social epidemiology of a large outbreak of chickenpox in the colombian sugar cane producer region: a set theory-based analysis epidemiología social de una gran epidemia de varicela en la región colombiana productora de caña de azúcar: un análisis basado en teoría de conjuntos

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ID: 222334
2011
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Abstract
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.
Hay pocos estudios de epidemiología social sobre epidemias de varicela, aunque resultados previos sugieren un importante rol de los determinantes sociales. Este estudio describe el contexto de una gran epidemia de varicela en la región del Valle del Cauca, Colombia (2003 a 2007), con énfasis en algunos macro-determinantes. Exploramos las tendencias temporales de la incidencia de varicela en 42 municipios para identificar los lugares con mayor ocurrencia. Analizamos las características municipales (calidad de educación, cobertura de vacunación, desempeño de los servicios de salud, inmigración relacionada con violencia, y área cultivada con caña de azúcar) mediante análisis basados en teoría de conjuntos. Diagramas de Venn de Edward fueron usados para presentar los principales hallazgos. Los resultados indicaron que tres municipios tuvieron las mayores incidencias y que la educación de pobre calidad fue el atributo más propenso a mayor incidencia. El uso de la teoría de conjuntos para análisis exploratorio de epidemias con pocas unidades de análisis es discutido.
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Authors ;Alvaro J. Idrovo;Cidronio Albavera-Hernández;Jorge Martín Rodríguez-Hernández
Journal iberian conference on information systems and technologies, cisti
Year 2011
DOI
10.1590/S0102-311X2011000700014
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011000700014
Keywords
disease outbreaks prestación de atención de salud varicela

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