Analysis of influencing factors of AIDS epidemic in Kunming based on PCA-GWR method

作者：LiangTing Zheng, Bin Liao, Li Yi, Jun Lian, Jingying Wang, Yu Ma, Rui Feng, Wang Hu, Xianfu Bai · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1658700 · 研究领域：Spatial and Panel Data Analysis、HIV/AIDS Impact and Responses、Efficiency Analysis Using DEA

Background: As of 2024, an estimated 40.8 million people worldwide were living with HIV, making HIV/AIDS one of the most pressing global public health challenges. Accurate identification of the factors shaping the HIV/AIDS epidemic is essential for developing targeted prevention and control strategies. Methods: This study uses Principal Component Analysis (PCA) and Geographically Weighted Regression (GWR) to examine spatially varying associations between HIV/AIDS prevalence and three domains-socioeconomic conditions, educational attainment, and healthcare capacity-using Kunming, China, as a case study. Results: The results indicate that: (1) the effects of socioeconomic conditions, educational attainment, and healthcare capacity on HIV/AIDS prevalence exhibit significant spatial heterogeneity across Kunming; (2) in the northern part of Kunming-particularly Dongchuan District, Luquan County, Xundian County, and Fumin County-higher prevalence is largely associated with the combined influence of lower economic development and limited educational attainment, with economic development negatively correlated with prevalence and lower educational levels positively correlated with infection rates; and (3) HIV/AIDS prevalence is also related to the level of healthcare services, which is generally negatively correlated with prevalence-i.e., better healthcare conditions are associated with lower infection rates-although areas with more advanced healthcare systems may show higher detectio...