2010—2022年重庆市涪陵区HIV/AIDS时空分布特征分析  

Analysis on the spatiotemporal distribution characteristics of HIV/AIDS in Fuling District of Chongqing from 2010 to 2022

作　　者：康晓丽[1] 刘君[2] 杨德明[1] 周义芬[1] 鞠丹凤[1] 夏玲莉 谭淇蔓 KANG Xiaoli;LIU Jun;YANG Deming;ZHOU Yifen;JU Danfeng;XIA Lingli;TAN Qiman(Chongqing Fuling Center for Disease Control and Prevention,Chongqing 408000,China;Fuling Hospital Affiliated to Chongqing University,Chongqing 408000,China)

机构地区：[1]重庆市涪陵区疾病预防控制中心,重庆408000 [2]重庆大学附属涪陵医院,重庆408000

出　　处：《预防医学情报杂志》2024年第10期1227-1232,共6页Journal of Preventive Medicine Information

基　　金：重庆市涪陵区科技计划项目(项目编号:FLKJ 2021ABB1027)。

摘　　要：目的分析2010—2022年重庆市涪陵区HIV/AIDS时空分布特征,为政府调整艾滋病的防控措施提供科学依据。方法从中国疾病预防控制信息系统导出2010年1月1日至2022年12月31日重庆市涪陵区报告的新发HIV/AIDS数据,采用GeoDa 1.20、SaTScan 10.1软件进行空间自相关分析和时空扫描分析。结果2010—2022年重庆市涪陵区共报告1432例HIV/AIDS病例,年均报告发病率为10.01/10万,报告发病率从2010年的4.59/10万上升到2022年的14.71/10万,呈上升趋势(APC=9.42%,t=7.035,P<0.001)。2010—2022年涪陵区HIV/AIDS平均报告发病率的Moran’s I值为0.355(Z=3.060,P=0.003),高高值聚集区分布于北部地区(百胜镇)。低低值聚集区主要集中东部地区(白涛街道、大木乡)。2010—2022年涪陵区HIV/AIDS存在时空聚集区,扫描出2个聚集区,一级聚集区覆盖11个地区,分别为龙桥街道、蔺市街道、义和街道、新妙镇、石沱镇、马武镇、大顺镇、龙潭镇、青羊镇、同乐镇、增福镇,聚集时间为2016年8月1日至2022年12月31日。结论2010—2022年重庆市涪陵区HIV/AIDS疫情呈上升趋势,疫情存在明显的时空聚集性,北部地区应加强艾滋病的健康教育和宣传,加强检测力度。Objective To analyze the temporal and spatial distribution characteristics of HIV/AIDS epidemic in Fuling district of Chongqing between 2010 and 2022,to provide scientific evidence for the government in implementing effective prevention and control policies.Methods The newly reported HIV/AIDS data from January 1,2010 to December 31,2022 were exported from the China Disease Prevention and Control Information System.GeoDa 1.20 and SaTScan 10.1 software were used for spatial auto-correlation analysis and spatiotemporal scanning analysis.Results A total of 1432 HIV/AIDS cases were reported in Fuling district from 2010 to 2022.The average annual reported incidence rate was 10.01/105,and the reported incidence rate increased from 4.59/105in2010 to 14.71/105in 2022,showing an upward trend(APC=9.42%,t=7.035,P<0.001).The Moran's I value of the average reported incidence rate of HIV/AIDS in Fuling district from 2010 to2022 was 0.355(Z=3.060,P=0.003).The high and high value cluster areas were distributed in the northern region(Baisheng Town).The low value gathering areas were mainly concentrated in the eastern region(Baitao Street,Damu Township).From 2010 to 2022,there were spatiotemporal clusters of HIV/AIDS in Fuling district.Two clusters were scanned,and the first level cluster covered 11 areas,namely Longqiao Street,Linshi Street,Yihe Street,Xinmiao Town,Shituo Town,Mawu Town,Dashun Town,Longtan Town,Qingyang Town,Tongle Town,and Zengfu Town.The clustering time was from August 1,2016 to December 31,2022.Conclusions From2010 to 2022,the HIV/AIDS epidemic in Fuling District is on the rise,and the epidemic situation has obvious spatial and temporal clustering.Health education and publicity of AIDS should be strengthened in the northern region,and detection efforts should be strengthened.

关 键 词：艾滋病 时空分布特征 空间自相关 空间扫描分析 

分 类 号：R512.91[医药卫生—内科学] R195.1[医药卫生—临床医学]