K1N 6N5. eric.crighton@uottawa.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Elliott</LastName><ForeName>Susan J</ForeName><Initials>SJ</Initials></Author><Author ValidYN="Y"><LastName>Moineddin</LastName><ForeName>Rahim</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Kanaroglou</LastName><ForeName>Pavlos</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Upshur</LastName><ForeName>Ross</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2007</Year><Month>01</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Soc Sci Med</MedlineTA><NlmUniqueID>8303205</NlmUniqueID><ISSNLinking>0277-9536</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004777" MajorTopicYN="N">Environment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015438" MajorTopicYN="N">Health Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007198" MajorTopicYN="N">Indians, North American</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011014" MajorTopicYN="N">Pneumonia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>02</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>1</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>6</Month><Day>6</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>1</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17250939</ArticleId><ArticleId IdType="pii">S0277-9536(06)00620-4</ArticleId><ArticleId IdType="doi">10.1016/j.socscimed.2006.12.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Elliott, Susan J" sort="Elliott, Susan J" uniqKey="Elliott S" first="Susan J" last="Elliott">Susan J. Elliott</name><name sortKey="Kanaroglou, Pavlos" sort="Kanaroglou, Pavlos" uniqKey="Kanaroglou P" first="Pavlos" last="Kanaroglou">Pavlos Kanaroglou</name><name sortKey="Moineddin, Rahim" sort="Moineddin, Rahim" uniqKey="Moineddin R" first="Rahim" last="Moineddin">Rahim Moineddin</name><name sortKey="Upshur, Ross" sort="Upshur, Ross" uniqKey="Upshur R" first="Ross" last="Upshur">Ross Upshur</name></noCountry><country name="Canada"><noRegion><name sortKey="Crighton, Eric J" sort="Crighton, Eric J" uniqKey="Crighton E" first="Eric J" last="Crighton">Eric J. Crighton</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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