Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010

BACKGROUND: Whooping cough is a communicable disease whose incidence has increased in recent years in some countries with vaccination. Since 1981, in Catalonia (Spain), cases must be reported to the Public Health Department. In 1997, surveillance changed from aggregated counts to individual report a...

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Detalhes bibliográficos
Autores: Crespo, Inma, Soldevila, Núria, Muñoz, Pilar, Godoy i García, Pere, Carmona, Gloria, Domínguez García, Àngela
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2014
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/120442
Acesso em linha:https://hdl.handle.net/2445/120442
Access Level:Acceso aberto
Palavra-chave:Tos ferina
Salut pública
Epidemiologia
Catalunya
Whooping cough
Public health
Epidemiology
Catalonia
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spelling Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010Crespo, InmaSoldevila, NúriaMuñoz, PilarGodoy i García, PereCarmona, GloriaDomínguez García, ÀngelaTos ferinaSalut públicaEpidemiologiaCatalunyaWhooping coughPublic healthEpidemiologyCataloniaBACKGROUND: Whooping cough is a communicable disease whose incidence has increased in recent years in some countries with vaccination. Since 1981, in Catalonia (Spain), cases must be reported to the Public Health Department. In 1997, surveillance changed from aggregated counts to individual report and the surveillance system was improved after 2002. Catalan public health is universal with equal coverage geographically. The aim of this study was to determine whether there are differences in whooping cough incidence in rural and urban counties. METHODS: Cases in 1990-2010 were classified as rural or urban. Incidences and risk ratios (RR) between urban and rural counties and 95% CI were calculated. Associations between rural and urban counties and structural changes during the study period were analysed. RESULTS: Twelve years of the whole study period showed differences in incidence between rural and urban counties. The incidence was higher in urban counties in seven years and rural counties in five years. There was a positive association of whooping cough incidence in rural and urban counties in four-week periods. Structural changes were detected in the following four-week periods: 4th in 1993, 7th in 1996 and 3rd 2005 in rural counties and 5th 1993, 9th in 1996 and 8th in 2007 in urban counties. CONCLUSIONS: Differences in whooping cough between rural and urban counties were found. In most years, the incidence was higher in urban than in rural counties. Rural and urban counties show similar cyclic behaviour when four-week periods were considered.BioMed Central2018201820142018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion7 p.application/pdfhttps://hdl.handle.net/2445/120442Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/1471-2458-14-268BMC Public Health, 2014, vol. 14, p. 268https://doi.org/10.1186/1471-2458-14-268cc-by (c) Crespo, Inma et al., 2014http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1204422026-05-29T05:05:01Z
dc.title.none.fl_str_mv Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
title Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
spellingShingle Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
Crespo, Inma
Tos ferina
Salut pública
Epidemiologia
Catalunya
Whooping cough
Public health
Epidemiology
Catalonia
title_short Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
title_full Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
title_fullStr Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
title_full_unstemmed Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
title_sort Geographical differences in wooping cough in Catalonia, Spain, from 1990 to 2010
dc.creator.none.fl_str_mv Crespo, Inma
Soldevila, Núria
Muñoz, Pilar
Godoy i García, Pere
Carmona, Gloria
Domínguez García, Àngela
author Crespo, Inma
author_facet Crespo, Inma
Soldevila, Núria
Muñoz, Pilar
Godoy i García, Pere
Carmona, Gloria
Domínguez García, Àngela
author_role author
author2 Soldevila, Núria
Muñoz, Pilar
Godoy i García, Pere
Carmona, Gloria
Domínguez García, Àngela
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Tos ferina
Salut pública
Epidemiologia
Catalunya
Whooping cough
Public health
Epidemiology
Catalonia
topic Tos ferina
Salut pública
Epidemiologia
Catalunya
Whooping cough
Public health
Epidemiology
Catalonia
description BACKGROUND: Whooping cough is a communicable disease whose incidence has increased in recent years in some countries with vaccination. Since 1981, in Catalonia (Spain), cases must be reported to the Public Health Department. In 1997, surveillance changed from aggregated counts to individual report and the surveillance system was improved after 2002. Catalan public health is universal with equal coverage geographically. The aim of this study was to determine whether there are differences in whooping cough incidence in rural and urban counties. METHODS: Cases in 1990-2010 were classified as rural or urban. Incidences and risk ratios (RR) between urban and rural counties and 95% CI were calculated. Associations between rural and urban counties and structural changes during the study period were analysed. RESULTS: Twelve years of the whole study period showed differences in incidence between rural and urban counties. The incidence was higher in urban counties in seven years and rural counties in five years. There was a positive association of whooping cough incidence in rural and urban counties in four-week periods. Structural changes were detected in the following four-week periods: 4th in 1993, 7th in 1996 and 3rd 2005 in rural counties and 5th 1993, 9th in 1996 and 8th in 2007 in urban counties. CONCLUSIONS: Differences in whooping cough between rural and urban counties were found. In most years, the incidence was higher in urban than in rural counties. Rural and urban counties show similar cyclic behaviour when four-week periods were considered.
publishDate 2014
dc.date.none.fl_str_mv 2014
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/120442
url https://hdl.handle.net/2445/120442
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/1471-2458-14-268
BMC Public Health, 2014, vol. 14, p. 268
https://doi.org/10.1186/1471-2458-14-268
dc.rights.none.fl_str_mv cc-by (c) Crespo, Inma et al., 2014
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Crespo, Inma et al., 2014
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 7 p.
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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