Epidemiology of scrub typhus and influencing factors in Yunnan province, 2006-2013
Sun, Y.; Shi, C.; Li, X.L.; Fang, L.Q.; Cao, W.C.
Zhonghua Liu Xing Bing Xue Za Zhi 39(1): 54-57
2018
ISSN/ISBN: 0254-6450 PMID: 29374896 Document Number: 697232
目的： 分析近年来云南省恙虫病流行病学特征及流行相关因素。 方法： 收集2006－2013年云南省恙虫病报告疫情资料，统计分析其"三间分布"特征，并应用地理信息技术（GIS）在县区尺度上使用面板负二项回归模型分析其流行相关因素。 结果： 2006－2013年云南省共报告恙虫病病例8 980例，年均发病率2.46/10万，年发病率呈显著上升趋势，疫源地范围不断扩大，报告发病乡镇增至71.3%。疫情主要发生于夏秋季，高峰为7－10月。女性年均发病率高于男性，儿童多发，职业分布以农民为主，且病例中农民和学前儿童的构成比呈现上升趋势。面板负二项回归模型显示云南省恙虫病的流行风险随着月均温度和相对湿度的升高而增加，随耕地和草地面积的增加而先降后升，随着灌木面积的增加而先升后降。 结论： 应加强对云南省温暖湿润地区以及耕地、草地面积较大地区恙虫病的监测，尤其是针对儿童及农民等高发人群。.
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