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208455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39073、33720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65679例,占31.51%,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0.1636,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。
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 208455 cases of foodborne diseases were reported in Liaoning province,with an incidence rate of 48.94/100000 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 39073 and 33720 cases,respectively.The male-tofemale ratio of reported cases was approximately 1:1.05.The 25–44 age group had the highest number of reported cases(65679 cases,accounting for 31.51%),while the 0-year age group had the highest incidence rate(164.12/100000 population).Spatial autocorrelation analysis showed that the global Moran′s I index of foodborne diseases in Liaoning province was 0.1636,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.
作者
于浩淼
刁文丽
王凯琳
马雅洁
宋蕴奇
丛源
党昊
YU Haomiao;DIAO Wenli;WANG Kailin;MA Yajie;SONG Yunqi;CONG Yuan;DANG Hao(Liaoning Center for Disease Prevention and Control,Shenyang 110005,China)
出处
《中国公共卫生》
北大核心
2025年第4期472-476,共5页
Chinese Journal of Public Health
基金
辽宁省食源性疾病预测预警分析模型建立及人群疾病负担等相关食品安全关键技术研究(2024JH2/102500073)。
关键词
食源性疾病
时空分析
流行特征
自相关分析
辽宁省
foodborne diseases
spatiotemporal analysis
epidemiological characteristics
autocorrelation analysis
Liaoning province
作者简介
第一作者:于浩淼(2000-),硕士在读,研究方向:营养与食品卫生;通信作者:刁文丽,E-mail:diaodwl@163.com。
