摘要
目的了解聊城市丙肝的流行病学特征和时空聚集特点,为制定科学防控措施提供依据。方法描述性流行病学方法分析2014~2018年全市丙肝疫情资料三间(人间、时间、空间)分布;使用ArcGis 10.2、SaTScan v 9.6进行空间分析及时空聚集性分析。结果 2014~2018年聊城市丙肝逐年逐月发病例数较为平稳,有逐步增加趋势;男女性别比为1.13∶1,发病年龄主要集中在20~70岁组,年龄呈双峰分布,其中存在20~29、40~69岁组2个高发年龄阶段;人群分类以农民为主;东昌府区发病例数最多,莘县、阳谷、高唐次之;发现东昌府区1个时空聚集区(2014年10月至2017年3月),包括10个乡镇(街道)(古楼、柳园、新区、凤凰、侯营、闫寺、朱老庄、湖西、道口铺、东城、九州)聚集发病风险差异有统计学意义(RR=3.25,P<0.01);莘县1个时空聚集区(2017年3月至2018年12月),包括5个乡镇(街道)(燕店、大王寨、张鲁、俎店、燕塔)聚集发病风险差异有统计学意义(RR=2.58,P<0.01);高唐县1个时空聚集区(2016年7~8月),包括7个乡镇(街道)(鱼邱、人和、汇鑫、梁村、三十里铺、赵寨子、清平)聚集发病风险差异无统计学意义(RR=4.21,P>0.05)。结论 2014~2018年聊城市丙肝发病呈上升趋势,病例存在一定的时空聚集性。
Objective To understand the temporal-spatial clustering characteristics of hepatitis C in Liaocheng city, so as to provide a basis for prevention and control of hepatitis C. Methods The distribution characteristics of hepatitis C during 2014-2018 were analyzed by descriptive epidemiological study, and ArcGis 10.2 and SaTScan v 9.6 were utilized to identify its temporal-spatial clustering characteristics. Results From 2014 to 2018,the incidence of hepatitis C in Liaocheng city was relatively stable and gradually increasing;the sex ratio was 1.13:1,the age of onset was mainly in the age group of 20-70 years old, and the population classification was mainly farmers;the incidence of hepatitis C in Dongchangfu district was the highest, followed by Shen county, Yanggu and Gaotang;a spatial-temporal agglomeration area in Dongchangfu district was found(October 2014-March 2017),including 10 townships(streets)(Gulou, Liuyuan, Xinqu, Fenghuang, Houying, Yansi, Zhulaozhuang, Huxi, Daokoupu, Dongcheng, Jiuzhou),with statistically significant difference in the aggregation risk(RR=3.25,P<0.01);there was 1 space-time agglomeration area in Shen county(March 2017-December 2018),including 5 townships(streets)(Yandian, Dawangzhai, Zhanglu, Zudian, Yanta),with statistically significant difference in the aggregation risk(RR=2.58,P<0.01);there was 1 space-time agglomeration area in Gaotang county(July 2016-August 2016),including 7 townships(streets)(Yuqiu, Renhe, Huixin, Liangcun, Sanshilipu, Zhaozhaizi, Qingping),with no statistically significant difference in the aggregation risk(RR=4.21,P>0.05). Conclusion The incidence of hepatitis C in Liaocheng city is increasing gradually, and there are some temporal-spatial clusterings in Liaocheng city.
作者
周汝彬
李辉
韩德彪
周璞
窦继波
陈立勇
姜祥坤
ZHOU Ru-bin;LI Hui;HAN De-biao;ZHOU Pu;DOU Ji-bo;CHEN Li-yong;JIANG Xiang-kun(Liaocheng City Center for Disease Control and Prevention,Liaocheng,Shandong,China;不详)
出处
《预防医学论坛》
2021年第6期445-448,共4页
Preventive Medicine Tribune
关键词
丙肝
描述性流行病学
时空聚集性分析
Hepatitis C
Descriptive epidemiology
Spatial and temporal clustering analysis
