地理科学 ›› 2022, Vol. 42 ›› Issue (5): 791-799.doi: 10.13249/j.cnki.sgs.2022.05.005
王婧1(), 李海蓉2,3,*(
), 杨林生2,3, 王五一2
收稿日期:
2021-12-20
修回日期:
2022-02-15
出版日期:
2022-05-10
发布日期:
2022-07-11
通讯作者:
李海蓉
E-mail:jingwang@ccnu.edu.cn;lihr@igsnrr.ac.cn
作者简介:
王婧(1989−),女,宁夏银川人,讲师,硕导,主要从事环境地理与人类健康研究。E-mail: jingwang@ccnu.edu.cn
基金资助:
Wang Jing1(), Li Hairong2,3,*(
), Yang Linsheng2,3, Wang Wuyi2
Received:
2021-12-20
Revised:
2022-02-15
Online:
2022-05-10
Published:
2022-07-11
Contact:
Li Hairong
E-mail:jingwang@ccnu.edu.cn;lihr@igsnrr.ac.cn
Supported by:
摘要:
以四川省阿坝县为例,采用伤残所致健康寿命损失年(Years lived with disability, YLD)指标,分别测算不同年龄组、性别和病情程度的大骨节病健康寿命损失,并利用空间自相关分析、趋势拟合、地理探测器等方法,探讨其在县域乡镇级尺度的时空集聚特征和影响机制。结果表明:阿坝县总YLD为1783.58人年,YLD率为31.25人年/1000人,高年龄组和女性YLD率较高,II度大骨节病所致YLDs占比最高(40.8%),患病率与健康寿命损失之间未呈一致趋势。空间上YLD率呈北低南高的集聚特征,土壤类型是影响其分布最主要的环境因子,解释了64.7%的健康寿命损失空间分异,社会因素中土地利用类型的解释力最大(62.0%),气候与地形土壤、人口质量与人口结构交互产生的因子解释力增加更为明显。时间上YLDs集中分布于20世纪60~70年代,并呈稳步下降态势。大骨节病健康寿命损失的时空集聚特征受自然、社会、政策等因素的综合影响,空间上自然因素起主导作用,而时间上则主要受病区社会环境变化的影响。
中图分类号:
王婧, 李海蓉, 杨林生, 王五一. 阿坝县大骨节病健康寿命损失的时空集聚特征及影响机制[J]. 地理科学, 2022, 42(5): 791-799.
Wang Jing, Li Hairong, Yang Linsheng, Wang Wuyi. Spatio-temporal Agglomeration and Influencing Mechanism of Healthy Life Loss from Kashin-Beck Disease in Aba County[J]. SCIENTIA GEOGRAPHICA SINICA, 2022, 42(5): 791-799.
表2
阿坝县大骨节病健康寿命损失的环境因子探测结果
自然环境因子 | q值 | P值 | 社会环境因子 | q值 | P值 | |
注: X1为气温;X2为降水; X3为海拔;X4为地形起伏度; X5为土壤pH;X6为土壤有机碳含量;X7为土壤类型;X8为土地利用类型;X9为性别比; X10为平均受教育年限;X11为60岁以上老年人口比; X12为14岁以下少儿人口比;X13为家庭结构;X14为单位面积GDP总产值。 | ||||||
X1 | 0.066 | 0.660 | X8 | 0.620 | 0.002 | |
X2 | 0.469 | 0.045 | X9 | 0.071 | 0.574 | |
X3 | 0.054 | 0.657 | X10 | 0.147 | 0.316 | |
X4 | 0.600 | 0.031 | X11 | 0.020 | 0.571 | |
X5 | 0.054 | 0.345 | X12 | 0.294 | 0.156 | |
X6 | 0.109 | 0.414 | X13 | 0.159 | 0.305 | |
X7 | 0.647 | 0.043 | X14 | 0.233 | 0.267 |
[1] | 谭见安. 环境硒与健康[M]. 北京: 人民卫生出版社, 1989. |
Tan Jian’an. Environmental selenium and health. Beijing: People’s Medical Publishing House, 1989. | |
[2] |
Guo X, Ma W J, Zhang F et al. Recent advances in the research of an endemic osteochondropathy in China: Kashin-Beck disease[J]. Osteoarthritis and Cartilage, 2014, 22: 1774-1783.
