An ecological study of chronic kidney disease in five Mesoamerican countries: associations with crop and heat.

ABSTRACT:

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

SUBMITTER: Hansson E 

PROVIDER: S-EPMC8088703 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature