应用TOPSIS法和RSR法综合评价2014-2020年新疆生产建设兵团碘缺乏病防治效果
Comprehensive evaluation of the effectiveness of iodine deficiency disorders prevention and control in Xinjiang Production and Construction Corps from 2014 to 2020 using TOPSIS and RSR methods
目的:探讨新疆生产建设兵团(简称兵团)碘缺乏病防治效果TOPSIS法与秩和比法(RSR法)的综合评价情况,找出现阶段兵团碘缺乏病防治工作的薄弱点。方法:自兵团疾病预防控制中心收集2014-2020年兵团碘缺乏病监测数据,选择居民合格碘盐食用率、碘盐覆盖率、碘盐合格率、儿童尿碘适宜百分比、儿童甲状腺肿大率、孕妇尿碘适宜百分比6个指标,联合运用TOPSIS法与RSR法对兵团碘缺乏病防治效果进行综合评价。结果:TOPSIS法评价结果显示,防治效果从优至劣依次为2020、2018、2016、2019、2015、2017、2014年。结合RSR法,将防治效果分为3个等级:居于好档的有2018、2020年( RSR估计值≥0.525),居于差档的为2014年( RSR估计值< 0.007),其余年份均为中档(0.007≤ RSR估计值< 0.525)。参考监测数据,处于中档的年份其儿童、孕妇尿碘适宜百分比是防治工作薄弱点。 结论:TOPSIS法与RSR法联合使用,能够准确合理地评价兵团碘缺乏病防治效果,评价结果与实际情况相符,发现儿童和孕妇的碘营养适宜水平是兵团碘缺乏病防治工作的薄弱点。
更多Objective:To discuss the comprehensive evaluation of the effectiveness of iodine deficiency disorders prevention and control in Xinjiang Production and Construction Corps (Corps for short) using technique for order preference by similarity to an ideal solution (TOPSIS) and rank-sum ratio (RSR) methods, and identify weaknesses in the prevention and control of iodine deficiency disorders in the Corps at present.Methods:The monitoring data on iodine deficiency disorders in the Corps from 2014 to 2020 were collected from the Disease Control and Prevention Center of the Corps. Six indexes were selected, including the consumption rate of qualified iodized salt, the coverage rate of iodized salt, the qualified rate of iodized salt, the appropriate percentage of urinary iodine in children, the goiter rate of children and the appropriate percentage of urinary iodine in pregnant women. The TOPSIS method and RSR method were combined to comprehensively evaluate the prevention and control effect of iodine deficiency disorders in the Corps.Results:The results of TOPSIS method showed that the control effect was from superior to inferior in the order of 2020, 2018, 2016, 2019, 2015, 2017 and 2014. Based on the RSR method, the control effect was divided into three levels: 2018 and 2020 (with an estimated RSR value of ≥0.525) in the first level (good), 2014 (estimated RSR value < 0.007) in the third level (poor), and other years (0.007≤estimated RSR value < 0.525) in the second level (medium). Referring to the monitoring data, the appropriate percentage of urinary iodine in children and pregnant women in the middle years was the weak point. Conclusions:TOPSIS method combined with RSR method can accurately and reasonably evaluate the effectiveness of prevention and control of iodine deficiency disorders in the Corps, the evaluation results are consistent with the actual situation. It is found that the appropriate iodine nutrition levels of children and pregnant women are the weak points in the prevention and control of iodine deficiency disorders in the Corps.
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