doi: 10.1016/j.joca.2014.07.023 |
[3] | 国家卫生健康委员会. 中国卫生健康统计年鉴[M]. 北京: 中国协和医科大学出版社, 2020. |
National Health Commission. China health statistical yearbook. Beijing: China Union Medical College Press, 2020. | |
[4] | Mathers C D, Vos T, Lopez A D et al. National burden of disease studies: A practical guide 2nd edition[M]. Geneva: World Health Organization, 2001. |
[5] |
Murray C J L, Vos T, Lozano R et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the global burden of disease study 2010[J]. Lancet, 2012, 380: 2197-2223.
doi: 10.1016/S0140-6736(12)61689-4 |
[6] |
Maredza M, Bertram M Y, Tollman S M. Disease burden of stroke in rural South Africa: An estimate of incidence, mortality and disability adjusted life years[J]. BMC Neurology, 2015, 15: 54.
doi: 10.1186/s12883-015-0311-7 |
[7] |
Yang L P, Liang S Y, Wang X J et al. Burden of disease measured by disability-adjusted life years and a disease forecasting time series model of scrub typhus in Laiwu, China[J]. PLoS Neglected Tropical Diseases, 2015, 9(1): e3420.
doi: 10.1371/journal.pntd.0003420 |
[8] | 石菊芳, 张玥, 曲春枫, 等. 以伤残调整生命年为指标的中国人群癌症疾病负担现状[J]. 中华预防医学杂志, 2015, 49(4): 400-405. |
Shi Jufang, Zhang Yue, Qu Chunfeng et al. Burden of cancer in China: Data on disability-adjusted life years. Chinese Journal of Preventive Medicine, 2015, 49(4): 400-405. | |
[9] |
陈平, 戴宏星, 师智, 等. 陕西省大骨节病患者健康相关生命质量调查分析[J]. 中华地方病学杂志, 2018, 37(9): 754-759.
doi: 10.3760/cma.j.issn.2095-4255.2018.09.016 |
Chen Ping, Dai Hongxing, Shi Zhi et al. An investigation and analysis of health-related quality of life in patients with Kashin-Beck disease in Shaanxi Province. Chinese Journal of Endemiology, 2018, 37(9): 754-759.
doi: 10.3760/cma.j.issn.2095-4255.2018.09.016 |
|
[10] |
余方方, 方华, 郭雄. 生命质量及肢体残疾量表在评估大骨节病患者中的应用进展[J]. 中华地方病学杂志, 2014, 33(4): 459-462.
doi: 10.3760/cma.j.issn.2095-4255.2014.04.031 |
Yu Fangfang, Fang Hua, Guo Xiong. Application progress of life quality and physical disability scale in evaluating patients with Kashin-Beck disease. Chinese Journal of Endemiology, 2014, 33(4): 459-462.
doi: 10.3760/cma.j.issn.2095-4255.2014.04.031 |
|
[11] | 方华, 郭雄, 夏传涛, 等. 大骨节病健康相关生存质量架构的质性研究[J]. 中国地方病学杂志, 2012, 31(3): 329-332. |
Fang Hua, Guo Xiong, Xia Chuantao et al. Framework for assessing health related quality of life of Kaschin-Beck diasease: A qualitative research. Chinese Journal of Endemiology, 2012, 31(3): 329-332. | |
[12] | 郭雄. 大骨节病发病机制与防治研究的新进展及其展望[J]. 国外医学医学地理分册, 2010, 31(1): 1-4. |
Guo Xiong. New progression and prospect on pathogenesis and control of Kashin-Beck disease. Foreign Medical Science Section of Medgeography, 2010, 31(1): 1-4. | |
[13] |
安永会, 贾小丰, 李旭峰, 等. 中国大骨节病地质环境特征及其病因研究[J]. 中国地质, 2010, 37(3): 563-570.
