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Analysis of Spatial Association and Factors Influencing Trauma-Related Mortality in Shahr-E-Ray, Iran: A Cross-Sectional Study Publisher



Azimpour G1 ; Tavakoli N2 ; Faraji Sabokbar H3 ; Saberian P4, 5 ; Baratloo A5, 6
Authors
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Authors Affiliations
  1. 1. Department of Natural Geography, Faculty of Geography, University of Tehran, Tehran, Iran
  2. 2. Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Human Geography, Faculty of Geography, University of Tehran, Tehran, Iran
  4. 4. Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Research Center for Trauma in Police Operation, Directorate of Health, Rescue and Treatment, Police Headquarter, Tehran, Iran

Source: Applied Geomatics Published:2022


Abstract

This paper is aimed to posit exploratory spatial data analysis using geographic information systems (GIS) in trauma epidemiology among male victims and female victims. The present study explores the existence of gender differences in relation to different trauma types building on an analysis of a set of samples. Moreover, the critical spots would be detected for health care planning. Spatial analysis shows that mortality due to trauma was described, based on gender, on Shahr-e-Ray, Tehran, Iran, from 2006 to 2016. High/low clustering, spatial autocorrelation, hot spot analysis, cluster and outlier analysis, and geographic weighted regression spatial statistic were employed, in exploring the spatial relation between trauma occurrence and the selected explanatory variables. The results showed that there are more clustering in male victims and these clustering are not by a random chance and are highly clustered. The locations of these clustering are located by hot spot analysis and can be used for injury prevention efforts. The results showed that there are more clustering in male victims and these clustering are not by a random chance and highly clustered. The most important results of this study showed that gender differences in prevalence vary across different trauma types. There was a significant relationship between trauma mortality and all descriptive variables. In “urban facility” variable and “military, administrative, commercial, and industrial areas” variables, the gender differences were highest. The gender difference in trauma-related mortality exists in the study area, and highly clusters of these mortalities can be found in the located areas and it should be considered for health care planning systems. © 2022, The Author(s), under exclusive licence to Societa Italiana di Fotogrammetria e Topografia (SIFET).