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Spatio-Temporal Pattern and Risk Factor Analysis of Hand, Foot and Mouth Disease Associated with Under-Five Morbidity in the Beijing-Tianjin-Hebei Region of China
Xu, Chengdong
2017-04-01
Source PublicationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
ISSN1660-4601
Volume14Issue:4Pages:13
Corresponding AuthorXu, Chengdong(xucd@lreis.ac.cn)
AbstractHand, foot and mouth disease (HFMD) in children under the age of five is a major public health issue in China. Beijing-Tianjin-Hebei is the largest urban agglomeration in northern China. The present study aimed to analyze the epidemiological features of HFMD, reveal spatial clusters, and detect risk factors in this region. Reports of HFMD cases in Beijing-Tianjin-Hebei from 1 January 2013 to 31 December 2013 were collected from 211 counties or municipal districts. First, the epidemiological features were explored, and then SaTScan analysis was carried out to detect spatial clusters of HFMD. Finally, GeoDetector and spatial paneled model were used to identify potential risk factors among the socioeconomic and meteorological variables. There were a total of 90,527 HFMD cases in the year 2013. The highest rate was in individuals aged one year, with an incidence of 24.76/10(3). Boys (55,168) outnumbered girls (35,359). Temporally, the incidence rose rapidly from April, peaking in June (4.08/10(3)). Temperature, relative humidity and wind speed were positively associated with the incidence rate, while precipitation and sunshine hours had a negative association. The explanatory powers of these factors were 57%, 13%, 2%, 21% and 12%, respectively. Spatially, the highest-risk regions were located in Beijing and neighboring areas, with a relative risk (RR) value of 3.04. The proportion of primary industry was negatively associated with HFMD transmission, with an explanatory power of 32%. Gross domestic product (GDP) per capita, proportion of tertiary industry, and population density were positively associated with disease incidence, with explanatory powers of 22%, 17% and 15%, respectively. These findings may be helpful in the risk assessment of HFMD transmission and for implementing effective interventions to reduce the burden of this disease.
Keywordhand foot and mouth disease epidemiological features spatial clusters risk factors
DOI10.3390/ijerph14040416
WOS KeywordMETEOROLOGICAL FACTORS ; CHILDREN ; INFECTION ; EPIDEMIC ; URBAN
Indexed BySCI
Language英语
Funding ProjectNational Natural Science Foundation of China[41601419] ; National Natural Science Foundation of China[41531179] ; Youth Science Fund of LREIS ; IGSNRR[Y5V5001AYE] ; LREIS[O88RA205YA] ; LREIS[O88RA200YA] ; Youth Science Fund of CAS ; Special Scientific Research Fund of Public Welfare Profession of China[GYHY20140616]
Funding OrganizationNational Natural Science Foundation of China ; Youth Science Fund of LREIS ; IGSNRR ; LREIS ; Youth Science Fund of CAS ; Special Scientific Research Fund of Public Welfare Profession of China
WOS Research AreaEnvironmental Sciences & Ecology ; Public, Environmental & Occupational Health
WOS SubjectEnvironmental Sciences ; Public, Environmental & Occupational Health
WOS IDWOS:000404105100080
PublisherMDPI AG
Citation statistics
Document Type期刊论文
Identifierhttp://ir.igsnrr.ac.cn/handle/311030/63191
Collection中国科学院地理科学与资源研究所
Corresponding AuthorXu, Chengdong
AffiliationChinese Acad Sci, Inst Geog Sci & Nat Resources Res, State Key Lab Resources & Environm Informat Syst, Beijing 100101, Peoples R China
Recommended Citation
GB/T 7714
Xu, Chengdong. Spatio-Temporal Pattern and Risk Factor Analysis of Hand, Foot and Mouth Disease Associated with Under-Five Morbidity in the Beijing-Tianjin-Hebei Region of China[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,2017,14(4):13.
APA Xu, Chengdong.(2017).Spatio-Temporal Pattern and Risk Factor Analysis of Hand, Foot and Mouth Disease Associated with Under-Five Morbidity in the Beijing-Tianjin-Hebei Region of China.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,14(4),13.
MLA Xu, Chengdong."Spatio-Temporal Pattern and Risk Factor Analysis of Hand, Foot and Mouth Disease Associated with Under-Five Morbidity in the Beijing-Tianjin-Hebei Region of China".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 14.4(2017):13.
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