评估中国内部移民人口中的结核病的空间异质性:一项基于人口的回顾性研究
Honghua Lin1, Rui Zhang1, Zheyuan Wu2,3
1School of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Shenzhen, China.
Frontiers in public health
|June 16, 2023
概括
内部移民显著增加了结核病 (TB) 风险和城市地区的空间聚类. 针对性干预对于高移民城市的结核病根除至关重要.
科学领域:
- 流行病学 流行病学
- 空间分析是一种空间分析.
- 公共卫生 公共卫生
背景情况:
- 国内移民是消除结核病 (TB) 在高负担国家的主要挑战.
- 了解国内移民中结核病发病率的空间模式对于疾病控制至关重要.
- 结核病分布的空间异质性需要调查以确定风险因素.
研究的目的:
- 在中国上海分析结核病 (TB) 的空间分布.
- 确定与空间异质性和结核病例集群相关的风险因素.
- 评估内部移民在结核病负担和空间模式中的作用.
主要方法:
- 2009-2016年在上海对细菌阳性结核病例的基于人口的回顾性研究.
- 利用Getis-Ord Gi*统计和空间相对风险方法来识别结核病集群.
- 采用后勤回归和分层贝叶斯空间模型来确定个人和特定位置的风险因素.
主要成果:
- 分析了超过2.7万名结核病例,其中42.54%是移民.
- 移民和积极查是结核病高空间集群的重要贡献者.
- 工业园区和移民人口被确定为县级结核病增加的风险因素.
结论:
- 结核病的显著空间异质性存在于上海,这是一个内部迁移高的超大城市.
- 国内移民在结核病负担和城市环境的空间异质性方面发挥着至关重要的作用.
- 需要优化,有针对性的干预措施来解决流行病学异质性问题,并推进中国城市的结核病根除.
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