青海高原其他感染性腹泻病时空特征分析  

Other infectious diarrhoeal disease incidence in Qinghai Plateau:temporal and spatial distribution during 2010-2020

作　　者：赵金华[1] 马斌忠[1] 赵建海[1] 王卫军[1] 王学文[1] 龙江[2] ZHAO Jin-hua;MA Bin-zhong;ZHAO Jian-hai(Department of Acute Infectious Disease,Institute of Infectious Disease Control and Prevention,Qinghai Provincial Center for Disease Control and Prevention,Xining,Qinghai Province 810007,China)

机构地区：[1]青海省疾病预防控制中心传染病预防控制所急传科,青海西宁810007 [2]重庆市疾病预防控制中心

出　　处：《中国公共卫生》2022年第11期1387-1390,共4页Chinese Journal of Public Health

基　　金：青海省卫生健康委员会昆仑英才高原名医项目(青卫健办[2021]104号)

摘　　要：目的 分析青海高原2010—2020年其他感染性腹泻病(OIDD)流行特征、时空聚集特征及发病三维趋势。方法 按照发病日期、分月、分年、分县区导出《传染病报告信息系统》中2010—2020年青海省OIDD发病数、发病率数据,描述性分析其流行病学特征,采用ArcGIS 10.2软件基于2010—2020年平均发病率指标进行地理空间可视化和三维趋势分析,采用SaTScan 9.5软件实现时空扫描。结果 青海高原2010—2020年OIDD发病呈秋冬主高峰、夏季小流行的双峰现象,男性高于女性(χ^(2)=1 894.33,P≤0.001),<5岁儿童发病率897.26/10万,三维趋势呈现东北部严重于西南部的地理学分布特征,时空扫描显示主要聚集在西宁和海东2个市4个县区,次要聚集区覆盖5市州10个县区。结论 青海省2010—2020年OIDD呈每隔2~3年的上升–平台–上升周而复始的流行态势,发病时间和范围均呈蔓延的严重态势,<2岁是高危人群。Objective To analyze spatial-temporal distribution characteristics and three-dimensional trend of other infectious diarrhoeal disease(OIDD) incidence in Qinghai Plateau-Qinghai province from 2010 to 2020. Methods The data on time(day, month, year)-and county/district-specific incidence of OIDD reported in Qinghai province during 2010 –2020 were extracted from China Information System for Disease Control and Prevention. Visualization and threedimensional analysis on average incidence of OIDD were performed with Arc GIS10.2 software and Scan 9.5 software was adopted in space-time scanning analysis. Results Two seasonal incidence peaks of OIDD were observed with a major peak in autumn-winter season and a minor peak in summer during the period in the province. The OIDD incidence in male population was significantly higher than that in female population(χ^(2)=1 894.33, P < 0.001) and the average annual incidence was 897.26/100 000 for the children under 5 years old. Three-dimensional analysis showed that the OIDD incidence was higher in northeast region than that in the southwest region of the province. Spatio-temporal scanning analysis revealed major clusters of OIDD incidence in 4 counties/districts of Xining municipality and Haidong prefecture and minor clusters in 10 counties/districts of 5 prefectures. Conclusion In Qinghai province during 2010-2020, the incidence of other infectious diarrhea diseases showed an increasing trend with a rising-unchanging-rising circle of every 2-3 years and the children under 2 years old were at a higher risk of the incidence.

关 键 词：高原地区 其他感染性腹泻(OIDD) 时空特征分析 

分 类 号：R516.1[医药卫生—内科学]