2008—2017年沈阳市苏家屯区布鲁菌病空间流行特征  

Spatial epidemiological characteristics of human brucellosis in Sujiatun District of Shenyang City from 2008-2017

作　　者：赵迎春[1] 刘素凤[1] 陈会杰 ZHAO Ying-chun;LIU Su-fgng;CHEN Hui-jie(Endemic diseases and Chronic Diseases Prevention Department,Sujiatun District Center for Disease Control and Prevention,Shenyang Liaoning,110101,China)

机构地区：[1]沈阳市苏家屯区疾病预防控制中心地慢病防制科,辽宁沈阳110101

出　　处：《职业与健康》2019年第1期76-79,共4页Occupation and Health

基　　金：沈阳市科技局项目(2018014)

摘　　要：目的了解2008—2017年沈阳市苏家屯区布鲁菌病发病的空间流行特征,为制定布鲁菌病防控措施提供科学依据。方法采用ArcGIS 10.3软件绘制疾病地区分布图并进行空间自相关分析和热点分析。结果 2008—2017年沈阳市苏家屯区累计报告布鲁菌病病例112例,除2008、2011和2012年无病例外,其余年份均有病例,年平均发病率为2.62/10万,最高报告发病年份为2014年(8.40/10万),最低报告发病年份为2009年(0.23/10万),不同年份(除2008、2011和2012年外)发病率差异有统计学意义(χ~2=57.987,P<0.01);沈阳市苏家屯区17乡镇/街道累计报告发病率最高为永乐乡(6.80/10万),除中兴街道无病例报告外,最低为湖西街道(0.40/10万),差异有统计学意义(χ~2=79.292,P<0.01)。除2015年(I=-0.145)外,其余年份各乡镇/街道的布鲁菌病发病率空间自相关系数均为正数,最低年份为2010年(I=0.006),最高年份为2016年(I=0.364),除2014和2016年布鲁菌病发病率存在相关外,其他年份均无相关。2009、2010和2013—2015年均有高值-高值聚集区形成,2016年既有高值-高值聚集区又有低值-低值聚集区形成,2017年仅形成低值-低值聚集区。结论 2008—2017年沈阳市苏家屯区布鲁菌病发病在乡镇/街道水平呈现一定相关性,近5年布鲁菌病发病率明显增高,并形成若干空间聚集区,需要各乡镇/街道联合防控。[ Objective ]To understand the spatial epidemiological characteristics of human brucellosis in Sujiatun District of Shenyang City from 2008-2017,provide a scientific basis for making the prevention and control measures against brucellosis.[Methods]ArcGIS 10.3 software was used to describe the spatial distribution and for spatial autocorrelation analysis and hot spot analysis.[Results]A total of 112 cases of human brucellosis were reported in Sujiatun District of Shenyang City from 2008-2017,the cases were reported in every year except the year of 2008,2011 and 2012.The average annual incidence was 2.62/lakh,the highest incidence in 2014 was 8.40/lakh and the lowest in 2009 was 0.23/lakh,and the difference in annual incidence was statistically significant among different years(except the year of 2008,2011 and 2012)(χ^2=57.987,P<0.01).Among 17 towns/streets in Sujiatun District of Shenyang City,the incidence in Yongle Township was the highest(6.80/lakh)and the incidence in Huxi Street was th e lowest(0.40/lakh),and the difference was statistically significant(χ^2=79.292,P <0.01).Except in 2015(I=-0.145),the spatial self-correlation coefficients of human brucellosis incidence of the rest were positive,the lowest was the year of 2010( I = 0.006)and the high est was the year of 2016(I=0.364).There was a correlation in the incidence in 2014 and2016,and the correlation was not found in other years.In 2009,2010 and 2013-2015,there were high-valued and high-valued clusters.In 2016,there were both high-valued and high-valued clusters and low-valued and low-valued clusters.In 2017,there were only low-valued and low-valued clusters.[Conclusion]From 2008-2017,the incidence of human brucellosis in Sujiatun District of Shenyang City shows a certain correlation at the township/street level,and the incidence of human brucellosis increases significantly in the past five years,and a number of spatial accumulation areas are formed.It is necessary to take joint prevention and control of towns/streets.

关 键 词：布鲁菌病 空间流行特征 空间自相关分析 热点分析 

分 类 号：R181.31[医药卫生—流行病学]