Geospatial investigations in Colombia reveal variations in the distribution of mood and psychotic disorders.

ABSTRACT:

Background

Geographical variations in mood and psychotic disorders have been found in upper-income countries. We looked for geographic variation in these disorders in Colombia, a middle-income country. We analyzed electronic health records from the Clínica San Juan de Dios Manizales (CSJDM), which provides comprehensive mental healthcare for the one million inhabitants of Caldas.

Methods

We constructed a friction surface map of Caldas and used it to calculate the travel-time to the CSJDM for 16,295 patients who had received an initial diagnosis of mood or psychotic disorder. Using a zero-inflated negative binomial regression model, we determined the relationship between travel-time and incidence, stratified by disease severity. We employed spatial scan statistics to look for

SUBMITTER: Song J 

PROVIDER: S-EPMC10881503 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature