Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015

Arthritis is a public health issue that is of global concern. Arthritis is one of the chronic diseases with a high incidence of middle-aged and older adults. The patients have paid a heavy price for this and caused a substantial economic burden on society. In this study, we used spatial autocorrelat...

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Main Authors: Zhongda Ren, Kun Yang, Wen Dong
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9259000/
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author Zhongda Ren
Kun Yang
Wen Dong
author_facet Zhongda Ren
Kun Yang
Wen Dong
author_sort Zhongda Ren
collection DOAJ
description Arthritis is a public health issue that is of global concern. Arthritis is one of the chronic diseases with a high incidence of middle-aged and older adults. The patients have paid a heavy price for this and caused a substantial economic burden on society. In this study, we used spatial autocorrelation, spatial cluster analysis, multiple logistic regression, and random forest models to analyze the spatial distribution and possible risk factors for arthritis in elderly Chinese and assess arthritis risk. Global spatial autocorrelation analysis and significance test results show that Moran's I of arthritis spatial autocorrelation in 2011, 2013, and 2015 are statistically significant, so there is significant spatial autocorrelation three years. The results of local spatial autocorrelation and spatial clustering analysis show that the aggregation areas of arthritis patients are mainly in the southwest, northwest, and central China. Multivariate logistic regression analysis showed that gender, age, education level, Body Mass Index (BMI), Center for Epidemiologic Studies Depression Scale score (CES-D), altitude, region, weather temperature, hypertension, lung, liver, heart, stroke, digestive, and kidney disease were all arthritis affects factors (P <; 0.05). Compared with the multi-factor Logistic regression model, the random forest model better assesses performance and higher fit. The fitting accuracy is 82.2% in the random forest model, which is better than the multi-factor Logistic regression model (66.6%). According to the assessment risk map generated by the random forest model, Northeast, Southwest, Northwest, South, and Central are high-risk areas for arthritis. These results provide benchmark data for the control and prevention of arthritis diseases.
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spelling doaj.art-240a891e67e247bdba58ee2bd8ea0c222022-12-21T17:26:28ZengIEEEIEEE Access2169-35362020-01-01820640620641710.1109/ACCESS.2020.30379129259000Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015Zhongda Ren0Kun Yang1https://orcid.org/0000-0002-1046-2220Wen Dong2School of Computer Science and Technology, Yunnan Normal University, Kunming, ChinaEngineering Research Center of GIS Technology in Western China, Ministry of Education, Yunnan Normal University, Kunming, ChinaEngineering Research Center of GIS Technology in Western China, Ministry of Education, Yunnan Normal University, Kunming, ChinaArthritis is a public health issue that is of global concern. Arthritis is one of the chronic diseases with a high incidence of middle-aged and older adults. The patients have paid a heavy price for this and caused a substantial economic burden on society. In this study, we used spatial autocorrelation, spatial cluster analysis, multiple logistic regression, and random forest models to analyze the spatial distribution and possible risk factors for arthritis in elderly Chinese and assess arthritis risk. Global spatial autocorrelation analysis and significance test results show that Moran's I of arthritis spatial autocorrelation in 2011, 2013, and 2015 are statistically significant, so there is significant spatial autocorrelation three years. The results of local spatial autocorrelation and spatial clustering analysis show that the aggregation areas of arthritis patients are mainly in the southwest, northwest, and central China. Multivariate logistic regression analysis showed that gender, age, education level, Body Mass Index (BMI), Center for Epidemiologic Studies Depression Scale score (CES-D), altitude, region, weather temperature, hypertension, lung, liver, heart, stroke, digestive, and kidney disease were all arthritis affects factors (P <; 0.05). Compared with the multi-factor Logistic regression model, the random forest model better assesses performance and higher fit. The fitting accuracy is 82.2% in the random forest model, which is better than the multi-factor Logistic regression model (66.6%). According to the assessment risk map generated by the random forest model, Northeast, Southwest, Northwest, South, and Central are high-risk areas for arthritis. These results provide benchmark data for the control and prevention of arthritis diseases.https://ieeexplore.ieee.org/document/9259000/Middle-aged and older adultsarthritisspatial analysisrisk factorslogistic regression modelingrandom forest modelling
spellingShingle Zhongda Ren
Kun Yang
Wen Dong
Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015
IEEE Access
Middle-aged and older adults
arthritis
spatial analysis
risk factors
logistic regression modeling
random forest modelling
title Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015
title_full Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015
title_fullStr Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015
title_full_unstemmed Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015
title_short Spatial Analysis and Risk Assessment Model Research of Arthritis Based on Risk Factors: China, 2011, 2013 and 2015
title_sort spatial analysis and risk assessment model research of arthritis based on risk factors china 2011 2013 and 2015
topic Middle-aged and older adults
arthritis
spatial analysis
risk factors
logistic regression modeling
random forest modelling
url https://ieeexplore.ieee.org/document/9259000/
work_keys_str_mv AT zhongdaren spatialanalysisandriskassessmentmodelresearchofarthritisbasedonriskfactorschina20112013and2015
AT kunyang spatialanalysisandriskassessmentmodelresearchofarthritisbasedonriskfactorschina20112013and2015
AT wendong spatialanalysisandriskassessmentmodelresearchofarthritisbasedonriskfactorschina20112013and2015