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2014—2023年辽宁省食源性疾病流行特征及时空聚集性

Spatiotemporal characteristics and clustering of foodborne diseases in Liaoning province from 2014 to 2023

  • 摘要:
    目的 了解辽宁省食源性疾病流行特征,为相关疾病的预防控制提供理论依据。
    方法 对辽宁省2014—2023年食源性疾病监测数据进行流行病学分析,利用空间自相关分析和时空分析探究病例在时间和空间上的聚集情况。
    结果 2014—2023年,辽宁省共报告食源性疾病208 455例,发病率为48.94 / 10万人,住院率为9.58%。食源性疾病高发于每年6—9月,大连市、沈阳市报告病例数多,分别为39 073、33 720例。报告病例男女性别比约为1:1.05,25~44岁年龄组报告病例数最多,共65 679例,占39.77%,0~岁年龄组发病率最高,为164.12/10万人。空间自相关分析显示,辽宁省食源性疾病全局Moran′s I指数为0.163 6,区域集聚性明显,以月为周期进行时空扫描,共发现4个聚集区,分别以丹东市、大连市、沈阳市、阜新市为中心。
    结论 辽宁省食源性疾病夏季高发,病例主要集中在沿海及人口密度大的地区,存在显著的时空聚集性,建议有针对性地加强宣教,并加大监管力度,以降低重点地区及季节的发病率。

     

    Abstract:
    Objective To understand the epidemiological characteristics of foodborne diseases in Liaoning province and provide a theoretical basis for the prevention and control of related diseases.
    Methods Epidemiological analysis was conducted on foodborne disease surveillance data from 2014 to 2023 in Liaoning province. Spatial autocorrelation and spatiotemporal analyses were used to explore the temporal and spatial clustering of cases.
    Results From 2014 to 2023, a total of 208 455 cases of foodborne diseases were reported in Liaoning province, with an incidence rate of 48.94/100 000 population and a hospitalization rate of 9.58%. Foodborne diseases were most prevalent from June to September. Dalian city and Shenyang city reported the highest number of cases, with 39 073 and 33 720 cases, respectively. The male-to-female ratio of reported cases was approximately 1:1.05. The 25–44 age group had the highest number of reported cases (65 679 cases, accounting for 39.77%), while the 0-year age group had the highest incidence rate (164.12/100 000 population). Spatial autocorrelation analysis showed that the global Moran′s I index of foodborne diseases in Liaoning province was 0.163 6, indicating significant regional aggregation. Spatiotemporal scanning with a monthly cycle identified four clusters centered in Dandong city, Dalian city, Shenyang city, and Fuxin city, respectively.
    Conclusions Foodborne diseases in Liaoning province are prevalent in summer, and cases are mainly concentrated in coastal areas and areas with high population density, exhibiting significant spatiotemporal clustering. Targeted health education and strengthened supervision are recommended to reduce the number of cases in key areas and during key months.

     

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