doi: 10.3969/j.issn.1000-3657.2010.03.003 |
An Yonghui, Jia Xiaofeng, Li Xufeng et al. Geological environment characteristics and etiology research on Kaschin-Beck disease in China. Geology in China, 2010, 37(3): 563-570.
doi: 10.3969/j.issn.1000-3657.2010.03.003 |
|
[14] |
陈晓燕, 何健, 高文龙, 等. 甘肃省大骨节病患病情况与生态环境影响因素的关系[J]. 中华地方病学杂志, 2016, 35(12): 908-912.
doi: 10.3760/cma.j.issn.2095-4255.2016.12.012 |
Chen Xiaoyan, He Jian, Gao Wenlong et al. Relationship between prevalence of Kashin-Beck disease and ecological environment in Gansu Province. Chinese Journal of Endemiology, 2016, 35(12): 908-912.
doi: 10.3760/cma.j.issn.2095-4255.2016.12.012 |
|
[15] | 张宝军, 杨林生, 王五一. 地形因子与大骨节病之间的关系研究[C]//中国地理学会2009百年庆典学术大会论文集. 北京: 中国地理学会, 2009. |
Zhang Baojun, Yang Linsheng, Wang Wuyi. Study on the relationship between terrain factors and Kashin-beck disease. Proceedings of the 2009 Centennial Celebration of Geographical Society of China. Beijing: Geographical Society of China, 2009. | |
[16] | 徐刚, 云妙英, 丛明瑶. 基于GIS的阿坝州气候特征与大骨节病病情关系分析[J]. 中国地方病防治杂志, 2012, 27(6): 436-438. |
Xu Gang, Yun Miaoying, Cong Mingyao. Analysis on the relationship between climate characteristics and Kaschin-Beck disease in Aba State based on geographic information system. Chinese Journal of Control of Endemic Diseases, 2012, 27(6): 436-438. | |
[17] |
杨林生, 吕瑶, 李海蓉, 等. 西藏大骨节病区的地理环境特征[J]. 地理科学, 2006, 26(4): 466-471.
doi: 10.3969/j.issn.1000-0690.2006.04.014 |
Yang Linsheng, Lyu Yao, Li Hairong et al. Features of geographical environment of Kaschin-Beck disease (KBD) affected region in Tibet. Scientia Geographica Sinica, 2006, 26(4): 466-471.
doi: 10.3969/j.issn.1000-0690.2006.04.014 |
|
[18] | 王婧, 李海蓉, 杨林生, 等. 西藏昌都地区环境硒分布特征及其与大骨节病的关系[J]. 地理研究, 2017, 36(2): 383-390. |
Wang Jing, Li Hairong, Yang Linsheng et al. Selenium in environment and its relationship with Kashin-Beck disease in Chamdo area of Tibet. Geographical Research, 2017, 36(2): 383-390. | |
[19] |
邓佳云, 李富忠, 黄慧. 四川省大骨节病病情现状及变化趋势分析[J]. 预防医学情报杂志, 2008, 24(10): 762-765.
doi: 10.3969/j.issn.1006-4028.2008.10.004 |
Deng Jiayun, Li Fuzhong, Huang Hui. Current situation and trend of Kaschin-Beck disease in Sichuan Province. Journal of Preventive Medicine Information, 2008, 24(10): 762-765.
doi: 10.3969/j.issn.1006-4028.2008.10.004 |
|
[20] | 杨杰, 吕晓亚, 徐刚要, 等. 陕西省大骨节病病情现状与相关因素调查[J]. 中国地方病学杂志, 2007, 26(6): 652-655. |
Yang Jie, Lyu Xiaoya, Xu Gangyao et al. Investigation of Kaschin-Beck disease status and associated factors in Shaanxi Province. Chinese Journal of Epidemiology, 2007, 26(6): 652-655. | |
[21] |
杨林生, 李海蓉, 王五一, 等. 西藏大骨节病流行的动态变化与土地利用方式研究[J]. 中国地方病防治杂志, 2003, 18(5): 284-286.
