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Spatial accessibility and inequality analysis of rabies-exposed patients to rabies post-exposure prophylaxis clinics in Guangzhou City, China.
Zhao, Jianguo; Luo, Min; Tan, Xiaohua; Zhu, Zhihua; Zhang, Meng; Liu, Jun; Lin, Wenqing; Yang, Yuwei; Li, Xing; Zeng, Weilin; Gong, Dexin; Rong, Zuhua; Huang, Zitong; Zheng, Wenyuan; Guo, Huijie; Zeng, Siqing; Sun, Limei; Xiao, Jianpeng.
Afiliación
  • Zhao J; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Luo M; Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Tan X; Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Zhu Z; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Zhang M; Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Liu J; Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Lin W; Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Yang Y; Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Li X; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Zeng W; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Gong D; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Rong Z; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Huang Z; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Zheng W; School of Public Health, Sun Yat-sen University, Guangzhou, 510080, China.
  • Guo H; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Zeng S; Department of Public Health and Preventive Medicine, School of Medicine, Ji'nan University, Guangzhou, 510632, China.
  • Sun L; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
  • Xiao J; Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
Int J Equity Health ; 23(1): 122, 2024 Jun 14.
Article en En | MEDLINE | ID: mdl-38877457
ABSTRACT

BACKGROUND:

The incidence of rabies exposure is high and increasing in China, leading to an urgent demand of rabies post-exposure prophylaxis (PEP) clinics for the injured. However, the spatial accessibility and inequality of rabies-exposed patients to rabies PEP clinics is less known in China.

METHODS:

Based on rabies exposure data, PEP clinic data, and resident travel origin-destination (OD) matrix data in Guangzhou City, China, we first described the incidence of rabies exposure in Guangzhou from 2020 to 2022. Then, the Gaussian two-step floating catchment area method (2SFCA) was used to analyze the spatial accessibility of rabies-exposed patients to rabies PEP clinics in Guangzhou, and the Gini coefficient and Moran's I statistics were utilized to evaluate the inequality and clustering of accessibility scores.

RESULTS:

From 2020 to 2022, a total of 524,160 cases of rabies exposure were reported in Guangzhou, and the incidence showed a significant increasing trend, with an average annual incidence of 932.0/100,000. Spatial accessibility analysis revealed that the overall spatial accessibility scores for three scenarios (threshold of driving duration [d0] = 30 min, 45 min, and 60 min) were 0.30 (95% CI 0.07, 0.87), 0.28 (95% CI 0.11, 0.53) and 0.28 (95% CI 0.14, 0.44), respectively. Conghua, Huangpu, Zengcheng and Nansha districts had the higher accessibility scores, while Haizhu, Liwan, and Yuexiu districts exhibited lower spatial accessibility scores. The Gini coefficient and Moran's I statistics showed that there were certain inequality and clustering in the accessibility to rabies PEP clinics in Guangzhou.

CONCLUSIONS:

This study clarifies the heterogeneity of spatial accessibility to rabies PEP clinics, and provide valuable insights for resource allocation to achieve the WHO target of zero human dog-mediated rabies deaths by 2030.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rabia / Profilaxis Posexposición / Accesibilidad a los Servicios de Salud Límite: Animals / Humans País/Región como asunto: Asia Idioma: En Revista: Int J Equity Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rabia / Profilaxis Posexposición / Accesibilidad a los Servicios de Salud Límite: Animals / Humans País/Región como asunto: Asia Idioma: En Revista: Int J Equity Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido