摘要
目的分析浙江省2000—2011年肺结核流行状况及空间分布特征,为肺结核有效防控提供理论依据。方法采用描述性流行病学方法对浙江省2000—2011年肺结核资料进行描述,应用Arc GIS 10.1软件对肺结核疫情数据进行空间显示和空间自相关分析。结果浙江省2000—2011年肺结核发病率呈现先上升再缓慢下降的趋势,年均发病率为74.65/10万,其中男性发病率（102.53/10万）高于女性发病率（45.48/10万）,差异有统计学意义（χ2=60 520.05,P=0.000）;发病高峰为20~34岁年龄组,共发病124 910例,占发病总数的30.14%;全局Moran＇s I空间自相关分析显示,肺结核发病存在空间聚集性;局部Local Moran＇s I自相关分析显示,高发病地区主要集中在温州市、衢州市和丽水市。结论浙江省肺结核发病空间分布并非随机分布,具有明显的地域聚集性,相关部门应针对其地域特点制定相应的防控措施。
Objective To analyze the prevalent feature and spatial distribution of pulmonary tuberculosis in Zhejiang province from 2000 to 2011, and to provide evidences for control and prevention of pulmonary tuberculosis. Methods Data on pulmonary tuberculosis were analyzed with descriptive method and spatial autocorrelation analysis. Results The overall trend of pulmonary tuberculosis prevalence was up first and then down slowly in the province duriug the period,with an average annual incidence of 74. 65 /100 000 and a significantly higher average annual inci- dence in the males than in the females（ 102. 53/100 000 vs. 45.48/100 000 ;χ2 = 60 520. 05 ,P =0. 000）. The highest in- cidence was observed among the young adults aged 20 -34 years, with a total of 124 910 cases accounting for 30. 14% ofall cases during the period. The overall Moran＇s I analysis showed that pulmonary tuberculosis in Zhejiang province clustered geographically and the regions with higher incidence were Wenzhou, Quzhou and Lishui city. Conclusion Pul- monary tuberculosis distributed unrandomly in Zhejiang province and corresponding prevention and control measures need to be implemented according to spatial distribution of the disease.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第1期25-28,共4页
Chinese Journal of Public Health
基金
浙江省重点科技创新团队计划资助项目(2011R50021)
关键词
肺结核
空间自相关
流行病学
pulmonary tuberculosis
spatial autocorrelation
epidemiology
