如何快速发现人畜共患传染病的环境危险因素

Y. Zhu, Danhuai Guo, Deqiang Wang, Jianhui Li
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引用次数: 1

摘要

人畜共患传染病分析是应急管理中的一个重要问题,在人畜共患传染病暴发时,它对政府和医疗决策具有重要的支持作用。为了有效地预防和控制该病,有必要探讨其发病机制并确定相关影响因素。然而,受自然条件和物理测量的限制,我们很难获得完整的观察结果,以准确地掌握人畜共患传染病的实际发病机制。一种可行的疾病分析方法是测量环境因素与疾病发病率之间的相关性,进而提取关键因素。现有的许多研究对人畜共患传染病进行了定性分析。在本文中,我们考虑了一种量化的方法,使用回归模型来测量来自环境因素的影响。通过多元后向逐步逻辑回归提取显著因子,组成一组解释变量,用于人畜共患传染病发病率的回归。此外,考虑到不同区域之间的差异和相邻区域之间复杂的相互作用,我们将未观察到的个体异质性和基于相邻区域的空间效应纳入回归模型。因此,用空间结构对模型进行更新。利用几种不同的估计器对无空间结构模型和有空间结构模型进行无偏估计。然后对不同模型进行了比较。结果表明,量化模型是有效的,在考虑个体异质性和空间效应的情况下,回归模型具有较好的效果。
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How to find environmental risk factors of zoonotic infectious disease quickly
Analysis on zoonotic infectious diseases is an important issue in emergency management as it significantly supports governmental and medical decision making when a zoonotic infectious disease outbreaks. To effectively prevent and control the diseases, it is necessary to explore the pathogenesis and identify correlative influence factors. However, limited by natural conditions and physical measurements, we can hardly obtain complete observations to precisely catch on to the actual pathogenesis of zoonotic infectious diseases. A feasible solution for analysis on the diseases is to measure correlations between environmental factors and incidences of the diseases, and then extract the pivotal factors. Many existing studies have provided qualitative analysis on zoonotic infectious disease. In this paper we consider a quantified method using regression models to measure effects that derive from environmental factors. Significant factors are extracted through a multiple backward stepwise logistic regression and compose a set of explanatory variables, which is exploited in the regression of the incidence of zoonotic infectious diseases. Furthermore, considering the variance among different areas and complex interactions between neighboring areas, we incorporate unobserved individual heterogeneity and neighborhood-based spatial effects into the regression model. Therefore, the model is updated with spatial structures. Several different estimators are involved to provide unbiased estimations for models without spatial structures and models with spatial structures. Then comparisons between different models are illustrated. The result shows that our quantified models are valid and the regression model performs better with individual heterogeneity and spatial effects allowed for.
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