Spatial analysis of the distribution, risk factors and access to medical resources of patients with hepatitis B in Shenzhen, China

Int J Environ Res Public Health. 2014 Nov 7;11(11):11505-27. doi: 10.3390/ijerph111111505.

Abstract

Considering the high morbidity of hepatitis B in China, many epidemiological studies based on classic medical statistical analysis have been started but lack spatial information. However, spatial information such as the spatial distribution, autocorrelation and risk factors of the disease is of great help in studying patients with hepatitis B. This study examined 2851 cases of hepatitis B that were hospitalized in Shenzhen in 2010 and studied the spatial distribution, risk factors and spatial access to health services using spatial interpolation, Pearson correlation analysis and the improved two-step floating catchment area method. The results showed that the spatial distribution of hepatitis B, along with risk factors as well as spatial access to the regional medical resources, was uneven and mainly concentrated in the south and southwest of Shenzhen in 2010. In addition, the distribution characteristics of hepatitis B revealed a positive correlation between four types of service establishments and risk factors for the disease. The Pearson correlation coefficients are 0.566, 0.515, 0.626, 0.538 corresponding to bath centres, beauty salons, massage parlours and pedicure parlours (p < 0.05). Additionally, the allocation of medical resources for hepatitis B is adequate, as most patients could be treated at nearby hospitals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catchment Area, Health* / statistics & numerical data
  • China / epidemiology
  • Female
  • Geography
  • Health Services Accessibility*
  • Hepatitis B / epidemiology*
  • Hepatitis B / virology
  • Humans
  • Male
  • Risk Factors
  • Spatial Analysis