热带病与寄生虫学

热带病与寄生虫学 ›› 2023, Vol. 21 ›› Issue (6): 335-337.doi: 10.3969/j.issn.1672-2302.2023.06.007

• 防治研究 • 上一篇    下一篇

基于乡镇尺度的2017—2021年菏泽市肺结核空间流行病学分析

孙付胜1(), 冯丽2, 孙胤羚3, 皇甫蓓蓓1, 陈秀英1, 刘增法4()   

  1. 1.菏泽市疾病预防控制中心，山东菏泽 274000
    2.牡丹区疾病预防控制中心
    3.山东省职业卫生与职业病防治研究院，山东第一医科大学（山东省医学科学院）
    4.山东省卫生健康委员会医疗管理服务中心
  • 收稿日期:2023-05-29 出版日期:2023-12-20 发布日期:2024-01-12
  • 通信作者: 刘增法，E-mail: liuzengfa@126.com
  • 作者简介:孙付胜，男，硕士，副主任医师，研究方向：疾病预防与控制。E-mail: 1412510941@qq.com
  • 基金资助:
    山东省人文社会科学课题(2022-ZXJK-08)

Spatial epidemiological analysis of pulmonary tuberculosis in Heze City from 2017 to 2021 based on township

SUN Fusheng1(), FENG Li2, SUN Yinling3, HUANGFU Beibei1, CHEN Xiuying1, LIU Zengfa4()   

  1. 1. Heze Center for Disease Control and Prevention, Heze 274000, Shandong Province, China
    2. Mudan District Center for Disease Control and Prevention
    3. Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences
    4. Medical Management Service Center of Shandong Provincial Health Commission
  • Received:2023-05-29 Online:2023-12-20 Published:2024-01-12
  • Contact: LIU Zengfa, E-mail: liuzengfa@126.com

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摘要：

目的 在乡镇（街道）水平分析菏泽市2017—2021年肺结核的空间流行病学特征，为制定肺结核防控措施提供参考。方法 通过中国疾病预防控制信息系统收集2017—2021年菏泽市各乡镇（街道）肺结核病报告数据，导入ArcGIS软件建立空间数据库，进行全局空间自相关分析和局部空间自相关分析，探索肺结核发病的时空分布特征和热点区域。结果 2017—2021年菏泽市共报告肺结核病例13 007例，年均报告发病率为29.76/10万，历年报告病例数分别为3 150、3 008、2 695、2 186、1 968例，发病率分别为36.53/10万、34.43/10万、30.75/10万、24.88/10万、22.37/10万，呈逐年下降趋势。年均发病率居前三位的乡镇（街道）为单县黄岗镇（58.04/10万）、单县李田楼镇（54.66/10万）、定陶区天中街道（54.05/10万）。菏泽市肺结核发病在整体上存在空间聚集性（Moran's I=0.161，P<0.05），高-高聚集区包含鄄城县李进士堂镇、东明县三春集镇，单县郭村镇、曹庄乡、龙王庙镇、张集镇、时楼镇共7个乡镇；发病热点区域包括10个乡镇（街道），主要分布在菏泽市东南部的单县和西部的东明县。结论 菏泽市肺结核发病在乡镇（街道）水平上存在空间聚集性，发病的热点区域主要位于菏泽市的东南部和西部。

关键词: 肺结核, 空间自相关, 流行特征, 菏泽市

Abstract:

Objective To analyze the spatial epidemiological characteristics of pulmonary tuberculosis in Heze City from 2017 to 2021 at the township level for reference to develop the prevention and control measures for pulmonary tuberculosis. Methods The registration data of tuberculosis patients in Heze City from 2017 to 2021 were collected from the China Disease Prevention and Control Information System, and then the data were imported into ArcGIS software to establish a spatial database. Global and local spatial autocorrelation analysis was conducted to explore the spatial and temporal distribution characteristics and hot spots of tuberculosis incidence. Results In total, 13 007 tuberculosis patients were registered in Heze City from 2017 to 2021, with an annual average registered incidence rate of 29.76/100 000. The number of registered cases in the past years was 3 150, 3 008, 2 695, 2 186 and 1 968, and the incidence rate was 36.53/100 000, 34.43/100 000, 30.75/100 000, 24.88/100 000 and 22.37/100 000, respectively, which showed a downward trend year by year. The top three towns with the highest annual average incidence rate were Huanggang Town (58.04/100 000) and Litianlou Town (54.66/100 000) under administration of Shanxian County and Tianzhong community of Dingtao District (54.05/100 000). In general, the incidence of tuberculosis in Heze City was spatially clustered (Moran's I= 0.161, P<0.05), and there were 7 towns with high-high clustering areas, including Lijinshitang Town in Juancheng County, Sanchunji Town in Dongming County, Guocun Town, Caozhuang Town, Longwangmiao Town, Zhangji Town and Shilou Town in Shanxian County. The incidence hotspots encompassed 10 towns, mainly distributed in Shanxian County in the southeast and Dongming County in the west of Heze City. Conclusion The incidence of tuberculosis in Heze City presents spatially clustered at the township level, and the incidence hotspots are mainly located in the southeast and west of Heze City.

Key words: Pulmonary tuberculosis, Spatial autocorrelation, Epidemic characteristics, Heze City

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