1979—2021年黑龙江省人间炭疽流行特征及时空分布分析  

Epidemiological characteristics and spatial-temporal distribution of human anthrax in Heilongjiang Province from 1979 to 2021

作　　者：杨洋 邢智锋[2] 李兴洲[1] 葛晶雪 尹世辉[2] 袁爽[2] 唐磊[2] YANG Yang;XING Zhifeng;LI Xingzhou;GE Jingxue;YIN Shihui;YUAN Shuang;TANG Lei(College of Public Health,Jiamusi University,Jiamusi,Heilongjiang 154007,China;不详)

机构地区：[1]佳木斯大学公共卫生学院,黑龙江佳木斯154007 [2]黑龙江省疾病预防控制中心

出　　处：《中国公共卫生管理》2024年第1期130-133,共4页Chinese Journal of Public Health Management

摘　　要：目的为早期发现和干预黑龙江省人间炭疽疫情并制定防控措施提供科学依据。方法对1979—2021年黑龙江省人间炭疽疫情资料进行描述流行病学分析。应用ArcGIS 10.8和SaTScan 9.5软件对2004—2021年病例资料进行空间自相关分析和时空聚集性分析。结果1979—2021年黑龙江省共报告人间炭疽发病例数304例,整体发病率呈上升趋势(χ^(2)=699,P<0.001);发病以>20~60岁为主;男女发病比例为3.83∶1;职业分布以农/牧民为主,占80.26%。2004—2021年局部自相关分析结果显示,东部及东北部存在明显的聚集性。时空扫描分析结果显示,最可能聚集在以友谊县为中心、半径为107.61 km的东部及东北部地区。结论黑龙江省人间炭疽发病率整体呈上升趋势,高发人群主要为>20~60岁男性农/牧民,聚集区大多位于黑龙江省东部及东北部。Objective To provide a scientific basis for early detection and intervention of human anthrax epidemic in Heilongjiang Province and the formulation of prevention and control measures.Methods Descriptive epidemiological analysis was conducted on the epidemic data of anthrax in Heilongjiang Province from 1979 to 2021.ArcGIS 10.8 and SaTScan 9.5 software were used to analyze the spatial autocorrelation and spatial-temporal aggregation of case data from 2004 to 2021.Results A total of 304 cases of anthrax were reported in Heilongjiang Province from 1979 to 2021,and the overall incidence showed an upward trend(χ^(2)=699,P<0.001);the incidence was mainly in the age group of>20-60 years old;the ratio of male to female was 3.83∶1;the occupation distribution was mainly farmers/herdsmen,accounting for 80.26%.The results of local autocorrelation analysis from 2004 to 2021 showed that there was obvious aggregation in the east and northeast.The results of spatio-temporal scanning analysis showed that it was most likely to gather in the eastern and northeastern regions with a radius of 107.61 km centered on Youyi county.Conclusion The incidence of anthrax in Heilongjiang Province showed an overall upward trend.The high incidence population was mainly male farmers/herdsmen aged>20-60 years old,and most of the gathering areas were located in the east and northeast of Heilongjiang Province.

关 键 词：炭疽 流行特征 空间自相关 时空聚集性 

分 类 号：R181.3[医药卫生—流行病学] R517.2[医药卫生—公共卫生与预防医学]