Distribution changes of hepatitis epidemic in China and its social determinants
Hepatitis is an harmful infectious disease.This paper explored the spatial-temporary characteristics of hepatitis epidemic during 2004-2014 in China and its social determinants with gravity center curve,Gini coefficient,spatial analysis,and gray correlation.The results showed that: ①The incidence of hepatitis increased from 2004 to 2009,and then decreased from 2009 to 2014,but its overall incidence increased.Meanwhile,the gravity center moved from northeast to southwest,showing a pattern that eastern and southern regions had a higher prevalence than western and northern regions.②The differences of hepatitis epidemic between provinces displayed undulation escalation from 2004 to 2014,and trend of spatial agglomeration was stronger relatively,showing several high-incidence areas and low-incidence areas gradually.③Among the 8 social determinants,the incidence of previous year,residents' poverty level,educational level,and medical and health conditions were the main social determinants that affected the hepatitis epidemic mostly,while government health investment,regional economic level,residents' capacity to pay,and population density had weak influence on hepatitis epidemic.