Social epidemiology of a large outbreak of chickenpox in the Colombian sugar cane producer region: a set theory-based analysis

Cadernos de Saúde Pública

Alvaro J. Idrovo¹  Cidronio Albavera-hernández¹  Jorge Martín Rodríguez-hernández¹ 

[1],Instituto Nacional de Salud PúblicaCuernavaca,México

关键词: Chickenpox;    Disease Outbreaks;    Delivery of Health Care;    Varicela;    Brotes de Enfermedades;    Prestación de Atención de Salud;   

DOI  :  10.1590/S0102-311X2011000700014

来源: SciELO

【 摘 要 】

There are few social epidemiologic studies on chickenpox outbreaks, although previous findings suggested the important role of social determinants. This study describes the context of a large outbreak of chickenpox in the Cauca Valley region, Colombia (2003 to 2007), with an emphasis on macro-determinants. We explored the temporal trends in chickenpox incidence in 42 municipalities to identify the places with higher occurrences. We analyzed municipal characteristics (education quality, vaccination coverage, performance of health care services, violence-related immigration, and area size of planted sugar cane) through analyses based on set theory. Edwards-Venn diagrams were used to present the main findings. The results indicated that three municipalities had higher incidences and that poor quality education was the attribute most prone to a higher incidence. Potential use of set theory for exploratory outbreak analyses is discussed. It is a tool potentially useful to contrast units when only small sample sizes are available.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License