2016—2022年河北省其他感染性腹泻病时空聚集性分析  

Analysis of the spatio-temporal clustering of other infectious diarrheal diseases in Hebei Province from 2016 to 2022

作　　者：周然[1] 马晓江[1] 邹显东 宋杏 王强[1] ZHOU Ran;MA Xiaojiang;ZOU Xiandong;SONG Xing;WANG Qiang(Information Department,Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang,Hebei 050021,China;不详)

机构地区：[1]河北省疾病预防控制中心信息所,河北石家庄050021 [2]河北省卫生健康委员会项目办

出　　处：《医学动物防制》2024年第9期878-883,888,共7页Journal of Medical Pest Control

基　　金：河北省医学科学研究计划课题——大数据下河北省常见传染病与地理、气候因素相关性研究(20231187)。

摘　　要：目的分析2016—2022年河北省其他感染性腹泻病的流行特征和时空聚集性,为科学防控提供参考。方法收集2016—2022年其他感染性腹泻病发病数据,采用占比对分类变量进行描述,采用χ^(2)检验进行组间比较,对发病情况进行全局和局部空间自相关分析,用时空扫描法分析发病的时间-空间的聚集性。结果2016—2022年河北省其他感染性腹泻病年均报告发病率为70.48/10万,不同年份的发病率差异有统计学意义(χ^(2)=1071.553,P<0.001);男女发病比为1.26∶1,不同性别发病率差异有统计学意义(χ^(2)=332.308,P<0.001);0~<20岁年龄组发病率占比最高为43.22%,不同年龄组发病率差异有统计学意义(χ^(2)=1811.326,P<0.001);农民和散居儿童发病例数占比最高,分别为45.17%和35.03%;6~8月为发病主高峰,占34.92%,Moran′s I指数均值为0.393,不同年份Moran′s I差异有统计学意义(Moran′s I=0.539、0.453、0.392、0.377、0.395、0.339、0.257,P=0.001),发病存在空间聚集性,局部空间自相关分析显示,高-高聚集区分布于河北省中南部13~20个县区,时空扫描结果与空间分析结果基本一致。结论河北省2016—2022年其他感染性腹泻病报告发病例数和发病率均呈下降趋势,发病人群主要是农民和散居儿童,应在高发季节做好重点地区重点人群的监测,提前做好健康宣传教育等预防措施。Objective To analyze the epidemiological characteristics and spatio-temporal clustering of other infectious diarrheal diseases in Hebei Province from 2016 to 2022,and provide a reference for scientific prevention and control.Methods The incidence data of other infectious diarrheal diseases from 2016 to 2022 were collected,categorical variables were described by proportion,intergroup comparisons were made using the Chi-square test,the globalspatial and localspatial spatial autocorrelation analyses of incidence were performed,and the spatio-temporal clustering of disease onset was analyzed by spatio-temporal scan method.Results The average annual reported incidence rate of other infectious diarrheal diseases in Hebei Province from 2016 to 2022 was 70.48/100000,with statistically significant differences in incidence rates between different years(χ^(2)=1071.553,P<0.001).The male-to-female ratio of incidence was 1.26∶1,with statistically significant differences in incidence rates between different genders(χ^(2)=332.308,P<0.001).The age group of 0-<20 years had the highest proportion of incidence rate at 43.22%,with statistically significant differences in incidence rates between different age groups(χ^(2)=1811.326,P<0.001).The highest incidence proportions of cases were among farmers and scattered children,accounting for 45.17%and 35.03%,respectively.The peak incidence occurred from June to August,accounting for 34.92%.The mean value of Moran′s I index was 0.393,and the difference of Moran′s I index between different years was statistically significant(Moran′s I=0.539,0.453,0.392,0.377,0.395,0.339,0.257,P=0.001),with spatial clustering of incidence.The localspatial spatial autocorrelation analysis showed that the high-high cluster areas were distributed in 13-20 counties and districts in the central and southern parts of Hebei Province,and the spatio-temporal scan results were basically consistent with the spatial analysis results.Conclusion From 2016 to 2022,the reported incidence cases and incidence rate

关 键 词：其他感染性腹泻病 流行特征 空间自相关 时空聚集性 时空扫描 

分 类 号：R181.3[医药卫生—流行病学] R574.62[医药卫生—公共卫生与预防医学]