气温对荆州市5岁以下儿童手足口病发病的影响 : = Effect of daily average temperature on hand-foot-mouth disease incidence among children under 5 years old in Jingzhou
目的探讨荆州市日均气温对5岁以下儿童手足口病发病的影响,为手足口病的精准防控提供科学依据。方法收集2010—2017年荆州市5岁以下儿童手足口病发病数据和气象资料。利用分布式滞后非线性模型(DLNM),调整其他气象因素、节假日效应等潜在混杂因素干扰后,探讨气温对5岁以下儿童手足口病发病的影响。结果 2010—2017年荆州市5岁以下儿童累计报告手足口病47 525例。男、女性别比为1.52∶1;<1,1～<3,3～5岁年龄组分别占病例总数的9.72%,62.10%,28.18%;散居和幼托儿童分别占病例总数的73.29%和26.71%。气温与手足口病日均病例数的暴露反应关系曲线呈M型。以研究期间日平均温度的P_(50)作为参照,气温8.21℃,25.81℃效应值最大,分别为1.53(95%CI=1.33～1.76)、1.47(95%CI=1.31～1.65)。较高温度(25.81℃)较较低温度(8.21℃)对手足口病的影响存在更长的滞后效应。不同人群分析显示,3～5岁儿童(幼托儿童)手足口病发病数较<1岁和1～<3岁年龄组儿童(散居儿童)更易受温度变化的影响。结论气温对荆州市5岁以下儿童手足口病发病具有显著影响,托幼机构是手足口病防控的重点场所。.
Objective To evaluate the effect of daily temperature on hand-foot-mouth disease(HFMD) in children under 5 years old in Jingzhou city. Methods HFMD incidence data and meteorological data in Jingzhou city were obtained during 2010 and 2017. Distributed lag non-linear model(DLNM) was utilized to investigate the impact of daily temperature on HFMD incidence among children under 5 years old adjusting for potential confounders of other meteorological factors, secular trend, weekdays and holidays. Results A total of 47 525 cases were reported during 2010 to 2017, of which the ratio of male to female was 1.52. Children under 1 year old, 1-<3 years old, 3-5 years old accounted for 9.72%, 62.10%, and 28.18% of the total cases, respectively. Children cared at home and children care in kindergarten accounted for 73.29% and 26.71% of the total cases, respectively. The relationship between the temperature and the daily cases of HFMD in children under five years old was a ‘M' pattern. Compared with a reference temperature(the 50 th percentile of average temperature during the study period, P_(50)), the maximum value of effect at 8.21 ℃ and 25.81 ℃ were 1.53(95%CI=1.33-1.76) and 1.47(95%CI=1.31-1.65). Higher temperatures(such as 25.81 ℃ in this paper) showed a long lag effect on the HFMD incidence compared with lower temperatures(such as 8.21 ℃). Subgroup analyses indicated that children aged 3-5 years(children who attended daycare) were more vulnerable to the effects of temperature changes on HFMD than those under 1 year old and 1-<3-year-old(cared at home). Conclusion The temperature has a significant impact on the HFMD incidence among children under five years old in Jingzhou. Daycare centers is the key place for prevention and control of HFMD..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019-12-17 09:56 2019 |
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| Erschienen: |
2019-12-17 09:56 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2019 |
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| Enthalten in: |
Zhong guo xue xiao wei sheng - (2019), 12 vom: 17 09:56. Dez., Seite 1865-1869 Original Letters: Enthalten in 中国学校卫生 (DE-600)2998679-5 (DE-600)2998679-5 安徽省蚌埠市 |
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China Academic Journals (CAJ), E, 医药卫生科技 = Medicine & Public Health |
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| Sprache: |
Chinesisch |
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| Weiterer Titel: |
Effect of daily average temperature on hand-foot-mouth disease incidence among children under 5 years old in Jingzhou |
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| Beteiligte Personen: |
刘天 [VerfasserIn] |
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| Links: |
oversea.cnki.net [lizenzpflichtig] |
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| Anmerkungen: |
Author info:LIU Tian;YAO Menglei;HUANG Jigui;WU Yang;CHEN Qi;TONG Yeqing;Department for Infectious Disease Control and Prevention,Jingzhou Center for Disease Control and Prevention |
