本文選題：肝炎 + 丙型��； 參考：《中華疾病控制雜志》2017年08期

【摘要】：目的探測2015年上海市浦東新區(qū)丙型肝炎(簡稱"丙肝")發(fā)病的空間聚集性,識別丙肝發(fā)病的高風險區(qū)域;比較SaTScan與FleXScan在疾病空間聚集性探測方面的應用效果。方法收集2015年浦東新區(qū)丙肝的發(fā)病數據,以街道和鎮(zhèn)為分析單位,分別采用SaTScan 9.4.4與FleXScan 3中的Poisson模型探測丙肝發(fā)病空間聚集區(qū)域;并通過調整參數比較兩個軟件在不同參數設置下所探測到的聚集區(qū)域的位置和范圍的變化情況。結果上海浦東2015年丙肝發(fā)病率為12.72/10萬;SaTScan和FleXScan均只掃描到一個具有統(tǒng)計學意義(P0.05)的空間聚集區(qū)域,分別包含10個鎮(zhèn)(川沙新鎮(zhèn)、大團、合慶、惠南、祝橋、宣橋、周浦、新場、老港和萬祥)和4個鎮(zhèn)(川沙新鎮(zhèn)、張江、曹路和合慶),兩種方法的掃描結果均覆蓋了川沙新鎮(zhèn)和合慶鎮(zhèn);SaTScan的窗口比例從50%變化到25%,聚集區(qū)域范圍減少了一個鎮(zhèn),FleXScan設定不同K值所探測到的聚集區(qū)域變化范圍較大。結論上海浦東新區(qū)2015年丙肝發(fā)病存在空間聚集性,結合SaTScan的和FleXScan的掃描結果認為川沙新鎮(zhèn)和合慶鎮(zhèn)是浦東丙肝發(fā)病的高風險區(qū)域和重點防控區(qū)域。
[Abstract]:Objective to investigate the spatial aggregation of hepatitis C (hepatitis C) in Pudong New area of Shanghai in 2015, and to identify the high risk area of hepatitis C, and to compare the application effect of SaTScan and FleXScan in detecting the spatial aggregation of hepatitis C. Methods the incidence data of hepatitis C in Pudong New area in 2015 were collected. The Poisson models of SaTScan 9.4.4 and FleXScan 3 were used to detect the spatial aggregation of hepatitis C in the streets and towns. The change of the location and range of the aggregation area detected by the two software under different parameter settings is compared by adjusting the parameters. Results in 2015, the incidence of hepatitis C in Pudong, Shanghai, was 12.72 / 100 000. Both SaTScan and FleXScan scanned only one spatial gathering area with statistical significance (P0.05), which included 10 towns (Chuanshaxin Town, Big Group, Heqing, Huinan, Zhuqiao, Xuanqiao, Zhoupu, Xinchang, respectively). Lao Gang and Wan Xiang) and 4 towns (Chuansha Xin Town, Zhang Jiang, The scanning results of both methods cover the window ratio of SaTScan from 50% to 25% in Chuanshaxin Town and Heping Town, and decrease the range of aggregation area by one town FleXScan setting different K values. Conclusion there is spatial aggregation of hepatitis C in 2015 in Pudong New area of Shanghai. Combined with the scanning results of SaTScan and FleXScan, it is concluded that Chuansha Xin Town and Heqing Town are high risk areas and key prevention and control areas for hepatitis C infection in Pudong.
【作者單位】： 復旦大學公共衛(wèi)生學院流行病學教研室復旦大學公共衛(wèi)生學院公共衛(wèi)生安全教育部重點實驗室;復旦大學浦東預防研究院微生物檢測平臺;上海市浦東新區(qū)疾病預防控制中心傳染病防治與消毒管理科;
【基金】：國家自然科學基金(81673239) 上海市衛(wèi)生局局級課題(20134241)
【分類號】：R512.63
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本文編號：1819371