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Geographic analysis of pertussis infection in an urban area: A tool for health services planning

Author

Listed:
  • Siegel, C.
  • Davidson, A.
  • Kafadar, K.
  • Norris, J.M.
  • Todd, J.
  • Steiner, J.

Abstract

Objective. This study examined whether incident cases of pertussis cluster in urban census tracts and identified community characteristics that predict high-incidence areas. Methods. An ecological study design was used. The study population included all persons diagnosed with pertussis from January 1, 1986, through December 31, 1994. Maps of rats were constructed via a geographic information system and clustering was statistically confirmed. Associations between pertussis rates and community characteristics were tested. Results. Mapping and statistical analysis revealed spatial clustering of pertussis. Higher age-adjusted rates of pertussis infection were associated with higher proportions of residents below poverty level. Conclusions. In urban areas, pertussis infection clusters in areas of poverty.

Suggested Citation

  • Siegel, C. & Davidson, A. & Kafadar, K. & Norris, J.M. & Todd, J. & Steiner, J., 1997. "Geographic analysis of pertussis infection in an urban area: A tool for health services planning," American Journal of Public Health, American Public Health Association, vol. 87(12), pages 2022-2026.
    • Handle: RePEc:aph:ajpbhl:1997:87:12:2022-2026_6
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    Cited by:

    1. Omar B. Da'ar & Mohamed Haji & Hoda Jradi, 2020. "Coronavirus Disease 2019 (COVID‐19): Potential implications for weak health systems and conflict zones in the Middle East and North Africa region," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(5), pages 1240-1245, September.
    2. Girard, Dorota Z., 2000. "Intervention times series analysis of pertussis vaccination in England and Wales," Health Policy, Elsevier, vol. 54(1), pages 13-25, November.
    3. Shehzad Kassam & Jesus Serrano-Lomelin & Anne Hicks & Susan Crawford & Jeffrey A. Bakal & Maria B. Ospina, 2021. "Geography as a Determinant of Health: Health Services Utilization of Pediatric Respiratory Illness in a Canadian Province," IJERPH, MDPI, vol. 18(16), pages 1-17, August.

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