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P Kanaroglou

Publications and source records attributed to P Kanaroglou.

6 recordsLinked to original sources
PubMed2006

An exploratory spatial analysis of pneumonia and influenza hospitalizations in Ontario by age and gender.

Pneumonia and influenza represent a significant public health burden in Canada and abroad. Knowledge of how this burden varies geographically provides clues to understanding the determinants of these illnesses, and insight into the effective management of health-care resources. We conducted a retrospective, population-based, ecological-level study to assess age- and gender-specific spatial patterns of pneumonia and influenza hospitalizations in the province of Ontario, Canada from 1992 to 2001. Results revealed marked variability in hospitalization rates by age, as well as clear and statistically significant patterns of high rates in northern rural counties and low rates in southern urban counties. A moderate yet significant level of positive spatial autocorrelation (Moran's I=0.21, P<0.05) was found in the global data, with significant, age-specific clusters of high values or 'hot spots' identified in several northern counties. Findings illustrate the need for geographically focused prevention strategies, and resource and service allocation policies informed by regional and population-specific demands.

Adolescent↗
PubMed2004

Do socioeconomic characteristics modify the short term association between air pollution and mortality? Evidence from a zonal time series in Hamilton, Canada.

STUDY OBJECTIVE: To assess the short term association between air pollution and mortality in different zones of an industrial city. An intra-urban study design is used to test the hypothesis that socioeconomic characteristics modify the acute health effects of ambient air pollution exposure. DESIGN: The City of Hamilton, Canada, was divided into five zones based on proximity to fixed site air pollution monitors. Within each zone, daily counts of non-trauma mortality and air pollution estimates were combined. Generalised linear models (GLMs) were used to test mortality associations with sulphur dioxide (SO(2)) and with particulate air pollution measured by the coefficient of haze (CoH). MAIN RESULTS: Increased mortality was associated with air pollution exposure in a citywide model and in intra-urban zones with lower socioeconomic characteristics. Low educational attainment and high manufacturing employment in the zones significantly and positively modified the acute mortality effects of air pollution exposure. DISCUSSION: Three possible explanations are proposed for the observed effect modification by education and manufacturing: (1) those in manufacturing receive higher workplace exposures that combine with ambient exposures to produce larger health effects; (2) persons with lower education are less mobile and experience less exposure measurement error, which reduces bias toward the null; or (3) manufacturing and education proxy for many social variables representing material deprivation, and poor material conditions increase susceptibility to health risks from air pollution.

Adult↗
PubMed1989

A framework for the analysis of psychiatric health facility utilization.

Existing research that examines the general problem of health facility use often lacks sound theoretical specification. This problem is partly a function of conceptual difficulties in explaining health seeking behaviour and an absence of appropriate data with which to calibrate modelling endeavours. These problems are addressed in this paper where a logit model of health seeking behaviour and health facility use derived from discrete choice theory is presented. The structure of the model is general but in this case it is developed in the context of mental health facility use. A data set from Auckland, New Zealand is utilized to apply the modelling ideas presented. Results show that discrete choice theory can be adapted to the problem of mental health facility usage under conditions where the health care system offers real choice at any given level of care. In this case real choice implies a well-developed array of alternative facilities to choose from.

Adolescent↗
PubMed1986

An analysis of migratory systems: 1. Theory.

This is the first of a planned series of three papers in which the authors attempt to combine evolutionary migration models with stochastic utility theory. This first paper deals with the evolution of migratory systems. Such systems are first defined, and the foundations upon which their evolution is based are described. The paper concludes with a discussion of disequilibrium, which is central to the series. "Disequilibrium is related to the concept of a steady state, the existence of which is established for nonlinear migratory systems of the type discussed here."

Demography↗
PubMed1986

An analysis of migratory systems: 2. Operational framework.

"This is the second in a series of three interrelated papers which aim to combine evolutionary migration models with stochastic utility theory. The first paper dealt with migratory dynamics. Here the details are given of a choice model, established by McFadden, which can be used in conjunction with migratory dynamics thus providing an explicit link between the macroproperties of the population system and human behaviour. First, the structure of transition probabilities is derived under a two-level decision to migrate. An argument is then given about the empirical form of these probabilities, and the discussion closes with a method which can be used for their maximum likelihood estimation."

Behavior↗