基于时空立方体模型对2010-2021年宜昌市手足口病流行特征分析
Epidemiological characteristics analysis of hand,foot and mouth disease in Yichang from 2010 to 2021:based on spatiotemporal cube model
李瑞英 1张皓 2勾若宇 1李友 1王蕾 2刘建华 2张志勇1
作者信息
- 1. 桂林医学院公共卫生学院,广西桂林 541199;桂林医学院广西环境暴露组学与全生命周期健康研究重点实验室,广西桂林 541199
- 2. 宜昌市疾病预防控制中心传染病防制所,湖北宜昌 443005
- 折叠
摘要
目的 分析宜昌市2010-2021年手足口病流行特征及时空聚集特点,为手足口病的防治和疫情监测提供理论依据.方法 从系统中导出宜昌市2010-2021年手足口病发病数据,建立数据库,分析手足口病的流行特征,应用Arcgis Pro软件和SPSS软件对手足口病发病进行分析.结果 2010-2021年宜昌市累计报告手足口病58 454例,平均发病率59.72/10万,男性发病率高于女性,差异有统计学意义(x2=959.20,P＜0.001);病例集中发生于6岁及以下儿童,占比91.15％,4岁以后,随着年龄的上升发病率逐渐下降,差异有统计学意义(x2=1 139 569.25,P＜0.001);每年流行时间为5-7月、11-12月,呈现双峰;夷陵区、西陵区、伍家岗区和宜都市中心区域呈现聚集.结论 宜昌市手足口病发病存在时空聚集性,应加强在春末夏初和秋末冬初2个高发期,对幼儿园、学校等重点场所的疫情防控.
Abstract
Objective In order to provide a theoretical basis for the prevention and control of hand,foot and mouth disease(HFMD)and epidemic surveillance,this paper analyzes the epidemiological characteristics and spatiotemporal aggregation characteristics of HFMD in Yichang from 2010 to 2021.Methods By applying Arcgis Pro software and SPSS software,the data of HFMD in Yichang from 2010 to 2021 were exported from the system,and a database was established,the epidemiological characteristics of HFMD and the incidence of HFMD were scientifically analyzed.Results The results showed that from 2010 to 2021,a total of 58 454 cases of HFMD were reported in Yichang,with an average incidence of 59.72/100 000.The incidence of male was higher than that of female(x2=959.20,P＜0.001).The cases mainly occurred in children aged 6 years old and younger,accounting for 91.15％.After the age of 4 years,the incidence gradually decreases with increasing age,the difference was statistically significant(x2=1 139 569.25,P＜0.001).The annual epidemic time was from May to July and from November to December every year,showing double peaks;Yiling district,Xiling district,Wujiagang district and Yidu downtown area were clustered.Conclusion The occurrence of HFMD in Yichang was spatiotemporal aggregation,and it should be necessary to strengthen the epidemic prevention and control of kindergardens,schools and other key places in the two high incidence periods of late spring,early summer,late autumn and early winter.
关键词
手足口病/流行特征/时空立方体/时空聚集性Key words
Hand,foot and mouth disease/Epidemiological characteristics/Spatiotemporal cube/Spatiotemporal aggregation引用本文复制引用
基金项目
广西壮族自治区科技重大专项(桂科 AA22096026)
湖北省卫生健康委联合基金立项项目(第一批)(2019)(WJ2019H262)
出版年
2024
NETL
NSTL
万方数据