云南、广西两地关注传染病问题范围比较

Coverage of government concerns over infectious diseases to be controlled in Guangxi and Yunnan province,2000-2017:a comparison analysis

目的了解云南、广西两地关注传染病问题范围变化趋势,比较两地政府对传染病问题关注范围的异同并分析原因。方法系统收集云南、广西两地2000—2017年所有传染病相关政策文件、法律规定和制度等共429篇,并计算关注范围;运用Spearman相关性分析关注范围与传染病发病率之间的关系。结果云南关注传染病问题范围为76.9%,增长幅度14.3%;广西关注传染病问题范围为80.8%,增长幅度20.1%。广西关注传染病问题范围与传染病发病率之间呈显著正相关(r=0.874,P <0.01),云南关注传染病问题范围与传染病发病率之间无显著相关。结论广西传染病领域的关注范围高于云南,且增长幅度更大。两地关注传染病问题范围均有显著提升,关注问题范围这一量化指标具有可行性。

Objective To examine changes in the coverage of government concerns over the infectious diseases to be controlled in Yunnan province and Guangxi Zhuang Autonomous Region(Guangxi)and to compare disparities in the changes and correlates between the two provinces.Methods We conducted systematical online searches to retrieve policy documents,legal provisions and regulations related to control and prevention of infectious diseases issued by government departments of Yunnan and Guangxi province from 2000 to 2017.The region-and year-specific ratio of the infectious diseases involved by the published government administrative documents versus those to be concerned objectively was estimated and compared.Spearman correlation analysis was used to analyze the relationship between the coverage ratio and the incidence of infectious diseases.Results Totally 215 and 214 documents issued by Yunan and Guangxi government departments were retrieved.Compared to those in 2000,the coverage ratio increased by 17.1%(78.8%vs.67.3%)for Yunnan and 20.1%(80.8%vs.67.3%)for Guangxi in 2017,respectively.A significant positive correlation was observed between the coverage of infectious diseases concerned and the incidence of infectious disease in Guangxi(r=0.874,P<0.01),but not observed in Yunnan.Conclusion The coverage of government concerns over the infectious diseases to be controlled increased significantly in both Yunnan and Guangxi province and the increment was more obvious in Guangxi from 2000 to 2017.The study demonstrates a feasibility for quantitative analysis on the coverage of infectious diseases under concerns of control and prevention.