ArticleBMC infectious diseases2017
Spatio-temporal clustering analysis and its determinants of hand, foot and mouth disease in Hunan, China, 2009-2015.
Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed.
- Unraveling the spatiotemporal clustering of malaria incidence and modeling a decade of epidemiological data in Jimma Zone, Oromia, Ethiopia.Scientific reports · 2025Article
- Analyzing the spatiotemporal effects of meteorological factors on hand, foot and mouth disease using mixed geographically and temporally weighted autoregressive models.Scientific reports · 2025Article
- Spatial-temporal distribution and evolution of medical and health talents in China.BMC public health · 2025Article
- Spatiotemporal analysis of mosquito-borne infections and mosquito vectors in mainland Portugal.BMC infectious diseases · 2025Article
- Article
- Spatiotemporal patterns and risk mapping of provincial hand, foot, and mouth disease in mainland China, 2014-2017.Frontiers in public health · 2024Article
- Spatiotemporally comparative analysis of three common infectious diseases in China during 2013-2015.BMC infectious diseases · 2022Article
- Detection of temporal, spatial and spatiotemporal clustering of malaria incidence in northwest Ethiopia, 2012-2020.Scientific reports · 2022Article
- Temporal and Spatial Cluster Analysis of 2019 Novel Coronavirus Pneumonia in Chongqing, 2020.1∼2020.2.Computational intelligence and neuroscience · 2022Article
- Spatiotemporal cluster patterns of hand, foot, and mouth disease at the province level in mainland China, 2011-2018.PloS one · 2022Article
- Spatio-temporal analysis of bacillary dysentery in Sichuan province, China, 2011-2019.BMC infectious diseases · 2021Article
- Association between Meteorological Parameters and Hand, Foot and Mouth Disease in Mainland China: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2021Review
- Spatiotemporal characteristics and meteorological determinants of hand, foot and mouth disease in Shaanxi Province, China: a county-level analysis.BMC public health · 2021Article
- Spatiotemporal characters and influence factors of hand, foot and mouth epidemic in Xinjiang, China.PloS one · 2021Article
- Global Research Output and Theme Trends on Climate Change and Infectious Diseases: A Restrospective Bibliometric and Co-Word Biclustering Investigation of Papers Indexed in PubMed (1999-2018).International journal of environmental research and public health · 2020Article
- Spatiotemporal analyses of foot and mouth disease outbreaks in cattle farms in Chiang Mai and Lamphun, Thailand.BMC veterinary research · 2020Article
- Application of GIS Spatial Analysis and Scanning Statistics in the Gynecological Cancer Clustering Pattern and Risk Screening: A Case Study in Northern Jiangxi Province, China.Risk management and healthcare policy · 2020Article
- Transmission dynamics of brucellosis: Mathematical modelling and applications in China.Computational and structural biotechnology journal · 2020Review
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017.PloS one · 2020Article
- Spatial-temporal heterogeneity of hand, foot and mouth disease and impact of meteorological factors in arid/ semi-arid regions: a case study in Ningxia, China.BMC public health · 2019Article
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7 authors.
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Abstract
backgroundHand, foot and mouth disease (HFMD) is one of the highest reported infectious diseases with several outbreaks across the world. This study aimed at describing epidemiological characteristics, investigating spatio-temporal clustering changes, and identifying determinant factors in different clustering areas of HFMD.
methodsDescriptive statistics was used to evaluate the epidemic characteristics of HFMD from 2009 to 2015. Spatial autocorrelation and spatio-temporal cluster analysis were used to explore the spatial temporal patterns. An autologistic regression model was employed to explore determinants of HFMD clustering.
resultsThe incidence rates of HFMD ranged from 54.31/10 million to 318.06/10 million between 2009 and 2015 in Hunan. Cases were mainly prevalent in children aged 5 years and even younger, with an average male-to-female sex ratio of 1.66, and two epidemic periods in each year. Clustering areas gathered in the northern regions in 2009 and in the central regions from 2010 to 2012. They moved to central-southern regions in 2013 and 2014 and central-western regions in 2015. The significant risk factors of HFMD clusters were rainfall (OR = 2.187), temperature (OR = 4.329) and humidity (OR = 2.070). The protect factor was wind speed (OR = 0.258).
conclusionsThe HFMD incidence from 2009 to 2015 in Hunan showed a new spatiotemporal clustering tendency, with the shifting trend of clustering areas toward south and west. Meteorological factors showed a strong association with HFMD clustering, which may assist in predicting future spatial-temporal clusters.
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