王若男, 杨正贵, 马宁, 刘炜晨, 赵瑜. 2004-2019年宁夏地区肺结核病的时空分布研究[J]. 疾病监测, 2022, 37(3): 336-341. DOI: 10.3784/jbjc.202108200458
引用本文: 王若男, 杨正贵, 马宁, 刘炜晨, 赵瑜. 2004-2019年宁夏地区肺结核病的时空分布研究[J]. 疾病监测, 2022, 37(3): 336-341. DOI: 10.3784/jbjc.202108200458
Wang Ruonan, Yang Zhenggui, Ma Ning, Liu Weichen, Zhao Yu. Spatiotemporal distribution of tuberculosis in Ningxia, 2004–2019[J]. Disease Surveillance, 2022, 37(3): 336-341. DOI: 10.3784/jbjc.202108200458
Citation: Wang Ruonan, Yang Zhenggui, Ma Ning, Liu Weichen, Zhao Yu. Spatiotemporal distribution of tuberculosis in Ningxia, 2004–2019[J]. Disease Surveillance, 2022, 37(3): 336-341. DOI: 10.3784/jbjc.202108200458

2004-2019年宁夏地区肺结核病的时空分布研究

Spatiotemporal distribution of tuberculosis in Ningxia, 2004–2019

  • 摘要:
      目的   探讨宁夏回族自治区(宁夏)不同地区肺结核病时空分布格局,以助于精准防控和优化医疗资源配置。
      方法   根据2004—2019年宁夏22个县(区)的肺结核病标准化发病比(SMR)数据,运用空间关联性分析探索宁夏肺结核病时空分布特征。
      结果   宁夏肺结核病报告发病率呈逐年下降趋势,从2004年的66.08/10万下降至2020年的27.08/10万,2007、2009、2010、2015和2016年宁夏肺结核病SMR呈现区域聚集性,全局莫兰指数(Moran's I)分别为0.37、0.29、0.31、0.28和0.28,“高–高”聚集区主要分布在宁夏南部地区,“低–低”聚集区由中部地区向北部地区转移。
      结论   宁夏地区肺结核病的时空分布呈现显著的空间聚集性,可能与社会经济发展水平、医疗卫生资源配置和务工人员流动有关。 因此,加强宁夏南部和北部地区的监测力度,对流动人口开展针对性的防控措施,合理配置医疗资源有助于提升宁夏地区肺结核病的防控效果。

     

    Abstract:
      Objective  To understand the spatiotemporal distribution of tuberculosis (TB) in different areas in Ningxia and provide evidence for the precise prevention and control of TB and the optimization the of medical resource allocation.
      Methods   Based on the standardized morbidity ratio (SMR) of TB in 22 counties (districts) in Ningxia from 2004 to 2019, spatial correlation exploration was used to explore the spatiotemporal distribution of TB in Ningxia.
      Results  The reported incidence of TB in Ningxia showed a decreasing trend from 66.08/100 000 in 2004 to 27.08/100 000 in 2020. TB-SMR showed area clustering in 2007, 2009, 2010, 2015 and 2016, respectively. The global Moran′s I values were 0.37, 0.29, 0.31, 0.28 and 0.28, respectively. The spatial clustering analysis showed that the high-high clustering area was distributed in southern Ningxia, while the low-low clustering area shifted from central to northern Ningxia.
      Conclusion  The spatiotemporal distribution of TB in Ningxia showed a significant spatial clustering pattern, which might be associated with the social and economic development level, the medical and health resources allocation and population floating. Therefore, it is important to strengthen the TB surveillance in southern and northern Ningxia, carry out targeted TB prevention and control in floating population and reasonably allocate medical resources to improve the prevention and control of TB in Ningxia.

     

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