衢州市2013至2017年农药中毒病例聚集性分析研究  

Analysis of spatial-temporal distribution of pesticide poisoning in Quzhou, 2013-2017

作　　者：郑夏雯[1] 聂臻[1] 郑钊[1] 刘斯峰[1] 丰峰[1] Zheng Xiawen;Nie Zhen;Zheng Zhao;Liu Sifeng;Feng Feng(Quzhou Center for Disease Control and Prevention, Quzhou 324000, China)

机构地区：[1]衢州市疾病预防控制中心卫生监测与评价科,324000

出　　处：《中华劳动卫生职业病杂志》2019年第4期269-272,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的分析衢州市2013至2017年农药中毒病例流行特点和空间分布特征,为制定防控措施提供科学依据。方法收集"中国疾病预防控制信息系统"中报告的浙江省衢州市2013年1月1日至2017年12月31日农药中毒病例信息,利用SPSS18.0软件对农药中毒流行规律进行描述性分析,使用SaTScan 9.2软件进行时空分析,利用ArcMap10.2软件对结果进行可视化展示。结果2013至2017年衢州市共报告农药中毒1 819例,其中生产性中毒报告298例,发病高峰在8~9月,生产性中毒中生产性自用发病人数最多的是46~60岁和≥61岁年龄组,均为109人;男性发病人数明显高于女性(χ2=63.857,P<0.01)。非生产性农药中毒报告1 521例,其中非生产性自服比例较高(57.65%,994/1819),男性非生产性自服比例低于女性(χ2=5.510,P<0.05),≤15岁年龄组人群非生产性误服比例较高(89.00%,89/100),≥61岁年龄组非生产性自服比例较高(51.56%,314/609)。时空聚集性分析显示,农药聚集时间主要集中在8~9月,空间聚集区均分布在江山市。结论衢州市农药中毒以非生产性自服为主,聚集区为江山市,应针对农药中毒聚集区域和非聚集区不同发病特点开展针对性的防控措施。Objective To analysis the epidemic and spatial characteristics of pesticide poisoning in Quzhou during 2013-2017, and to provide scientific basis for the prevention and control of influenza in Quzhou in the future. Methods The incidence data of pesticide poisoning from January 1, 2013 to December 31, 2017 in Quzhou collected from China Information System For Disease Control And Prevention. The descriptive analysis conducted by using SPSS18.0 software, and the Sa T Scan 9.2 software was used to complete space-time scan. Finally, ArcMap10.2 software was used to visualize the results. Results There were 1819 cases of pesticide poisoning in Quzhou from 2007 to 2016, among which 298 cases were reported for productive poisoning, the incidence peak was from August to September, the highest number of patients in productive poisoning was in the age group of 46-60 years old and over 61 years old, with 109 patients in each group, and the number of male patients was significantly higher than that of female (χ2=63.857, P<0.01). 1521 cases of non-productive pesticide poisoning were reported, among which the proportion of suicide poisoning (57.65%) was far higher than that of accidental poisoning (28.97%), the number of female suicide poisoning was higher than that of male (χ2=5.510, P=0.019), the proportion of accidental poisoning was the highest in the ≤15 years age group (89.00%, 89/100), furthermore the number of suicide poisoning was the highest in the ≥61 years age group (314). The incidence of pesticide poisoning could be detected by temporal-spatial scanning statistics, the time clustering is from August to September, the spatial clustering is in Jiangshan city, there are consistent with the descriptive of pesticide poisoning. Conclusion The pesticide poisoning in Quzhou is mainly caused by non-productive suicide poisoning, and the spatial clustering is in Jiangshan city. Relevant departments should carry out targeted prevention and control measures according to the different characteristics of pesticide poisoning

关 键 词：农药 中毒 生产性中毒 非生产性中毒 时空聚类分析 

分 类 号：R595.4[医药卫生—内科学]