doi: 10.3969/j.issn.1001-1889.2003.05.010 |
Yang Linsheng, Li Hairong, Wang Wuyi et al. Study on the relationship between Kaschin-Beck disease distribution and land use changes in Tibet. Chinese Journal of Control of Endemic Diseases, 2003, 18(5): 284-286.
doi: 10.3969/j.issn.1001-1889.2003.05.010 |
|
[22] |
黄慧, 李富忠, 杨小静, 等. 2018年四川省阿坝州大骨节病历史重病区内、外环境病情影响因素分析[J]. 中华地方病学杂志, 2021, 40(3): 199-204.
doi: 10.3760/cma.j.cn231583-20200603-00145 |
Huang Hui, Li Fuzhong, Yang Xiaojing et al. Analysis of influencing factors in internal and external environment in the historical critical disease area of Kashin-Beck disease in Aba State of Sichuan Province in 2018. Chinese Journal of Epidemiology, 2021, 40(3): 199-204.
doi: 10.3760/cma.j.cn231583-20200603-00145 |
|
[23] | Global Burden of Disease Collaborative Network. Global Burden of disease study 2019 (GBD 2019) Disability Weights[DB/OL]. Institute for Health Metrics and Evaluation (IHME): Seattle, DC, USA, 2020. Available online: http://ghdx.healthdata.org/record/ihme-data/gbd-2019-disability-weights. |
[24] |
贾铁武, 孙乐平, 洪青标, 等. 血吸虫病疾病负担的研究I慢性血吸虫病健康寿命损失年的计算与评价[J]. 中国血吸虫病防治杂志, 2011, 23(3): 243-248.
doi: 10.3969/j.issn.1005-6661.2011.03.004 |
Jia Tiewu, Sun Leping, Hong Qingbiao et al. Burden of disease in schistosomiasis japonica I Calculation and evaluation of years lived with disability of chronic schistosomiasis. Chinese Journal of Schistosomiasis Control, 2011, 23(3): 243-248.
doi: 10.3969/j.issn.1005-6661.2011.03.004 |
|
[25] |
Anand S, Hanson K. Disability-adjusted life years: A critical review[J]. Journal of Health Economics, 1997, 16: 685-702.
doi: 10.1016/S0167-6296(97)00005-2 |
[26] | 郑文升, 蒋华雄, 艾红如, 等. 中国基础医疗卫生资源供给水平的区域差异[J]. 地理研究, 2015, 34(11): 2049-2060. |
Zheng Wensheng, Jiang Huaxiong, Ai Hongru et al. Analysis of regional inequalities of basic medical resources supply in China. Geographical Research, 2015, 34(11): 2049-2060. | |
[27] |
王劲峰, 徐成东. 地理探测器: 原理与展望[J]. 地理学报, 2017, 72(1): 116-134.
doi: 10.11821/dlxb201701010 |
Wang Jinfeng, Xu Chengdong. Geodetector: Principle and prospective. Acta Geographica Sinica, 2017, 72(1): 116-134.
doi: 10.11821/dlxb201701010 |
|
[28] | 阿坝县地方编纂委员会. 阿坝县志(1990-2005)[M]. 北京: 方志出版社, 2013. |
Local Compilation Committee of Aba County. Aba County annals (1990-2005). Beijing: Fangzhi Publishing House, 2013. | |
[29] |
冯娜, 平智广, 余方方, 等. 大骨节病核心家庭患病特征的分析[J]. 中华地方病学杂志, 2018, 37(4): 291-295.
doi: 10.3760/cma.j.issn.2095-4255.2018.04.007 |
Feng Na, Ping Zhiguang, Yu Fangfang et al. The prevalence characteristic of Kashin-Beck disease in nuclear families. Chinese Journal of Endemiology, 2018, 37(4): 291-295.
