Identification of health risks of hand, foot and mouth disease in China using the geographical detector technique.
Identification of health risks of hand, foot and mouth disease in China using the geographical detector technique.
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DOI：
10.3390/ijerph110303407
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发表时间：
2014-03-21
影响因子：
--
通讯作者：
Huang D
中科院分区：
文献类型：
--
作者：
Huang J;Wang J;Bo Y;Xu C;Hu M;Huang D
手足口病（HFMD）是一种常见的传染病，在过去的二十年里，在中国造成数千名儿童死亡。环境危险因素如气象因素、人口因素、经济因素等都可能影响手足口病的发病。在本文中，我们使用一种新的模型-地理检测器技术来分析这些因素对中国手足口病发病率的影响。我们收集了2008年5月中国2,309个县的手足口病病例。计算了0-9岁儿童的手足口病月累积发病率。潜在危险因素包括气象因素、经济因素和人口密度因素。采用4种地理检测器（风险检测器、因素检测器、生态检测器和交互检测器）分析了我国手足口病发病的潜在危险因素。第三产业和儿童对手足口病发病的影响大于第一产业和中学生。任何两个危险因素的交互作用都会增加手足口病传播的危险性。
Hand, foot and mouth disease (HFMD) is a common infectious disease, causing thousands of deaths among children in China over the past two decades. Environmental risk factors such as meteorological factors, population factors and economic factors may affect the incidence of HFMD. In the current paper, we used a novel model—geographical detector technique to analyze the effect of these factors on the incidence of HFMD in China. We collected HFMD cases from 2,309 counties during May 2008 in China. The monthly cumulative incidence of HFMD was calculated for children aged 0–9 years. Potential risk factors included meteorological factors, economic factors, and population density factors. Four geographical detectors (risk detector, factor detector, ecological detector, and interaction detector) were used to analyze the effects of some potential risk factors on the incidence of HFMD in China. We found that tertiary industry and children exert more influence than first industry and middle school students on the incidence of HFMD. The interactive effect of any two risk factors increases the hazard for HFMD transmission.
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