کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7471858 | 1485142 | 2018 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
A space time analysis evaluating the impact of hurricane sandy on HIV testing rates
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کلمات کلیدی
Social Vulnerability IndexITSFEMACDCOLSSIAcBSASVI - ALLHIV testing - آزمایش HIVFederal Emergency Management Agency - آژانس مدیریت اضطراری فدرالNatural disaster - بلای طبیعیInterrupted time series analysis - تجزیه و تحلیل سری سری قطعSpatial analysis - تجزیه و تحلیل فضاییordinary least squares - حداقل مربعات معمولیGeographic information systems - سیستم های اطلاعات جغرافیاییHurricane Sandy - طوفان شنیCenters for Disease Control and Prevention - مراکز کنترل و پیشگیری از بیماریhuman immunodeficiency virus - ویروس نقص ایمنی انسانیHIV - ویروس نقص ایمنی انسانی
موضوعات مرتبط
مهندسی و علوم پایه
علوم زمین و سیارات
فیزیک زمین (ژئو فیزیک)
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Spatial proximity to infrastructural damage from natural disasters may pose a threat to established HIV testing services and contribute to delays in knowledge of one's disease status. Physical vulnerabilities such as spatial proximity to a level 4 FEMA impact zone, are defined in this study as natural and infrastructural barriers that can impede access to care. We analyzed the storm effects and community characteristics that contributed to the changes in HIV testing rates post Hurricane Sandy. Univariate and bivariate Moran's I tests were conducted to test for spatial autocorrelation. Combined spatial lag and error models accounted for lagged effects and alternatives in error distribution. Bivariate local Moran's I identified many significant clusters of more extreme negative relative change in HIV testing rates in areas with high FEMA impact ranks. Spatial lag and error models highlighted a significant relationship between CBSAs closer to a level 4 FEMA impact zone and the increased effect of Hurricane Sandy on HIV testing. Additionally, as the number of habitable buildings increased, there was significantly less change in HIV testing rates. Physical vulnerability had a significant effect on HIV testing rates. However all findings became less significant over time, highlighting the recovery process. Factors including: increased communication concerning preventative measures prior to the disaster, a prompt response to mitigate infrastructural damage and resumption of HIV testing services, are essential at the government and community levels to mitigate infection risk.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Disaster Risk Reduction - Volume 28, June 2018, Pages 839-844
Journal: International Journal of Disaster Risk Reduction - Volume 28, June 2018, Pages 839-844
نویسندگان
Grete E. Wilt, Erica Elaine Adams, Erin Thomas, Linda Ekperi, Tanya Telfair LeBlanc, Ian Dunn, Noelle-Angelique Molinari, Eric G. Carbone,