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Spatiotemporal distribution of varicella in the Republic of Korea

Authors
Lee, Young HwaChoe, Young JuneHwang, Seung-sikCho, Sung-il
Issue Date
2월-2022
Publisher
WILEY
Keywords
chicken pox; risk factors; South Korea; spatial; varicella
Citation
JOURNAL OF MEDICAL VIROLOGY, v.94, no.2, pp.703 - 712
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF MEDICAL VIROLOGY
Volume
94
Number
2
Start Page
703
End Page
712
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/135241
DOI
10.1002/jmv.27434
ISSN
0146-6615
Abstract
Varicella is a highly contagious disease caused by the varicella-zoster virus (VZV). Given its tendency to cluster geographically, spatial analyses may provide a better understanding of the pattern of varicella transmission. We investigated the spatial characteristics of varicella in Korea and the risk factors for varicella at a national level. Using national surveillance and demographic data, we examined the spatial distribution of incidence rates and their spatial autocorrelation and calculated Moran's index. Spatial regression analysis was used to identify sociodemographic predictors of varicella incidence at the district level. An increasing tendency in the annual incidence of varicella was observed over a 12-year period (2006-2018), with a surge in 2017. There was a clear positive spatial autocorrelation of the varicella incidence rate during the surveillance period. During 2006-2014, High-High (HH) clusters were mostly confined to the northeast region and neighboring districts. The spatial error model showed that population density had a negative coefficient and childhood percentage, percentage of children under 12 years of age among the total population, had positive coefficient, whereas vaccine coverage was insignificant. The varicella incidence according to geographic region varied with population density, childhood percentage, suggesting the importance of community-level surveillance and monitoring strategies.
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