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| PPN (Katalog-ID): |
CAJ645926752 |
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| 245 | 1 | 0 | |a 气温对荆州市5岁以下儿童手足口病发病的影响 |b = Effect of daily average temperature on hand-foot-mouth disease incidence among children under 5 years old in Jingzhou |
| 246 | 3 | 1 | |a Effect of daily average temperature on hand-foot-mouth disease incidence among children under 5 years old in Jingzhou |
| 264 | 1 | |c 2019-12-17 09:56 | |
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| 500 | |a Author info:LIU Tian;YAO Menglei;HUANG Jigui;WU Yang;CHEN Qi;TONG Yeqing;Department for Infectious Disease Control and Prevention,Jingzhou Center for Disease Control and Prevention | ||
| 520 | |a 目的探讨荆州市日均气温对5岁以下儿童手足口病发病的影响,为手足口病的精准防控提供科学依据。方法收集2010—2017年荆州市5岁以下儿童手足口病发病数据和气象资料。利用分布式滞后非线性模型(DLNM),调整其他气象因素、节假日效应等潜在混杂因素干扰后,探讨气温对5岁以下儿童手足口病发病的影响。结果 2010—2017年荆州市5岁以下儿童累计报告手足口病47 525例。男、女性别比为1.52∶1;<1,1～<3,3～5岁年龄组分别占病例总数的9.72%,62.10%,28.18%;散居和幼托儿童分别占病例总数的73.29%和26.71%。气温与手足口病日均病例数的暴露反应关系曲线呈M型。以研究期间日平均温度的P_(50)作为参照,气温8.21℃,25.81℃效应值最大,分别为1.53(95%CI=1.33～1.76)、1.47(95%CI=1.31～1.65)。较高温度(25.81℃)较较低温度(8.21℃)对手足口病的影响存在更长的滞后效应。不同人群分析显示,3～5岁儿童(幼托儿童)手足口病发病数较<1岁和1～<3岁年龄组儿童(散居儿童)更易受温度变化的影响。结论气温对荆州市5岁以下儿童手足口病发病具有显著影响,托幼机构是手足口病防控的重点场所。 | ||
| 520 | |a Objective To evaluate the effect of daily temperature on hand-foot-mouth disease(HFMD) in children under 5 years old in Jingzhou city. Methods HFMD incidence data and meteorological data in Jingzhou city were obtained during 2010 and 2017. Distributed lag non-linear model(DLNM) was utilized to investigate the impact of daily temperature on HFMD incidence among children under 5 years old adjusting for potential confounders of other meteorological factors, secular trend, weekdays and holidays. Results A total of 47 525 cases were reported during 2010 to 2017, of which the ratio of male to female was 1.52. Children under 1 year old, 1-<3 years old, 3-5 years old accounted for 9.72%, 62.10%, and 28.18% of the total cases, respectively. Children cared at home and children care in kindergarten accounted for 73.29% and 26.71% of the total cases, respectively. The relationship between the temperature and the daily cases of HFMD in children under five years old was a ‘M' pattern. Compared with a reference temperature(the 50 th percentile of average temperature during the study period, P_(50)), the maximum value of effect at 8.21 ℃ and 25.81 ℃ were 1.53(95%CI=1.33-1.76) and 1.47(95%CI=1.31-1.65). Higher temperatures(such as 25.81 ℃ in this paper) showed a long lag effect on the HFMD incidence compared with lower temperatures(such as 8.21 ℃). Subgroup analyses indicated that children aged 3-5 years(children who attended daycare) were more vulnerable to the effects of temperature changes on HFMD than those under 1 year old and 1-<3-year-old(cared at home). Conclusion The temperature has a significant impact on the HFMD incidence among children under five years old in Jingzhou. Daycare centers is the key place for prevention and control of HFMD. | ||
| 610 | 2 | 4 | |a 湖北省荆州市疾病预防控制中心传染病防治所 |
| 610 | 2 | 4 | |a 中国现场流行病学培训项目 |
| 610 | 2 | 4 | |a 湖北省疾病预防控制中心急性传染病防制所 |
| 650 | 4 | |a 小儿内科学 | |
| 650 | 4 | |a 儿科学 | |
| 650 | 4 | |a 医药、卫生 | |
| 650 | 4 | |a 流行病学与防疫 | |
| 650 | 4 | |a 预防医学、卫生学 | |
| 650 | 4 | |a Preventive Medicine and Hygiene | |
| 650 | 4 | |a Paediatrics | |
| 650 | 4 | |a 医药卫生科技 | |
| 650 | 4 | |a Medicine & Public Health | |
| 650 | 4 | |a 儿童,学龄前 | |
| 650 | 4 | |a 手足口病 | |
| 650 | 4 | |a 温度 | |
| 650 | 4 | |a Child,preschool | |
| 650 | 4 | |a Hand,food and mouth disease | |
| 650 | 4 | |a Temperature | |
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