本文選題：毒蕈　切入點：中毒　出處：《中南大學學報(醫(yī)學版)》2017年09期

【摘要】：目的:探討湖南省毒蕈中毒的空間分布及其影響因素,為科學防控毒蕈中毒提供依據(jù)。方法:收集2015年湖南省122個區(qū)(縣)的毒蕈中毒監(jiān)測數(shù)據(jù),利用Arc GIS10.2軟件建立病例地理信息數(shù)據(jù)庫,采用Open Geo Da軟件進行空間自相關分析和空間回歸分析。結果:2015年湖南省毒蕈中毒報告發(fā)病率2.94/10萬,病死率0.56%。全局空間自相關Moran's I值為0.315(P0.05),提示湖南省毒蕈中毒發(fā)病存在空間聚集性;局部空間自相關結果顯示,毒蕈中毒發(fā)病熱點區(qū)域為寧鄉(xiāng)縣、湘潭縣、邵陽縣、零陵區(qū)、嘉禾縣、臨武縣等。冷點區(qū)域為古丈縣、鶴城區(qū)、鼎城區(qū)、岳陽縣等。空間回歸分析顯示,毒蕈中毒發(fā)病情況與年平均溫度(Z=2.145,P=0.032)、人均衛(wèi)生機構數(shù)(Z=2.352,P=0.019)、中學生人數(shù)(Z=4.309,P0.001)呈正相關,與中學教職工人數(shù)(Z= 2.626,P=0.009)呈負相關。結論:湖南省毒蕈中毒發(fā)病存在空間聚集性,發(fā)病主要集中在湖南省中部和南部地區(qū),北部地區(qū)發(fā)病率較低。年平均溫度、中學生人數(shù)在空間層面上對毒蕈中毒發(fā)病具有一定程度的正向影響作用。
[Abstract]:Objective: to investigate the spatial distribution and influencing factors of mushroom poisoning in Hunan Province, and to provide scientific basis for prevention and control of mushroom poisoning. Methods: the surveillance data of mushroom poisoning in 122 districts (counties) of Hunan Province in 2015 were collected. Case geographic information database was established by Arc GIS10.2 software, spatial autocorrelation analysis and spatial regression analysis were carried out by Open Geo Da software. Results: incidence rate of mushroom poisoning in Hunan Province in 2015 was 294,400, 000. The overall spatial autocorrelation (Moran's) I value is 0.315 (P0.05), indicating that there is spatial aggregation in the incidence of mushroom poisoning in Hunan Province, and the results of local spatial autocorrelation show that the hot spots of poisoning are Ningxiang County, Xiangtan County, Shaoyang County, and Lingling District, and the results of local spatial autocorrelation show that the hot spots of muscaric poisoning are Ningxiang County, Xiangtan County, Shaoyang County, and Lingling area. Jiahe County, Linwu County and so on. The cold spot areas were Guzhang County, Hecheng District, Dingcheng District, Yueyang County, etc. Spatial regression analysis showed that the incidence of toadbox poisoning was positively correlated with the annual average temperature of 2.145%, the number of per capita health facilities was 2.352%, the number of health facilities per capita was 0.019%, and the number of middle school students was Z4.309 (P0.001). Conclusion: the incidence of mushroom poisoning in Hunan Province is mainly concentrated in the central and southern areas of Hunan Province, and the incidence rate is relatively low in the northern part of Hunan Province, and the annual average temperature is low, conclusion: the incidence rate is negative correlation with the number of middle school teaching staff (Z = 2.626P0. 009). The number of middle school students has a positive effect on the incidence of mushroom poisoning at the spatial level.
【作者單位】： 中南大學湘雅公共衛(wèi)生學院流行病與衛(wèi)生統(tǒng)計學系;湖南省疾病預防控制中心食品安全監(jiān)測科;
【基金】：中南大學研究生自主探索創(chuàng)新項目(2016zzts490)~~
【分類號】：R595.7

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