定义空间流行病学:系统回顾与重新定位》。

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiology Pub Date : 2024-07-01 Epub Date: 2024-06-24 DOI:10.1097/EDE.0000000000001738
Christopher N Morrison, Christina F Mair, Lisa Bates, Dustin T Duncan, Charles C Branas, Brady R Bushover, Christina A Mehranbod, Ariana N Gobaud, Stephen Uong, Sarah Forrest, Leah Roberts, Andrew G Rundle
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引用次数: 0

摘要

背景:过去四分之一世纪以来,空间流行病学已成为流行病学的一个重要分支领域。我们追溯了空间流行病学的起源,并注意到其出现与空间统计学和地理学的技术发展相吻合。我们假设,空间流行病学对描述性流行病学和风险因素分析研究做出了重要贡献,但尚未与流行病学目前关注的因果推断和干预相一致:我们对 PubMed 索引中标题、摘要或关键词中使用 "空间流行病学*"一词的研究进行了系统回顾。不包括非英文撰写、研究动物疾病或仅报告生物病原体分布的论文。我们将纳入的论文分为五类(综述、方法演示、描述性、分析性、干预性),并记录了分析单位(即个体与生态)。此外,我们还使用词法内容量表对编码为生态分析研究的论文进行了检查:共有 482 篇论文符合纳入标准,其中包括 76 篇综述、117 篇方法演示、122 篇描述性研究、167 篇分析性研究和 0 篇干预性研究。示范研究多见于 2006 年至 2014 年,分析研究多见于 2015 年之后。在分析性生态学研究中,后几年发表的研究使用了更多与空间统计学(IRR =1.3,95%CI:1.1,1.5)和因果推断(IRR =1.1,95%CI:1.1,1.2)相关的术语:空间流行病学是流行病学中一个重要且不断发展的子领域。我们建议对其重新定位,以帮助其实践与当代流行病学的目标保持一致。
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Defining Spatial Epidemiology: A Systematic Review and Re-orientation.

Background: Spatial epidemiology has emerged as an important subfield of epidemiology over the past quarter century. We trace the origins of spatial epidemiology and note that its emergence coincided with technological developments in spatial statistics and geography. We hypothesize that spatial epidemiology makes important contributions to descriptive epidemiology and analytic risk-factor studies but is not yet aligned with epidemiology's current focus on causal inference and intervention.

Methods: We conducted a systematic review of studies indexed in PubMed that used the term "spatial epidemiolog*" in the title, abstract, or keywords. Excluded articles were not written in English, examined disease in animals, or reported biologic pathogen distribution only. We coded the included papers into five categories (review, demonstration of method, descriptive, analytic, and intervention) and recorded the unit of analysis (i.e., individual vs. ecological). We additionally examined articles coded as analytic ecologic studies using scales for lexical content.

Results: A total of 482 articles met the inclusion criteria, including 76 reviews, 117 demonstrations of methods, 122 descriptive studies, 167 analytic studies, and 0 intervention studies. Demonstration studies were most common from 2006 to 2014, and analytic studies were most common after 2015. Among the analytic ecologic studies, those published in later years used more terms relevant to spatial statistics (incidence rate ratio =1.3; 95% confidence interval [CI] = 1.1, 1.5) and causal inference (incidence rate ratio =1.1; 95% CI = 1.1, 1.2).

Conclusions: Spatial epidemiology is an important and growing subfield of epidemiology. We suggest a re-orientation to help align its practice with the goals of contemporary epidemiology.

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来源期刊
Epidemiology
Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.70
自引率
3.70%
发文量
177
审稿时长
6-12 weeks
期刊介绍: Epidemiology publishes original research from all fields of epidemiology. The journal also welcomes review articles and meta-analyses, novel hypotheses, descriptions and applications of new methods, and discussions of research theory or public health policy. We give special consideration to papers from developing countries.
期刊最新文献
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