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. 1997 Dec;87(12):2022–2026. doi: 10.2105/ajph.87.12.2022

Geographic analysis of pertussis infection in an urban area: a tool for health services planning.

C Siegel 1, A Davidson 1, K Kafadar 1, J M Norris 1, J Todd 1, J Steiner 1
PMCID: PMC1381249  PMID: 9431296

Abstract

OBJECTIVE: This study examined whether incident cases of pertussis cluster in urban census tracts and identified community characteristics that predict high-incidence areas. METHODS: An ecological study design was used. The study population included all persons diagnosed with pertussis from January 1, 1986, through December 31, 1994. Maps of rates were constructed via a geographic information system and clustering was statistically confirmed. Associations between pertussis rates and community characteristics were tested. RESULTS: Mapping and statistical analysis revealed spatial clustering of pertussis. Higher age-adjusted rates of pertussis infection were associated with higher proportions of residents below poverty level. CONCLUSIONS: In urban areas pertussis infection clusters in areas of poverty.

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Selected References

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