2019—2023年西藏自治区棘球蚴病发病率及其空间特征分析  

Analysis of the incidence rate and spatial characteristics of echinococcosis in Tibet Autonomous Region,2019-2023

作　　者：艾佳佳 季笑遥 白玛央金[1,2] 郑晶莹 白杨 朱畅 次仁拉姆 贡桑曲珍 AI Jia-jia;JI Xiao-yao;BAIMA Yang-Jin;ZHENG Jing-ying;BAI Yang;ZHU Chang;Cirenlamu;Gongsangquzhen(Parasitic Disease Control Institute of Tibet Autonomous Region Center for Disease Control and Prevention,Lhasa,Tibet Autonomous Region 850000,China;不详)

机构地区：[1]西藏自治区疾病预防控制中心寄生虫病防治所,西藏自治区拉萨市850000 [2]国家卫生健康委包虫病防治研究重点实验室 [3]吉林大学公共卫生学院

出　　处：《现代预防医学》2025年第4期731-735,748,共6页Modern Preventive Medicine

摘　　要：目的分析2019—2023年西藏自治区棘球蚴病发病率及其空间趋势和聚集特征,为制定针对性的防控策略提供科学依据。方法利用西藏自治区2019—2023年棘球蚴病监测数据,采用SPSS 25.0软件进行χ^(2)检验比较组间差异,利用ArcGIS 10.8软件进行空间趋势面和空间自相关分析。结果在2019—2023年间,西藏自治区共筛查508074人,发现棘球蚴病新病例460例,年均发病率为0.091%。不同年度及地区间发病率差异显著。空间趋势分析显示,发病率西高东低,南北方向上中间高两端低。空间自相关分析揭示,高-高聚类区主要集中在藏西南部,低-低聚类区则集中在藏中南部。结论2019—2023年间,西藏自治区棘球蚴病发病率呈现出显著的空间趋势及聚集性特征。建议加强藏西南部地区监测,评估流行态势,探索适合该地区的防控工作模式,以降低棘球蚴病高发态势。Objective To analyze the incidence rate,spatial trends and clustering characteristics of the echinococcosis in Tibet Autonomous Region from 2019 to 2023,with the aim of providing a scientific basis for the formulation of targeted prevention and control strategies.Methods Utilizing the echinococcosis surveillance data from Tibet Autonomous Region between 2019 and 2023,χ^(2)tests were conducted using SPSS 25.0 software to compare differences between groups.ArcGIS 10.8 software was used for spatial trend surface analysis and spatial autocorrelation analysis.Results From 2019 to 2023,a total of508074 individuals were screened in Tibet Autonomous Region,with 460 new cases of echinococcosis identified,resulting in an annual average incidence rate of 0.091%.Significant differences in incidence rates were observed between different years and regions.Spatial trend analysis revealed a higher incidence in the west and lower in the east,with a higher incidence in the middle and lower incidence at both ends in the north-south direction.Spatial autocorrelation analysis indicated that high-high clustering areas were concentrated in southwestern Tibet,while low-low clustering areas were concentrated in central and southern Tibet.Conclusion From 2019 to 2023,the incidence of echinococcosis in Tibet Autonomous Region exhibited significant spatial trends and clustering characteristics.It is recommended to strengthen surveillance in southwestern Tibet,assess the epidemiological situation,and explore prevention and control models suitable for this region to reduce the high incidence of echinococcosis.

关 键 词：棘球蚴病 空间自相关 空间趋势 发病率 

分 类 号：R532.32[医药卫生—内科学] R181.3[医药卫生—临床医学]