2009-2014年内蒙古手足口病时空扫描聚集性分析

发布时间：2018-05-04 21:12

本文选题：手足口病 + 流行特征　；参考：《现代预防医学》2017年10期

【摘要】：目的分析2009-2014年内蒙古地区手足口病的时空分布特征,为手足口病的防控以及卫生资源的合理配置提供科学依据。方法利用R软件对2009-2014年内蒙古手足口病监测数据进行描述性流行病学分析。采用基于离散Poisson模型的时空扫描统计量,使用Sa TScan 9.1软件完成时空聚集性扫描分析,扫描空间单位为内蒙古的102个旗县区,扫描时间单位为月,跨度从2009年1月-2014年12月,由Arc GIS 10.2软件进行扫描结果的可视化展示。结果描述性分析结果显示,内蒙古地区手足口病的发病率呈现明显的季节性变化规律,每年的5月-7月为手足口病的异常高发时间,且每年的发病呈双峰分布,第二发病高峰出现在每年的9月-11月;0~5岁年龄组儿童是主要的发病病例,所有病例中散居儿童占59.99%,男性儿童的发病率明显高于女性儿童。Sa TScan时空扫描分析显示,手足口病发病存在明显的时空聚集性,时间维度为6-7月,空间维度上分别扫描出3、3、7、2、3和3个手足口病聚集区域。结论2009-2014年内蒙古地区手足口病西南地区高发,5-7月是主要流行高峰,发病存在时空聚集性,季节性发病规律明显,聚集区存在于内蒙古中东部和西南。
[Abstract]:Objective to analyze the spatial and temporal distribution characteristics of hand foot and mouth disease (HFMD) in Inner Mongolia in the past 2009-2014 years, and to provide scientific basis for the prevention and control of hand foot and mouth disease and the rational allocation of health resources. Methods the data of Inner Mongolia hand foot and mouth disease monitoring were analyzed by R software in 2009-2014 years. Measurement, using Sa TScan 9.1 software to complete the spatial and temporal aggregation scanning analysis. The scanning space unit is the 102 flag county area of Inner Mongolia, the scanning time unit is month, the span from January 2009 -2014 December, the visual display of the scanning results by the Arc GIS 10.2 software. Results descriptive analysis results show the hair and foot and mouth disease in Inner Mongolia area. The incidence of the disease showed an obvious seasonal variation. The year of May -7 month was an abnormal high incidence of hand foot and mouth disease, and the annual incidence of the disease was in Shuangfeng. The peak of second was in the -11 month of September. The children in the age group of 0~5 age were the main cases, the scattered children in all cases accounted for 59.99%, and the incidence of male children was obviously higher than that of the male children. The time and space scanning analysis of.Sa TScan showed that there was obvious spatial and temporal aggregation of hand foot and mouth disease. The time dimension was 6-7 months, 3,3,7,2,3 and 3 hand foot and mouth disease aggregation areas were scanned in spatial dimension. Conclusion the high incidence of hand foot and mouth disease in Inner Mongolia area was high in the southwest of the 2009-2014 year, and the main epidemic peak was 5-7 months, and the occurrence and time of the disease existed in time and space. The regularity of aggregation is seasonal, and the aggregation area exists in the Middle East and southwest of Inner Mongolia.

【作者单位】：内蒙古工业大学理学院;内蒙古医科大学;内蒙古自治区疾病预防控制中心;内蒙古呼和浩特市统计局;
【基金】：国家自然科学基金项目(81360213) 内蒙古自然科学基金项目(2015MS0104,2015MS0818,2013MS1147)
【分类号】：R181.3;R725.1

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