2005-2020年北京市通州区病毒性肝炎流行特征和时空聚集性分析  

Epidemiological characteristics and spatial-temporal cluster analysis of viral hepatitis in Tongzhou,Beijing from 2005 to 2020

作　　者：苏彦萍[1] 孙晓伟[1] 李园园 张国峰 SU Yanping;SUN Xiaowei;LI Yuanyuan;ZHANG Guofeng(Tongzhou District Center for Disease Control and Prevention,Beijing 10l100,China)

机构地区：[1]北京市通州区疾病预防控制中心,北京101100

出　　处：《河南预防医学杂志》2022年第11期846-850,872,共6页Henan Journal of Preventive Medicine

摘　　要：目的分析2005-2020年北京市通州区病毒性肝炎流行特征和时空分布特征,为病毒性肝炎防制工作提供依据。方法收集中国疾病预防控制信息系统中2005-2020年北京市通州区病毒性肝炎报告病例数,描述其时间、地区及人群分布等流行特征,利用GeoDa1.18.0软件分析全局空间自相关和局部空间自相关Moran’s I系数,利用SaTScan10.0.2软件进行时空聚集性扫描分析。结果2005-2020年北京市通州区共报告病毒性肝炎病例9784例,年均报告发病率为51.99/10万,报告发病率呈逐年下降趋势(APC=-4.00%,t值=-2.85,P<0.01)。病原学分型以乙型肝炎为主(71.78%),病例分类以慢性为主(73.49%);男性5726例(58.52%),女性4058例(41.48%);20~59岁占76.21%;职业分布以家务及待业(26.63%)、农民(21.16%)、离退人员(13.28%)为主;报告发病率居前3位的乡镇分别为新华街道(84.15/10万)、梨园镇(72.17/10万)和宋庄镇(62.36/10万)。2005-2020年北京市通州区病毒性肝炎报告发病率存在空间正相关(Moran’s I系数=0.25,P<0.05),局部空间自相关显示有1个高-高聚集区为北苑街道,有1个低-低聚集区为于家务回族乡。时空扫描共探测到2个聚集区,一级聚集区覆盖新华街道、中仓街道、永顺镇、玉桥街道、北苑街道、梨园镇、潞城镇7个乡镇(RR=2.35,LLR=348.21,P<0.001)。结论2005-2020年北京市通州区病毒性肝炎以慢性乙型肝炎为主,存在时空间聚集性,重点防控区域在北京市通州区西北部地区。应关注高发地区和重点人群,制订有针对性防控措施。Objective To analyze the epidemiological characteristics and spatial-temporal distribution of viral hepatitis in Tongzhou district from 2005 to 2020,and provide evidence for the prevention and control of viral hepatitis.Methods The cases of viral hepatitis in Tongzhou district from 2005-2020 were collected from the China National Notifiable Infectious Disease Reporting Information System,and distribution characteristics of time,region and population for viral hepatitis were described,and the global autocorrelation and local autocorrelation analyses were conducted using software GeoDa1.18.0,and spatial-temporal scan was conducted by using software SaTScan 10.0.2.Results From 2005 to 2020,a total of 9784 cases of viral hepatitis were reported in Tongzhou district,with the annual incidence rate of 51.99/105,and the annual incidence showed a downward trend year by year(APC=-4.00%,t=-2.85,P<0.01).The etiological type was mainly hepatitis B(71.78%),and the case classification was mainly chronic(73.49%).Among the reported,there were 5726 males(58.52%)and 4058 females(41.48%),and the age of the cases was mainly in the group of 20-59 years old,accounting for 76.21%.The occupational distribution of the cases was mainly housework and unemployed(26.63%),farmers(21.16%),and retirees(13.28%).The top 3 towns with the highest reported incidence rates were Xinhua Street(84.15/105),Liyuan Town(72.17/105)and Songzhuang Town(62.36/105).The reported incidence of viral hepatitis from 2005 to 2020 had a positive spatial correlation(Moran’s I coefficient value=0.25,P<0.05),and the local spatial autocorrelation showed that there was a high-high clustering area in Beiyuan Street,and there was 1 low-low clustering area in Yujiawu Hui Township.A total of 2 clustering areas were detected by the spatial-temporal scanning.The firstclass clustering area covered 7 townships including Xinhua Street,Zhongcang Street,Yongshun Town,Yuqiao Street,Beiyuan Street,Liyuan Town and Lucheng Town.Conclusion From 2005 to 2020,the viral hepatitis in Tongzho

关 键 词：病毒性肝炎 全局自相关 局部自相关 时空聚集 

分 类 号：R512.6[医药卫生—内科学]