CAJ | 학술논문

目的了解2009-2013年甘肃省丙型病毒性肝炎(丙肝)报告发病率的时空分布特征及探测发病聚集区域.方法利用甘肃省2009-2013年传染病网络直报系统中丙肝的发病率数据,使用GeoDa分析丙肝在甘肃省县(区)水平上的全局/局部自相关性,并用SaTScan软件探测其时空聚集特征.结果 2009-2013年甘肃省丙肝发病率存在全局系相关性,局部自相关性分析,发病热点区域为金昌市、武威市、张掖市和兰州市部分县(区),冷点区域主要分布在定西市、陇南市、平凉市、甘南州及酒泉市、庆阳市、白银市、天水市部分县(区).时空探测结果显示:2009-2010年发病存在时空聚集性,高发病聚集区为天水市秦州区和麦积区,低发病聚集区最大可能分布在定西市临洮县和临夏州的部分县(区).2011-2013年高发病聚集区为张掖市、金昌市、武威市、兰州市和白银市的部分县(区),低发病聚集区主要分布在定西市、天水市、平凉市、陇南市和庆阳市的部分县(区).结论 2009-2013年甘肃省丙肝发病率存在时空聚集性,高发病集聚区和低发病聚集区分布随时间变化,高发病区域主要分布在甘肃省中西部.
목적 료해2009-2013년감숙성병형병독성간염(병간)보고발병솔적시공분포특정급탐측발병취집구역.방법 이용감숙성2009-2013년전염병망락직보계통중병간적발병솔수거,사용GeoDa분석병간재감숙성현(구)수평상적전국/국부자상관성,병용SaTScan연건탐측기시공취집특정.결과 2009-2013년감숙성병간발병솔존재전국계상관성,국부자상관성분석,발병열점구역위금창시、무위시、장액시화란주시부분현(구),랭점구역주요분포재정서시、롱남시、평량시、감남주급주천시、경양시、백은시、천수시부분현(구).시공탐측결과현시:2009-2010년발병존재시공취집성,고발병취집구위천수시진주구화맥적구,저발병취집구최대가능분포재정서시림조현화림하주적부분현(구).2011-2013년고발병취집구위장액시、금창시、무위시、란주시화백은시적부분현(구),저발병취집구주요분포재정서시、천수시、평량시、롱남시화경양시적부분현(구).결론 2009-2013년감숙성병간발병솔존재시공취집성,고발병집취구화저발병취집구분포수시간변화,고발병구역주요분포재감숙성중서부.
Objective To study the time-space distribution of viral hepatitis C in Gansu province during 2009-2013,using the time-space statistics.Methods Using Geoda to analysis the univariate Moran' s I and univariate local Moran' s I while using SaTScan to detect the time-space gathering areas.Results There was spatial autocorrelation on incidence of hepatitis C noticed in Gansu during 2009-2013.The hot spots areas were counties as Jinchang,Wuwei,Zhangye and Lanzhou.Cold spot areas would include counties as Dingxi,Longnan,Pingliang,Gannan,Jiuquan,Qingyang,Baiyin and Tianshui.There were time-space gathering areas nitoced,during 2009-2010.Qinzhou and Maiji counties belonged to high incidence gathering areas.Lintao and Linxia were of low incidence gathering areas.In 2011-2013,high incidence gathering area would include counties as Zhangye,Jinchang,Wuwei Lanzhou and Baiyin while low incidence gathering areas would include counties as Dingxi,Tianshui,Pingliang,Longnan and Qingyang.Conclusion There appeared time-space gathering of hepatitis C in Gansu province during 2009-2013.High and low gathering areas varied with time and high incidence gathering area mainly distributed in the western and central areas of Gansu province.