基于GIS技术分析长沙市2006-2013年手足口病流行病学特征分析

发布时间：2018-02-10 02:58

本文关键词： 手足口病疾病特征发病率　出处：《中华疾病控制杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的运用地理信息系统(geographic information system,GIS)探索长沙市2006-2013年手足口病的流行病学特征,为实施公共卫生资源的优化配置提供科学依据。方法收集长沙市2006-2013年手足口病相关数据,采用SPSS 18.0和ArcG IS 10.2进行流行病学特征分析。结果 2006-2013年长沙市手足口病的平均发病率为181.55/10万,主要为5岁以下儿童(95.2%),尤以散居儿童居多(75.1%);2006-2013年发病率总体呈现先升后降的趋势,发病月份主要集中在4~7月(69.8%);从GIS专题地图来看,星沙街道、雨花亭街道、洞井街道、左家塘街道、黎托乡等属于手足口病高发地区;从自相关分析来看,2008-2013年长沙市手足口病发病存在空间聚集性(均有P0.05),热点区域集中在中部地区;从趋势面分析来看,手足口病发病在空间上呈中间高,四周低的趋势。结论 2006-2013年长沙市手足口病的患者主要为5岁以下散居儿童,发病月份集中在4~7月,发病地点主要是长沙市中部地区,应以此为指导,确定长沙市手足口病的重点防疫人群、时间和区域,实施公共卫生资源的优化配置。
[Abstract]:Objective to explore the epidemiological characteristics of hand-foot-mouth disease (HFMD) in Changsha from 2006 to 2013 by using geographic information system (GIS), and to provide scientific basis for the optimal allocation of public health resources. Methods the data of HFMD in Changsha from 2006 to 2013 were collected. SPSS 18.0 and ArcG is 10.2 were used to analyze the epidemiological characteristics. Results the average incidence of hand-foot-mouth disease in Changsha City from 2006 to 2013 was 1815.5 / 100 thousand, mainly for children under 5 years of age, especially among the scattered children. The incidence rate of hand, foot and mouth disease increased first and then decreased from 2006 to 2013. From the GIS map, Xingsha Street, Yuhua Pavilion Street, Dongjing Street, Zuojiatang Street, Lito Township and so on belong to the high incidence area of HFMD. According to the autocorrelation analysis, the incidence of HFMD in Changsha City from 2008 to 2013 had spatial aggregation (P0.05%, the hot spots were concentrated in the central region, and the trend surface analysis showed that the incidence of HFMD in Changsha City was high in space. Conclusion from 2006 to 2013, the patients of hand, foot and mouth disease in Changsha are mainly children under 5 years of age, whose onset month is mainly from 4 to July, and the location of the disease is mainly in the central area of Changsha, which should be used as a guide. To determine the population, time and area of hand, foot and mouth disease prevention in Changsha, and to optimize the allocation of public health resources.
【作者单位】：湖南师范大学医学院预防医学系;中南大学公共卫生学院流行病学教研室;长沙市疾病预防控制中心流行病科;
【基金】：湖南省卫生和计划生育委员会一般项目(B2015-61) 湖南省教育厅(湘教通[2014]247号)
【分类号】：R512.5;R181.3

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