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摘要:
目的 探讨2004―2023年安徽省人类免疫缺陷病毒(human immunodeficiency virus, HIV)/艾滋病(acquired immunodeficiency syndrome, AIDS)患者的时空分布特征,为制定AIDS防治策略提供建议。 方法 基于2004―2023年安徽省104个区(县)历年报告的HIV/AIDS病例数,使用GeoDa 1.22软件进行全局空间自相关和局部空间自相关分析,使用SaTScan 10.2.5软件进行时空扫描分析获得AIDS疫情聚集特点,采用QGIS 3.30软件绘制聚集区和可视化结果,描述分析近20年疫情空间分布。 结果 2004―2023年安徽省AIDS病例空间分布扩大且局部集中,全局莫兰指数(Moran′s I)范围为0.254 9~0.579 1,Z值均>1.96且P < 0.01,2004―2023年存在全局空间自相关。时空扫描结果显示存在3个统计显著聚集区(均P<0.001)。 结论 2004―2023年安徽省AIDS“高-高”聚集区集中于皖北地区,并逐渐扩大至周围地区,提示安徽省西北部为防控重点,应有针对性地实施防控措施。 Abstract:Objective To explore the spatial and temporal distribution characteristics of HIV-infected persons and patients in Anhui Province from 2004 to 2023, and to provide suggestions for prevention and treatment strategies. Methods Based on HIV/AIDS cases reported in 104 counties and districts in Anhui Province from 2004 to 2023, global and local spatial autocorrelation analyses were conducted using GeoDa 1.22, while spatio-temporal scanning analyses were performed with SaTScan 10.2.5. The results were visualized using QGIS 3.30 to describe and analyze the spatial distribution of the epidemic over the past 20 years. Results The spatial distribution of AIDS cases in Anhui Province from 2004 to 2023 expanded with local concentrations. Global Moran′s I ranged from 0.254 9 to 0.579 1, with all Z-values >1.96 and P < 0.01, indicating significant global spatial autocorrelation. The spatio-temporal scan identified three statistically significant clusters (all P < 0.001). Conclusions Over the past 20 years, the high and high concentration of AIDS areas in northern Anhui have gradually expanded. This suggests that northwest Anhui is a key focus for prevention and control, requiring targeted measures based on local conditions. -
表 1 2004―2023年安徽省HIV/AIDS病例总体空间自相关分析
Table 1. Global spatial autocorrelation analysis of HIV/AIDS cases in Anhui Province from 2004 to 2023
年份
YearMoran′s I Z值
valueP值
value年份
YearMoran′s I Z值
valueP值
value2004 0.254 9 4.604 8 0.005 2014 0.464 8 7.775 7 0.001 2005 0.366 1 6.377 9 0.001 2015 0.542 7 8.979 1 0.001 2006 0.424 3 7.174 9 0.001 2016 0.538 8 9.084 1 0.001 2007 0.380 0 6.442 8 0.001 2017 0.506 4 8.361 7 0.001 2008 0.435 9 7.415 6 0.001 2018 0.579 1 9.405 5 0.001 2009 0.428 4 7.415 6 0.001 2019 0.524 9 8.717 7 0.001 2010 0.474 3 8.006 8 0.001 2020 0.560 4 9.132 3 0.001 2011 0.395 2 6.689 2 0.001 2021 0.567 5 9.294 3 0.001 2012 0.398 9 6.761 9 0.001 2022 0.553 4 8.931 2 0.001 2013 0.482 2 8.121 7 0.001 2023 0.512 7 8.464 0 0.001 注:HIV,人类免疫缺陷病毒; AIDS,艾滋病。
Note: HIV, human immunodeficiency virus; AIDS, acquired immunodeficiency syndrome. -
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