doi: 10.3760/cma.j.issn.2095-4255.2018.04.007 |
|
[30] | 巴桑卓玛, 央拉, 次央, 等. 西藏大骨节病高发区家系的遗传流行病学调查与研究[J]. 西藏大学学报(自然科学版), 2012, 27(2): 47-51. |
Basang Zhuoma, Yang La, Ci Yang et al. Epidemiological investigation on Kashin-Beck disease pedigrees in Tibet. Journal of Tibet University, 2012, 27(2): 47-51. | |
[31] |
李富忠, 邓佳云, 杨荣明, 等. 2005年四川省成人大骨节病调查报告[J]. 地方病通报, 2006, 21(1): 23-25.
doi: 10.3969/j.issn.1000-3711.2006.01.008 |
Li Fuzhong, Deng Jiayun, Yang Rongming et al. Investigating report on prevalence rate of Kaschin-Beck disease in adults in Sichuan Province in 2005. Endemic Diseases Bulletin, 2006, 21(1): 23-25.
doi: 10.3969/j.issn.1000-3711.2006.01.008 |
|
[32] | 吕瑶瑶, 余涛, 杨忠芳, 等. 大骨节病区硒元素分布的调控机理研究——以四川省阿坝地区为例[J]. 环境化学, 2012, 31(7): 935-944. |
Lv Yaoyao, Yu Tao, Yang Zhongfang et al. The regulation mechanism of selenium distribution in Kashin-Beck disease area: A case study in Aba area, Sichuan Province. Environmental Chemistry, 2012, 31(7): 935-944. | |
[33] | 吕瑶瑶, 余涛, 杨忠芳, 等. 阿坝大骨节病区硒元素地球化学行为的研究[J]. 地球科学进展, 2012, 27(Suppl.): 386-387. |
Lyu Yaoyao, Yu Tao, Yang Zhongfang et al. Geochemical behavior of selenium in Aba Kashin-Beck disease area. Advances in Earth Science, 2012, 27(Suppl.): 386-387. | |
[34] |
杨林生, 吕瑶, 李海蓉, 等. 西藏山地半淋溶土壤分布与大骨节病关系研究[J]. 地理科学进展, 2005, 24(2): 24-29.
doi: 10.3969/j.issn.1007-6301.2005.02.003 |
Yang Linsheng, Lyv Yao, Li Hairong et al. Study on the relationship between Kaschin-Beck diseases (KBD) distribution and mountain semi-luvisols’ distribution in Tibet. Progress in Geography, 2005, 24(2): 24-29.
doi: 10.3969/j.issn.1007-6301.2005.02.003 |
|
[35] |
王永国, 邓佳云, 李德云. 阿坝县大骨节病22年动态监测[J]. 预防医学情报杂志, 2005, 21(1): 94-96.
doi: 10.3969/j.issn.1006-4028.2005.01.039 |
Wang Yongguo, Deng Jiayun, Li Deyun. Dynamic surveillance of Kashin-Beck disease in Aba County for 22 years. Journal of Preventive Medicine Information, 2005, 21(1): 94-96.
doi: 10.3969/j.issn.1006-4028.2005.01.039 |
|
[36] |
刘运起. 我国大骨节病的流行概况与达到消除水平的展望[J]. 中华地方病学杂志, 2018, 37(3): 173-176.
doi: 10.3760/cma.j.issn.2095-4255.2018.03.001 |
Liu Yunqi. General epidemic situation of Kaschin-Beck disease and perspectives on its elimination in China. Chinese Journal of Endemiology, 2018, 37(3): 173-176.
doi: 10.3760/cma.j.issn.2095-4255.2018.03.001 |
|
[37] |
秦胜超, 安泽南, 陈开华, 等. 2007—2011年四川省阿坝州儿童大骨节病监测结果[J]. 中华地方病学杂志, 2014, 33(2): 201-203.
