Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia
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 Santan...
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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 2019-07-17T18:47:24Z 2019-07-17T18:47:24Z 2017-12 8 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. Furthermore, urban functionality was a socio-economic determinant independently associated with CL incidence. application/pdf 10.1093/trstmh/try011 1878-3503 0035-9203 https://repositorio.udes.edu.co/handle/001/3414 eng Transactions of the Royal Society of Tropical Medicine and Hygiene Derechos Reservados - Universidad de Santander, 2017 info:eu-repo/semantics/openAccess Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/ https://academic.oup.com/trstmh/article-abstract/111/12/564/4917360?redirectedFrom=fulltext Cutaneous leishmaniasis Determinants Economics Environmental Negative binomial regression model Social Environmental and socio-economic determinants associated with the occurrence of cutaneous leishmaniasis in the northeast of Colombia Artículo de revista http://purl.org/coar/resource_type/c_6501 Text info:eu-repo/semantics/article http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion Publication http://purl.org/coar/access_right/c_abf2 http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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Universidad EIA |
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d_repositorio.udes.edu.co-DSPACE |
| 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 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 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 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 |
| author |
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 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 |
| author_facet |
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 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 |
| building |
Repositorio digital |
| topic |
Cutaneous leishmaniasis Determinants Economics Environmental Negative binomial regression model Social |
| topic_facet |
Cutaneous leishmaniasis Determinants Economics Environmental Negative binomial regression model Social |
| publishDate |
2017-12 |
| language |
English |
| format |
Artículo de revista |
| description |
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. Furthermore, urban functionality was a socio-economic determinant independently associated with CL incidence.
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| issn |
1878-3503 |
| url |
https://repositorio.udes.edu.co/handle/001/3414 |
| url_str_mv |
https://repositorio.udes.edu.co/handle/001/3414 |
| _version_ |
1789502133780873216 |
| score |
11.255725 |
