P1-S4.12 Using neighbourhood-level population data to guide gonorrhoea intervention, MontrÉal, QuÉbec, Canada, 2002−2009
Notice bibliographique
Résumé
Background The reported incidence rate of gonorrhoea has more than doubled between 2000 and 2010 in Montréal, increasing in both genders and all age groups; however, it was particularly high in females aged 15 to 24. As the reasons for the increases among young women are not fully understood, we wanted to determine whether neighbourhood-level population characteristics were associated with incidence rates among them, to help target intervention strategies. Methods Incident gonorrhoea cases were female residents of Montréal, aged 15 to 24, who met Québec's provincial gonorrhoea surveillance definition, with a notification date between 2002 and 2009. The unit of analysis was neighbourhoods—111 non-administrative boundaries defined by the Montréal Public Health Department, by grouping census tracts to maximise homogeneity of population characteristics. The dependent variable was the neighbourhood gonorrhoea incidence rate based on all reported cases and the neighbourhood population, for females aged 15 to 24; the independent variables included material and social deprivation indices, their combination and components, and ethnic origin. Adjusted incidence rate ratios (IRR) were estimated by negative binomial regression after exponentiation of the regression coefficients and show the change in the incidence of gonorrhoea for each unit increase in the independent variable. In the final model, independent variables were normalised to facilitate comparison of their IRR which represents the change in gonorrhoea incidence rate associated with an increase of one SD in the percentage of residents of a given ethnic origin. Results A total of 837 cases were reported (cumulative incidence rate 5.6 per 100 000). Higher proportions of three ethnic origin groups were associated with higher neighbourhood gonorrhoea rates, even when deprivation indices were considered (Abstract P1-S4.12 table 1). Abstract P1-S4.12 Table 1 Population characteristics associated with gonorrhoea rates among female residents of Montréal aged 15–24, 2002–2009 Independent variable Incidence Rate Ratio (95% CI) p value % of the population whose origin is African 1.34 (1.20 to 1.49) 0.000 % of the population whose origin is Aboriginal 1.32 (1.19 to 1.46) 0.000 % of the population whose origin is Caribbean 1.19 (1.07 to 1.33) 0.001 Conclusions Customary methods for gonorrhoea surveillance consider individual characteristics of cases as risk factors for disease. However, gonorrhoea is clustered in neighbourhoods that have high proportions of African, Aboriginal and Caribbean populations. The ecological approach used in this study suggests that certain phenomena exist at the population level that may not exist at the individual level, which can be used to target population-level prevention programs.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».