Geography and Human Relationships

Geography and Human Relationships

Spatial autocorrelation analysis of mortality from respiratory diseases and access to health care centers in Tehran

Document Type : Original Article

Authors
Ghasem Fathi 1
Alireza Mohammadi 2
Ata Ghaffari Ghilandeh 2
1 Geography and Urban Planning, Faculty of Social Sciences, University of Mohaghegh Ardabili, Ardabil, Iran
2 Professor, Department of Urban and Rural Planning, Faculty of Social Sciences, University of Mohaghegh Ardabili, Ardabil, Iran
10.22034/gahr.2024.432719.2015
Abstract
According to the statistics of these diseases in 2018, 2019, 2020, and 2021, the most deaths were in the Tehran metropolis. Therefore, this research has dealt with mortality caused by respiratory diseases in the level of 22 districts of Tehran city in the above-mentioned time frame and analyzed its spatial autocorrelation with the variable of access to health care centers. Based on this, the addresses of respiratory patients were marked in GIS. To investigate the spatial distribution of respiratory disease mortality, Moran's coefficient was used, to calculate the distance from the center of the region to the nearest healthcare centers, using the NEAR command, and to analyze the spatial autocorrelation of death from respiratory diseases and access to health care centers, Moran's coefficient was used. The results show that the distribution of deaths caused by respiratory diseases in the areas of Tehran in 2018, 2019, and 2020 is clustered, and in 2021it is scattered, and in the eastern part of the city, the spatial distribution is high. Also, the minimum distance from the center of the regions to health care centers is calculated to be 1000 meters and the maximum is 12000 meters, which means that the average level of access to health care centers in areas 8, 11, 12, and 16 of Tehran has adequate access to health care centers. Finally, by using the two-variable Moran of respiratory patients and the distance from health care centers, the North-East, East, and East-South-East regions have high patient mortality and low access to health-treatment centers. The death rate is high in the areas where patients are far from the health care centers, and in the areas where the distance to the health care centers is short, the death rate is much lower.
Keywords
Respiratory diseases
accessibility
health care centers
spatial autocorrelation
Tehran city

Subjects

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Geography and Human Relationships
Volume 7, Issue 4 - Serial Number 28
Winter 2025
Pages 598-610

  • Receive Date 27 December 2023
  • Revise Date 04 February 2024
  • Accept Date 29 May 2023