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2015年湖南省蘑菇中毒的时空模式及影响因素分析

[Analysis of spatiotemporal patterns and influential factors for mushroom poisoning in Hunan Province in 2015].

作者信息

Shi Wenpei, Liang Jinjun, Wang Tingting, Liu Yuan, Chen Lizhang

机构信息

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China.

Department of Food Safety Monitor, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Sep 28;42(9):1080-1085. doi: 10.11817/j.issn.1672-7347.2017.09.014.

Abstract

To understand the spatial distribution of mushroom poisoning in Hunan Province and its influential factors, and to provide the evidence for control of the mushroom poisoning.
 Methods: The surveillance data for mushroom poisoning cases from 122 counties in Hunan Province in 2015 were collected. Based on geographical information system database, spatial autocorrelation analysis and spatial regression analysis (via OpenGeoDa) was conducted.
 Results: The incidence of mushroom poisoning in Hunan Province in 2015 was 2.94/100 000. Global Moran's I values was 0.315 (P<0.05). Local spatial autocorrelation analysis indicated that Ningxiang, Xiangtan, Shaoyang, Lingling, Jiahe, and Linwu districts et al were "positive hotspot" regions. Guzhang, Hecheng, Dingcheng, Yueyang districts et al were "negative hotspot" regions. Spatial regression analysis revealed that the reported incidence of mushroom poisoning was positively correlated with the annual average temperate (Z=2.145, P=0.032), the number of health care institutions per capita (Z=2.352, P=0.019), and the number of students enrollment in secondary schools (Z=4.309, P<0.001). It was negatively associated with the number of school staff and workers of secondary schools (Z=-2.626, P=0.009).
 Conclusion: The spatial distribution of mushroom poisoning cases in Hunan Province in 2015 is highly clustered. Mushroom poisoning cases are more prevalent in the middle and southern regions and less prevalent in the northern areas of the province. The annual average temperate and the number of students enrollment in secondary schools demonstrate a certain positive influence on the distribution of mushroom poisoning in Hunan.

摘要

为了解湖南省蘑菇中毒的空间分布及其影响因素,为蘑菇中毒的防控提供依据。方法:收集2015年湖南省122个县蘑菇中毒病例的监测数据。基于地理信息系统数据库,进行空间自相关分析和空间回归分析(通过OpenGeoDa)。结果:2015年湖南省蘑菇中毒发病率为2.94/10万。全局莫兰指数I值为0.315(P<0.05)。局部空间自相关分析表明,宁乡、湘潭、邵阳、零陵、嘉禾、临武等地区为“高值热点”区域。古丈、鹤城、鼎城、岳阳楼等地区为“低值热点”区域。空间回归分析显示,蘑菇中毒报告发病率与年平均气温(Z=2.145,P=0.032)、人均医疗机构数量(Z=2.352,P=0.019)以及中学在校学生人数(Z=4.309,P<0.001)呈正相关。与中学教职工人数呈负相关(Z=-2.626,P=0.009)。结论:2015年湖南省蘑菇中毒病例的空间分布高度聚集。蘑菇中毒病例在该省中部和南部地区较为普遍,在北部地区较少。年平均气温和中学在校学生人数对湖南省蘑菇中毒的分布有一定的正向影响。

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