Changes in scope of infectious disease-related issues concerned by government administrations in Chongqing and Tianjin, 2000 – 2017: a comparative analysis
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摘要:
目的 了解2000 — 2017年重庆、天津两市政府对传染病问题关注范围的时序变化及异同,分析传染病关注范围与发病率之间的相关性。 方法 从政府、业务主管部门、专业机构网站系统收集2000 — 2017年已公开发布的涉及传染病预防与控制的法律法规、政策文件,共收集重庆82份,天津309份。根据文件中是否针对传染病问题设置预防与控制目标来计算关注范围;运用Spearman相关和单因素回归分析来分析关注范围与发病率之间的关系。 结果 2017年,重庆、天津两市传染病问题的关注范围分别为78.8 %(41/52)、84.6 %(44/52),较2000年分别提升了13.9 %、25.7 %,天津略高于重庆,且重庆、天津传染病问题的关注范围与发病率之间均存在相关性(r = – 0.586、 – 0.934,P < 0.05)。 结论 两市政府对传染病问题的关注范围均有显著提升,政府对传染病防制工作的主导作用进一步显现。 Abstract:Objective To examine time-series changes and similarities in the scope of infectious disease-related issues concerned by Chongqing and Tianjin municipal government from 2000 to 2017, and to analyze the correlation between the scope of concerned issues and infectious disease incidence in the two municipalities. Methods From websites of government departments and professional institutions of Chongqing and Tianjin municipality, we collected 82 and 309 published documents on laws, regulations and policies in relation to prevention and control of infectious diseases from 2000 to 2017; the data on infectious disease incidence for the two municipalities during the same period were also retrieved from health and family planning statistics yearbooks. The scope of infectious disease-related issues concerned by government administrations was identified according to whether there were proposed prevention or control indicators for specific infectious diseases in the documents. Spearman correlation and univariate regression analysis were used to explore the relationship between the concerned scope and the infectious disease incidence. Results In 2017, the ratio of the infectious disease-related issues actually concerned versus that should be concerned by the government administrations were 78.8% (41/52) and 84.6% (44/52) for Chongqing and Tianjin, respectively, with the increases of 13.9% and 25.7% compared to those in 2000. There are correlations between the scope of concerned infectious disease-related issues and infectious disease incidence in Chongqing and Tianjin municipality (r = – 0.586 and r = – 0.934, both P < 0.05). Conclusion The scope of infectious disease-related issues concerned by government administrations increased obviously during 2000 – 2017 in Chongqing and Tianjin municipality, indicating a substantial government dominance in the prevention and control of infectious diseases. -
Key words:
- infectious disease /
- concerned scope /
- governmental dominance /
- Chongqing /
- Tianjin
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表 1 渝津传染病问题逐年关注范围及传染病发病率
年份 关注传染病问题数 关注范围(%) 传染病发病率(1/10万) 重庆 天津 重庆 天津 重庆 天津 2000 36 35 69.2 67.3 254.37 – 2001 36 35 69.2 67.3 252.73 – 2002 36 35 69.2 67.3 228.14 195.18 2003 36 35 69.2 67.3 254.28 196.96 2004 37 37 71.2 71.2 318.87 261.26 2005 37 37 71.2 71.2 366.73 283.98 2006 37 37 71.2 71.2 337.41 304.56 2007 37 37 71.2 71.2 333.77 294.77 2008 38 38 73.1 73.1 336.23 242.47 2009 40 39 76.9 75.0 275.29 186.96 2010 40 39 76.9 75.0 240.82 173.54 2011 40 40 76.9 76.9 245.23 155.40 2012 40 40 76.9 76.9 245.58 146.33 2013 40 40 76.9 76.9 254.55 143.07 2014 40 43 76.9 82.7 250.39 148.98 2015 41 43 78.8 82.7 262.08 131.85 2016 41 43 78.8 82.7 263.60 129.66 2017 41 44 78.8 84.6 283.73 141.42 表 2 渝津两市传染病问题关注范围与传染病发病率回归分析
地区 偏回归系数 β ′ t 值 P 值 R2 值 β $S_{\bar x}$ 重庆 – 0.012 0.002 – 0.861 – 5.873 0.000 0.742 天津 – 0.012 0.002 – 0.864 – 5.955 0.000 0.747 -
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