ArticleBMC public health2024
Spatiotemporal heterogeneity and long-term impact of meteorological, environmental, and socio-economic factors on scrub typhus in China from 2006 to 2018.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Spatiotemporal prediction of scrub typhus incidence and environmental risk factors in Republic of Korea: a Bayesian hierarchical approach.Infectious diseases of poverty · 2026Article
- The Effect of Climate Change on Emergence and Evolution of Zoonotic Diseases in Asia.Zoonoses and public health · 2025Review
- Associations between meteorological factors and scrub typhus incidence: a systematic review and meta-analysis of linear and nonlinear dose-response relationships.Tropical medicine and health · 2025Article
- Epidemiologic features and potential year of life lost of scrub typhus in China: A nationwide surveillance analysis (2006- 2023).PLoS neglected tropical diseases · 2025Article
- Spatiotemporal evolution and impacts of environment on scrub typhus in northern China, 2006-2019.Journal of global health · 2025Article
- The Association Between Environmental Factors and Scrub Typhus: A Review.Tropical medicine and infectious disease · 2025Review
- Seasonal dynamics and niches of three vector chigger species at a focus of scrub typhus in southwest China.Frontiers in veterinary science · 2025Article
- An integrated surveillance in Zhejiang Province: ecological and pathogen survey of vectors and reservoir hosts in 2024.Frontiers in veterinary science · 2025Article
- [Analysis of Laboratory Diagnostic Tests for Scrub Typhus from 2019 to 2023].Jugan geon-gang gwa jilbyeong · 2024Article
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Authors and funding
18 authors.
Funding
Abstract
backgroundLarge-scale outbreaks of scrub typhus combined with its emergence in new areas as a vector-borne rickettsiosis highlight the ongoing neglect of this disease. This study aims to explore the long-term changes and regional leading factors of scrub typhus in China, with the goal of providing valuable insights for disease prevention and control.
methodsThis study utilized a Bayesian space-time hierarchical model (BSTHM) to examine the spatiotemporal heterogeneity of scrub typhus and analyze the relationship between environmental factors and scrub typhus in southern and northern China from 2006 to 2018. Additionally, a GeoDetector model was employed to assess the predominant influences of geographical and socioeconomic factors in both regions.
resultsScrub typhus exhibits a seasonal pattern, typically occurring during the summer and autumn months (June to November), with a peak in October. Geographically, the high-risk regions, or hot spots, are concentrated in the south, while the low-risk regions, or cold spots, are located in the north. Moreover, the distribution of scrub typhus is influenced by environment and socio-economic factors. In the north and south, the dominant factors are the monthly normalized vegetation index (NDVI) and temperature. An increase in NDVI per interquartile range (IQR) leads to a 7.580% decrease in scrub typhus risk in northern China, and a 19.180% increase in the southern. Similarly, of 1 IQR increase in temperature reduces the risk of scrub typhus by 10.720% in the north but increases it by 15.800% in the south. In terms of geographical and socio-economic factors, illiteracy rate and altitude are the key determinants in the respective areas, with q-values of 0.844 and 0.882.
conclusionsThese results indicated that appropriate climate, environment, and social conditions would increase the risk of scrub typhus. This study provided helpful suggestions and a basis for reasonably allocating resources and controlling the occurrence of scrub typhus.
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