CAJ | 학술논문

目的：探索手足口病流行的空间分布特点。方法利用杭州市2011年15个区（县）手足口病疫情数据，使用GeoDa 095i软件，采用Moran’s I系数对数据进行空间自相关分析及检验。结果2011年杭州市报告手足口病5534例，报告发病率为63.61/10万。全局空间自相关Moran’s I系数为0.33（P=0.038），局部空间自相关显示拱墅区、江干区、西湖区和萧山区为手足口病高发病率聚集区（ LISA =0.4135、0.4600、0.1785和0.3508，P均<0.05），淳安县和桐庐县为低发病率聚集区（ LISA=0.6923和0.6762，P均<0.05）。结论杭州市手足口病发病率分布呈非随机分布，存在较明显的聚集性。
목적：탐색수족구병류행적공간분포특점。방법이용항주시2011년15개구（현）수족구병역정수거，사용GeoDa 095i연건，채용Moran’s I계수대수거진행공간자상관분석급검험。결과2011년항주시보고수족구병5534례，보고발병솔위63.61/10만。전국공간자상관Moran’s I계수위0.33（P=0.038），국부공간자상관현시공서구、강간구、서호구화소산구위수족구병고발병솔취집구（ LISA =0.4135、0.4600、0.1785화0.3508，P균<0.05），순안현화동려현위저발병솔취집구（ LISA=0.6923화0.6762，P균<0.05）。결론항주시수족구병발병솔분포정비수궤분포，존재교명현적취집성。
Objective To explore and analyze the spatial distribution characteristics of hand - foot - mouth disease in Hangzhou city. Methods Based on the incidence of hand - foot - mouth disease, the whole and local spatial autocorrelation analysis was used to test the spatial heterogeneity by the software GeoDa095i. Results A total of 5534 cases of hand-foot-mouth disease were reported in Hangzhou city in 2011 with the reported incidence of 63. 61/100000. The wholel Moran’s I index was 0. 33(P<0. 05)indicating that the disease had high spatial cluster occurrence. Local spatial autocorrelation analysis showed that several districts including Gongshu,Jianggan,Xihu and Xiaoshan had high cluster occurrence(LISA=0. 4135,0. 4600,0. 1785 and 0. 3508 respectively,all P<0. 05)while Chun′an county and Tonglu county had the low cluster occurrence(LISA=0. 6923 and 0. 6762 respectively,both P<0. 05). Conclusion The spatial distribution of hand - foot - mouth disease in Hangzhou city is not random distribution and has aggregation phenomenon.