史一,王三桃,王丹,李雪原,王尚敏,张晓红,仇丽霞.2017年山西省食源性疾病流行病学特征及空间聚集性分析[J].中国食品卫生杂志,2019,31(5):456-460. 本文二维码信息
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2017年山西省食源性疾病流行病学特征及空间聚集性分析
Temporal and spatial clustering characteristics of foodborne diseases in Shanxi Province in 2017
投稿时间:2019-08-12  
DOI:
中文关键词:  食源性疾病  三维趋势分析  空间自相关  聚集特征
Key Words:Foodborne disease  three-dimensional trend  spatial autocorrelation  clustering characteristics
基金项目:2018年山西省卫生计生委公共卫生专项科研课题(2018GW06)
作者单位
史一 山西医科大学公共卫生学院,山西 太原 030001
山西省疾病预防控制中心, 山西 太原 030012 
王三桃 山西省疾病预防控制中心, 山西 太原 030012 
王丹 国家食品安全风险评估中心,北京 100022 
李雪原 山西省疾病预防控制中心, 山西 太原 030012 
王尚敏 山西省疾病预防控制中心, 山西 太原 030012 
张晓红 山西省疾病预防控制中心, 山西 太原 030012 
仇丽霞 山西医科大学公共卫生学院,山西 太原 030001 
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中文摘要:
      目的 分析2017年山西省食源性疾病流行病学特征,重点探索其空间聚集情况,为科学地开展防控措施提供依据。方法 运用地理信息系统技术和描述性流行病学方法分析2017年山西省食源性疾病流行病学特征,并运用空间自相关方法研究其空间聚集性。结果 2017年山西省共报告食源性疾病病例27 727例,报告发病率为7.5/万。男女性别比为1.02∶1,20~39岁报告病例数最多(27.6%,7 661/27 727);农民(40.6%,11 266/27 727)、低龄学生(13.2%,3 652/27 727)报告病例数较多。可疑暴露食品主要为水果类及其制品(26.0%,7 207/27 719)、粮食类及其制品(17.9%,4 963/27 719)和肉与肉制品(11.6%,3 207/27 719)。进食场所以家庭为主(73.2%,23 429/31 988)。三维趋势分析得到的疾病报告发病率总体分布情况为:由北向南逐渐升高,由西向东缓慢下降,与报告发病率分布图所呈现的结果一致。食源性疾病报告发病率呈空间正相关,高-高聚集地区为浮山县、隰县、大宁县、永和县、古县、吉县。结论 山西省食源性疾病发病存在明显的空间聚集性。
Abstract:
      Objective The epidemiological characteristics of foodborne diseases in Shanxi Province in 2017 were analyzed, and the spatial aggregation of foodborne diseases was explored in order to provide basis for scientific prevention and control measures. Methods The epidemiological characteristics of foodborne diseases in Shanxi Province were analyzed by geographic information system technology and descriptive epidemiological method, and the spatial aggregation of foodborne diseases was studied by spatial autocorrelation method. Results In 2017,7 727 cases of foodborne diseases were reported in Shanxi Province, with a reported incidence of 7.5/10 000.Male cases were more common than female cases, and the sex ratio was 1.02∶1. The 20-39 age group reported the most cases(27.6%,7 661/27 727). Farmers(40.6%,11 266/27 727) and younger students(13.2%,3 652/27 727) had more cases. The top three suspicious foods were:fruits and products(26.0%,7 207/27 719), cereals and products(17.9%,4 963/27 719), and meats and products(11.6%,3 207/27 719). Households were the most common eating places(73.2%,23 429/31 988). The overall distribution of the disease reported by the three-dimensional trend analysis was:gradually rising from north to south and decreasing from west to east, consistent with the result presented in the reported incidence map. The incidence of foodborne diseases reported a spatial positive correlation, and the high-high gathering areas were Fushan County, Xi County, Daning County, Yonghe County, Gu County and Ji County. Conclusion The incidence of foodborne diseases in Shanxi Province had obvious spatial aggregation.
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