2015-2020年山东省布鲁氏菌病流行特征及空间聚集性分析  

Epidemiological characteristics and spatial clustering analysis of brucellosis in Shandong Province from 2015 to 2020

作　　者：于晓琳 房明[1] 李岩[1] 冯开军[1] 丁淑军[1] 寇增强[1] Yu Xiaolin;Fang Ming;Li Yan;Feng Kaijun;Ding Shujun;Kou Zengqiang(Department for Infectious Disease Control and Prevention,Shandong Provincial Center for Disease Control and Prevention,Jinan 250014,China)

机构地区：[1]山东省疾病预防控制中心传染病防制所,济南250014

出　　处：《中华地方病学杂志》2022年第9期750-755,共6页Chinese Journal of Endemiology

基　　金：国家科技重大专项(2018ZX10714002);山东省医药卫生科技发展计划项目(2015WS0272);山东省中医药科技项目(2021Q001)。

摘　　要：目的了解山东省布鲁氏菌病流行特征及空间聚集性特点,为布鲁氏菌病的科学防控提供参考依据。方法收集2015年1月至2020年12月中国疾病预防控制信息系统传染病报告信息管理系统报告的山东省人间布鲁氏菌病疫情资料,采用描述流行病学方法、空间聚集性分析方法对资料进行分析。结果2015-2020年,山东省共报告人间布鲁氏菌病18811例,年均发病率为3.16/10万。全年各月份均有人间布鲁氏菌病发生,发病高峰为3-8月份,占66.31%(12474/18811)。年均发病率居前5位的县(区)分别为利津县(32.39/10万)、垦利区(11.02/10万)、无棣县(10.35/10万)、沾化区(9.59/10万)和商河县(8.80/10万)。发病人群中,男性13436例,女性5375例,男、女性别比为2.50∶1.00;年龄主要集中在30~69岁,占83.23%(15656/18811);职业以农民为主,占85.82%(16144/18811)。全局空间自相关分析结果显示,2015-2020年山东省布鲁氏菌病发病率均呈空间聚集性分布;局部空间自相关分析结果显示,山东省人间布鲁氏菌病高发区域主要集中在北部地区。结论山东省布鲁氏菌病发病主要集中在春夏季节,以农民多见,高发区域有空间聚集性。应针对高发季节、高危人群和北部高聚集区域采取重点防控措施,降低布鲁氏菌病发病率。Objective To learn about the epidemiological and spatial clustering characteristics of brucellosis in Shandong Province,and to provide a reference for scientific prevention and control of brucellosis.Methods The epidemic data of human brucellosis in Shandong Province from January 2015 to December 2020 were collected from the Infectious Disease Reporting Information Management System of China Disease Control and Prevention Information System,and the data were analyzed by descriptive epidemiology and spatial clustering analysis.Results A total of 18811 cases of human brucellosis were reported in Shandong Province from 2015 to 2020,and the average annual incidence rate was 3.16/100000.Human brucellosis occurred in every month of the year,and the peak incidence was from March to August,accounting for 66.31%(12474/18811).The top 5 counties(districts)with average annual incidence rates were Lijin County(32.39/100000),Kenli District(11.02/100000),Wudi County(10.35/100000),Zhanhua District(9.59/100000)and Shanghe County(8.80/100000).There were 13436 males and 5375 females,with a male-female sex ratio of 2.50∶1.00;the age was mainly concentrated in 30-69 years old,accounting for 83.23%(15656/18811);farmer was the main occupation,accounting for 85.82%(16144/18811).The results of global spatial autocorrelation analysis showed that the annual incidence rates of brucellosis in Shandong Province showed a spatial clustering distribution from 2015 to 2020;and the local spatial autocorrelation analysis showed that the high incidence of human brucellosis was mainly concentrated in the north of Shandong Province.Conclusions The incidence of brucellosis in Shandong Province is mainly concentrated in spring and summer,most of them are farmers,and the high incidence areas have spatial clustering.Key prevention and control measures should be taken for high incidence seasons,high-risk population and northern high clustering areas to reduce the incidence of brucellosis.

关 键 词：布鲁氏菌病 流行特征 空间聚集性 

分 类 号：R516.7[医药卫生—内科学] R181.3[医药卫生—临床医学]