{"title":"Spatial Distribution and Determinants of Kashin-Beck Disease in Gansu Province, China.","authors":"Shaolun Yang, Xiaoyan Chen, Xiaoning Liu","doi":"10.1007/s10393-026-01792-8","DOIUrl":null,"url":null,"abstract":"<p><p>Kashin-Beck disease (KBD) is an endemic disease characterized by its complex etiology and severe impact on human health. It is also regarded as one of the most serious endemic disease in China. This study aimed to investigate the spatial correlation and determinants of this disease. Monitoring data of children and possible influencing factors were collected from 37 KBD regions in Gansu Province. The spatial autocorrelation method was used to describe the spatial aggregation of KBD, and the spatial regression analysis was used to explore the natural environment and socioeconomic factors influencing KBD incidence. The results showed that the X-ray detection rate of KBD demonstrated a significant negative spatial correlation, with Kangle county and its neighboring areas located in southcenter of Gansu Province were hot spots of KBD. The spatial lag model revealed that rainfall, the proportion of afforestation in cultivated land, and population density had negative effects on the X-ray detection rate of KBD. The prevalence of KBD in Gansu Province is determined by a combination of natural environment and socioeconomic factors. Precision prevention and control should be implemented by the specific conditions of each diseased region.</p>","PeriodicalId":51027,"journal":{"name":"Ecohealth","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ecohealth","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1007/s10393-026-01792-8","RegionNum":3,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Kashin-Beck disease (KBD) is an endemic disease characterized by its complex etiology and severe impact on human health. It is also regarded as one of the most serious endemic disease in China. This study aimed to investigate the spatial correlation and determinants of this disease. Monitoring data of children and possible influencing factors were collected from 37 KBD regions in Gansu Province. The spatial autocorrelation method was used to describe the spatial aggregation of KBD, and the spatial regression analysis was used to explore the natural environment and socioeconomic factors influencing KBD incidence. The results showed that the X-ray detection rate of KBD demonstrated a significant negative spatial correlation, with Kangle county and its neighboring areas located in southcenter of Gansu Province were hot spots of KBD. The spatial lag model revealed that rainfall, the proportion of afforestation in cultivated land, and population density had negative effects on the X-ray detection rate of KBD. The prevalence of KBD in Gansu Province is determined by a combination of natural environment and socioeconomic factors. Precision prevention and control should be implemented by the specific conditions of each diseased region.
期刊介绍:
EcoHealth aims to advance research, practice, and knowledge integration at the interface of ecology and health by publishing high quality research and review articles that address and profile new ideas, developments, and programs. The journal’s scope encompasses research that integrates concepts and theory from many fields of scholarship (including ecological, social and health sciences, and the humanities) and draws upon multiple types of knowledge, including those of relevance to practice and policy. Papers address integrated ecology and health challenges arising in public health, human and veterinary medicine, conservation and ecosystem management, rural and urban development and planning, and other fields that address the social-ecological context of health. The journal is a central platform for fulfilling the mission of the EcoHealth Alliance to strive for sustainable health of people, domestic animals, wildlife, and ecosystems by promoting discovery, understanding, and transdisciplinarity.
The journal invites substantial contributions in the following areas:
One Health and Conservation Medicine
o Integrated research on health of humans, wildlife, livestock and ecosystems
o Research and policy in ecology, public health, and agricultural sustainability
o Emerging infectious diseases affecting people, wildlife, domestic animals, and plants
o Research and practice linking human and animal health and/or social-ecological systems
o Anthropogenic environmental change and drivers of disease emergence in humans, wildlife, livestock and ecosystems
o Health of humans and animals in relation to terrestrial, freshwater, and marine ecosystems
Ecosystem Approaches to Health
o Systems thinking and social-ecological systems in relation to health
o Transdiiplinary approaches to health, ecosystems and society.