doi: 10.3760/cma.j.issn.2095-4255.2014.02.023 |
Qin Shengchao, An Zenan, Chen Kaihua et al. Monitoring results of Kashin-Beck disease of children in Aba Prefecture Sichuan Province between 2007 and 2011: A field investigation. Chinese Journal of Epidemiology, 2014, 33(2): 201-203.
doi: 10.3760/cma.j.issn.2095-4255.2014.02.023 |
|
[38] | 秦胜超, 张霞, 黎能金, 等. 四川省阿坝州扶贫开发和综合防治大骨节病试点工作中期效果调查分析[J]. 预防医学情报杂志, 2016, 32(11): 1159-1163. |
Qin Shengchao, Zhang Xia, Li Nengjin et al. Interim assessment of pilot effects of poverty alleviation and development and comprehensive prevention and treatment of Kaschin-Beck disease in Aba Prefecture of Sichuan Province. Journal of Preventive Medicine Information, 2016, 32(11): 1159-1163. |
[1] | 逯承鹏, 纪薇, 刘志良, 毛锦凰, 李京忠, 薛冰. 黄河流域甘肃段县域“三生”功能空间时空格局及影响因素识别[J]. 地理科学, 2022, 42(4): 579-588. |
[2] | 刘阳, 赵振斌, 李小永, 张建荣, 李洋洋. 自然保护地社区居民感知冲突的空间响应及形成机制——以西昌邛海国家湿地公园为例[J]. 地理科学, 2022, 42(3): 401-412. |
[3] | 王兆峰, 史伟杰. 中国美丽休闲乡村的空间分布特征及影响因素[J]. 地理科学, 2022, 42(1): 104-114. |
[4] | 郑树峰, 王丽萍, 臧淑英. 大兴安岭天保工程区生态系统服务变化研究[J]. 地理科学, 2021, 41(7): 1295-1302. |
[5] | 钟韵, 赵蓓蕾, 李寒. 广州市制造业与生产性服务业协同集聚与空间相似性[J]. 地理科学, 2021, 41(3): 437-445. |
[6] | 刘海龙, 谢亚林, 王虎, 李曼. 中文核心期刊的时空分异特征及影响因素[J]. 地理科学, 2021, 41(2): 243-251. |
[7] | 张城, 李晶, 周自翔. 基于水供给服务空间流动模型的渭河流域水资源安全格局[J]. 地理科学, 2021, 41(2): 350-359. |
[8] | 谭雪兰, 蒋凌霄, 安悦, 余航菱, 周舟, 李印齐. 湖南省传统农区乡村功能时空演变及影响因素研究[J]. 地理科学, 2021, 41(12): 2168-2178. |
[9] | 辛晓华, 吕拉昌. 中国主要城市技术创新影响环境污染的空间分异与机理[J]. 地理科学, 2021, 41(1): 129-139. |
[10] | 郑德凤, 王佳媛, 李钰, 姜俊超, 吕乐婷. 基于节水视角的中国水资源压力时空演变及影响因素分析[J]. 地理科学, 2021, 41(1): 157-166. |
[11] | 谭雪兰, 王振凯, 蒋凌霄, 安悦, 雷济华, 任辉. 洞庭湖地区农业功能时空演变的影响机制研究[J]. 地理科学, 2020, 40(8): 1355-1364. |
[12] | 汪德根, 沙梦雨, 赵美风. 国家级贫困县脱贫力空间格局及分异机制[J]. 地理科学, 2020, 40(7): 1072-1081. |
[13] | 李在军, 尹上岗, 张晓奇, 秦兴方. 中国城市流动人口房租收入比时空格局及驱动因素[J]. 地理科学, 2020, 40(1): 103-111. |
[14] | 赵雪雁, 王蓉, 王晓琪, 刘江华. 基于多尺度的中国环境污染事件时空分布及其影响因素[J]. 地理科学, 2019, 39(9): 1361-1370. |
[15] | 史莎娜, 谢炳庚, 胡宝清, 汤传勇, 闫妍, 李晓青. 桂西北喀斯特山区人口分布特征及其与自然因素的关系[J]. 地理科学, 2019, 39(9): 1484-1495. |
|