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Spatial distribution and influencing factors of thyroid cancer hospitalization rate among rural residents in Fujian Province, China from 2012 to 2016

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Abstract

This study aimed to explore the spatial distribution and influencing factors of thyroid cancer hospitalization rates in Fujian Province from 2012 to 2016. Hospitalization reimbursement records for thyroid cancer were obtained from 2025 hospitals in Fujian Province from 2012 to 2016. The Moran’s I method was used for spatial autocorrelation analysis and to further draw a spatial cluster map in Fujian. Geographic detectors were used to explore the effect of risk factors on spatial heterogeneity of inpatient service utilization for thyroid cancer. The study showed that there was obvious temporal and spatial heterogeneity in the utilization rate of inpatient services for thyroid cancer in Fujian Province, which were mainly concentrated in Fuzhou, with Lianjiang County as the center, and the gathering area involves 26 counties and cities. Among a variety of environmental factors, air quality index (AQI) (q = 0.481), carbon sequestration (q = 0.161), and carbon emissions (q = 0.155) were the main factors affecting the hospitalization rates. AQI and carbon emissions were generally positively correlated with hospitalization rates, and carbon sequestration was negatively correlated. After the interaction of the two factors, the interpretation of the hospitalization rate was enhanced. The obvious spatial heterogeneity will help the relevant departments to adjust measures to local conditions and allocate medical resources rationally to ease the pressure of seeking medical attention in high-demand areas.

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Data availability

Thyroid cancer hospitalization reimbursement records of rural residents participating in the new rural cooperative medical insurance were obtained from 2025 hospitals, but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Demographic data were obtained from the Statistical Yearbook of Fujian Province, https://tjj.fujian.gov.cn/xxgk/ndsj/. The county boundary vector map of Fujian Province was obtained from the National Basic Geographic Information Center, http://ngcc.sbsm.gov.cn/. Air quality index (AQI) and particulate matter 2.5 (PM2.5) were obtained from http://www.cnemc.cn/, and meteorological data can be found at China Meteorological Data Network, http://data.cma.cn/. Carbon sequestration and carbon emissions data were screened out from Scientific Data’s thesis: County-level CO2 emissions and sequestration in China during 1997–2017.

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Author notes

  1. Hewei Peng contributed equally to this work.

Authors and Affiliations

  1. Department of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, The School of Public Health, Fujian Medical University, Fuzhou, China

    Miao Xu, Hewei Peng, Qizhu Hong, Zhixiang Rao & Xian-e Peng

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  1. Miao Xu
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  2. Hewei Peng
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  3. Qizhu Hong
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Contributions

PXE conceived and led the study. HQZ and RZX collected and analyzed the data. XM drafted the manuscript and contributed to the interpretation of the results and critical revision of the manuscript for important intellectual content. PHW and PXE revised the manuscript and approved the final version. All the authors have read and approved the manuscript.

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Correspondence to Xian-e Peng.

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Xu, M., Peng, H., Hong, Q. et al. Spatial distribution and influencing factors of thyroid cancer hospitalization rate among rural residents in Fujian Province, China from 2012 to 2016. Environ Sci Pollut Res 30, 45171–45183 (2023). https://doi.org/10.1007/s11356-023-25463-1

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