浙江省2000—2011年肺结核流行状况及空间自相关分析

发布时间：2018-01-22 04:29

本文关键词： 肺结核空间自相关流行病学　出处：《中国公共卫生》2015年01期 　论文类型：期刊论文

【摘要】：目的分析浙江省2000—2011年肺结核流行状况及空间分布特征,为肺结核有效防控提供理论依据。方法采用描述性流行病学方法对浙江省2000—2011年肺结核资料进行描述,应用Arc GIS 10.1软件对肺结核疫情数据进行空间显示和空间自相关分析。结果浙江省2000—2011年肺结核发病率呈现先上升再缓慢下降的趋势,年均发病率为74.65/10万,其中男性发病率(102.53/10万)高于女性发病率(45.48/10万),差异有统计学意义(χ2=60 520.05,P=0.000);发病高峰为20~34岁年龄组,共发病124 910例,占发病总数的30.14%;全局Moran's I空间自相关分析显示,肺结核发病存在空间聚集性;局部Local Moran's I自相关分析显示,高发病地区主要集中在温州市、衢州市和丽水市。结论浙江省肺结核发病空间分布并非随机分布,具有明显的地域聚集性,相关部门应针对其地域特点制定相应的防控措施。
[Abstract]:Objective to analyze the prevalence and spatial distribution of pulmonary tuberculosis in Zhejiang Province from 2000 to 2011. Methods descriptive epidemiological method was used to describe tuberculosis data from 2000 to 2011 in Zhejiang province. Application of Arc GIS. 10.1 the data of tuberculosis epidemic situation were analyzed by spatial display and spatial autocorrelation analysis. Results the incidence of pulmonary tuberculosis in Zhejiang Province increased first and then decreased slowly from 2000 to 2011. The average annual incidence rate was 74.65 / 100, 000, of which the incidence rate in men was 102.53 / 100,000, which was higher than that in women (45.48 / 100,000). The difference was statistically significant (蠂 2: 60 520.05). The peak incidence was in the age group of 20 to 34 years old, 124,910 cases, accounting for 30.14% of the total incidence; The global Moran's I spatial autocorrelation analysis showed that there was spatial aggregation in the incidence of pulmonary tuberculosis. Local Local Moran's I autocorrelation analysis showed that the high incidence areas were mainly concentrated in Wenzhou, Quzhou and Lishui. Conclusion the spatial distribution of pulmonary tuberculosis in Zhejiang Province is not random. Because of its obvious regional agglomeration, relevant departments should formulate corresponding prevention and control measures according to their regional characteristics.
【作者单位】：杭州师范大学医学院;
【基金】：浙江省重点科技创新团队计划资助项目(2011R50021)
【分类号】：R521
【正文快照】： 结核病是一种严重危害人类健康的慢性传染病,素有“白色瘟疫”之称。据报道,中国结核病发病率排名世界第二,占全球所有结核病例的15%,是22个结核病高负担国家之一[1]。2010年中国结核病流行病学调查显示,我国肺结核疫情地区间差异明显,西部地区传染性肺结核患病率约为中部地区

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