Int. J. Environ. Res. Public Health 2014, 11(3), 3407-3423; doi:10.3390/ijerph110303407
Article

Identification of Health Risks of Hand, Foot and Mouth Disease in China Using the Geographical Detector Technique

1,2,†email, 1,2,†,* email, 3,4email, 1,2email, 1,2email and 5email
Received: 25 December 2013; in revised form: 14 February 2014 / Accepted: 20 February 2014 / Published: 21 March 2014
View Full-Text   |   Download PDF [1559 KB, uploaded 19 June 2014]
Abstract: Hand, foot and mouth disease (HFMD) is a common infectious disease, causing thousands of deaths among children in China over the past two decades. Environmental risk factors such as meteorological factors, population factors and economic factors may affect the incidence of HFMD. In the current paper, we used a novel model—geographical detector technique to analyze the effect of these factors on the incidence of HFMD in China. We collected HFMD cases from 2,309 counties during May 2008 in China. The monthly cumulative incidence of HFMD was calculated for children aged 0–9 years. Potential risk factors included meteorological factors, economic factors, and population density factors. Four geographical detectors (risk detector, factor detector, ecological detector, and interaction detector) were used to analyze the effects of some potential risk factors on the incidence of HFMD in China. We found that tertiary industry and children exert more influence than first industry and middle school students on the incidence of HFMD. The interactive effect of any two risk factors increases the hazard for HFMD transmission.
Keywords: hand; foot and mouth disease; geographical detector; interactive effect; industrial structure; population density
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Export to BibTeX |
EndNote


MDPI and ACS Style

Huang, J.; Wang, J.; Bo, Y.; Xu, C.; Hu, M.; Huang, D. Identification of Health Risks of Hand, Foot and Mouth Disease in China Using the Geographical Detector Technique. Int. J. Environ. Res. Public Health 2014, 11, 3407-3423.

AMA Style

Huang J, Wang J, Bo Y, Xu C, Hu M, Huang D. Identification of Health Risks of Hand, Foot and Mouth Disease in China Using the Geographical Detector Technique. International Journal of Environmental Research and Public Health. 2014; 11(3):3407-3423.

Chicago/Turabian Style

Huang, Jixia; Wang, Jinfeng; Bo, Yanchen; Xu, Chengdong; Hu, Maogui; Huang, Dacang. 2014. "Identification of Health Risks of Hand, Foot and Mouth Disease in China Using the Geographical Detector Technique." Int. J. Environ. Res. Public Health 11, no. 3: 3407-3423.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert