@article{fdi:010070102,
  title = {{S}ocioeconomic and environmental determinants of dengue transmission in an urban setting : an ecological study in {N}oumea, {N}ew {C}aledonia},
  author = {{Z}ellweger, {R}elm and {C}ano, {J}. and {M}angeas, {M}organ and {T}aglioni, {F}. and {M}ercier, {A}. and {D}espinoy, {M}arc and {M}enk{\`e}s, {C}hristophe and {D}upont-{R}ouzeyrol, {M}. and {N}ikolay, {B}. and {T}eurlai, {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {D}engue is a mosquito-borne virus that causes extensive morbidity and economic loss in many tropical and subtropical regions of the world. {O}ften present in cities, dengue virus is rapidly spreading due to urbanization, climate change and increased human movements. {D}engue cases are often heterogeneously distributed throughout cities, suggesting that small-scale determinants influence dengue urban transmission. {A} better understanding of these determinants is crucial to efficiently target prevention measures such as vector control and education. {T}he aim of this study was to determine which socioeconomic and environmental determinants were associated with dengue incidence in an urban setting in the {P}acific. {M}ethodology {A}n ecological study was performed using data summarized by neighborhood (i.e. the neighborhood is the unit of analysis) from two dengue epidemics (2008-2009 and 2012-2013) in the city of {N}oumea, the capital of {N}ew {C}aledonia. {S}patial patterns and hotspots of dengue transmission were assessed using global and local {M}oran's {I} statistics. {M}ultivariable negative binomial regression models were used to investigate the association between dengue incidence and various socioeconomic and environmental factors throughout the city. {P}rincipal findings {T}he 2008-2009 epidemic was spatially structured, with clusters of high and low incidence neighborhoods. {I}n 2012-2013, dengue incidence rates were more homogeneous throughout the city. {I}n all models tested, higher dengue incidence rates were consistently associated with lower socioeconomic status (higher unemployment, lower revenue or higher percentage of population born in the {P}acific, which are interrelated). {A} higher percentage of apartments was associated with lower dengue incidence rates during both epidemics in all models but one. {A} link between vegetation coverage and dengue incidence rates was also detected, but the link varied depending on the model used. {C}onclusions {T}his study demonstrates a robust spatial association between dengue incidence rates and socioeconomic status across the different neighborhoods of the city of {N}oumea. {O}ur findings provide useful information to guide policy and help target dengue prevention efforts where they are needed most.},
  keywords = {{NOUVELLE} {CALEDONIE} ; {NOUMEA}},
  booktitle = {},
  journal = {{P}los {N}eglected {T}ropical {D}iseases},
  volume = {11},
  numero = {4},
  pages = {e0005471 [18 p.]},
  ISSN = {1935-2735},
  year = {2017},
  DOI = {10.1371/journal.pntd.0005471},
  URL = {https://www.documentation.ird.fr/hor/fdi:010070102},
}