결핵 발병의 공간불평등 다층모형분석: 경상북도를 대상으로Spatially Filtered Multilevel Analysis on Spatial Inequality of Tuberculosis in Gyeongsangbuk-do, Korea
- Other Titles
- Spatially Filtered Multilevel Analysis on Spatial Inequality of Tuberculosis in Gyeongsangbuk-do, Korea
- Authors
- 임창민; 김영호
- Issue Date
- 2021
- Publisher
- 한국보건정보통계학회
- Keywords
- Tuberculosis; Spatial inequality; Spatial distribution; Hotspot analysis; Spatially filtered multilevel analysis; .
- Citation
- 보건정보통계학회지, v.46, no.1, pp.88 - 99
- Indexed
- KCI
- Journal Title
- 보건정보통계학회지
- Volume
- 46
- Number
- 1
- Start Page
- 88
- End Page
- 99
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/129917
- DOI
- 10.21032/jhis.2021.46.1.88
- ISSN
- 2465-8014
- Abstract
- Objectives: This study aims to identify the spatial inequality of tuberculosis (TB) and related socio-environmental factors in Gyeongsangbuk-do, Korea.
Methods: This study explains TB incidences in a spatial perspective. A spatial multilevel regression model was applied to account for the spatial inequality of TB and related factors. Applied socio-environmental factors were average age, population density, Normalized Difference Built-up Index (NDBI), particulate matter (PM10), medical insurance, financial independence rate, and medical doctors per 1,000 people. Results: This study finds evident spatial inequality of TB in Gyeongsangbuk-do. Most TB hotspots are identified around Yeongyang-gun, the area with the lowest socio-economic status in Korea.
The regression result shows that level 1 factors (Average age, NDBI, PM10) and level 2 factors (medical insurance, financial independence rate) were statistically significant related to TB incidences. Furthermore, spatial filtering applied to multilevel regression accounts for spatial autocorrelation of TB incidence. Conclusions: Regional socio-economic and demographic conditions in Gyeongsangbuk-do influence TB incidences. Given low expectations on Gyeongsangbuk-do’s socio-economic and demographic growth, reducing the spatial inequality of TB would be challenging.
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