Search: WFRF:(Petzold Max 1973)
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> Hansson Erik >
An ecological study...
An ecological study of chronic kidney disease in five Mesoamerican countries : associations with crop and heat
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- Hansson, Erik (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,La Isla Network,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Mansourian, Ali (author)
- Lund University,Lunds universitet,Centrum för geografiska informationssystem (GIS-centrum),Institutionen för naturgeografi och ekosystemvetenskap,Naturvetenskapliga fakulteten,Centre for Geographical Information Systems (GIS Centre),Dept of Physical Geography and Ecosystem Science,Faculty of Science
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- Farnaghi, Mahdi (author)
- Lund University,Lunds universitet,Centrum för geografiska informationssystem (GIS-centrum),Institutionen för naturgeografi och ekosystemvetenskap,Naturvetenskapliga fakulteten,Centre for Geographical Information Systems (GIS Centre),Dept of Physical Geography and Ecosystem Science,Faculty of Science
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- Petzold, Max, 1973 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Jakobsson, Kristina (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,La Isla Network,Sahlgrenska University Hospital,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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(creator_code:org_t)
- 2021-05-01
- 2021
- English.
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In: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 21:1
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Abstract
Subject headings
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- BACKGROUND: Mesoamerica is severely affected by an epidemic of Chronic Kidney Disease of non-traditional origin (CKDnt), an epidemic with a marked variation within countries. We sought to describe the spatial distribution of CKDnt in Mesoamerica and examine area-level crop and climate risk factors.METHODS: CKD mortality or hospital admissions data was available for five countries: Mexico, Guatemala, El Salvador, Nicaragua and Costa Rica and linked to demographic, crop and climate data. Maps were developed using Bayesian spatial regression models. Regression models were used to analyze the association between area-level CKD burden and heat and cultivation of four crops: sugarcane, banana, rice and coffee.RESULTS: There are regions within each of the five countries with elevated CKD burden. Municipalities in hot areas and much sugarcane cultivation had higher CKD burden, both compared to equally hot municipalities with lower intensity of sugarcane cultivation and to less hot areas with equally intense sugarcane cultivation, but associations with other crops at different intensity and heat levels were not consistent across countries.CONCLUSION: Mapping routinely collected, already available data could be a first step to identify areas with high CKD burden. The finding of higher CKD burden in hot regions with intense sugarcane cultivation which was repeated in all five countries agree with individual-level studies identifying heavy physical labor in heat as a key CKDnt risk factor. In contrast, no associations between CKD burden and other crops were observed.
Subject headings
- NATURVETENSKAP -- Geovetenskap och miljövetenskap (hsv//swe)
- NATURAL SCIENCES -- Earth and Related Environmental Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Chronic Kidney Disease of unknown origin (CKDu)
- Mesoamerican countries
- Associations with crop and heat
- Ecological study
Publication and Content Type
- art (subject category)
- ref (subject category)
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