Geographical Pattern of In-hospital Mortality due to
Myocardial Infarction in Iran
Ali Ahmadi1, Hamid Soori2, Koorosh Etemad3, Yadollah Mehrabi4, Shiva Hojabri5 1
Assistant Professor, Department of Epidemiology and Biostatistics, Modeling in Health Research Center, Faculty of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
2
Professor, Department of Epidemiology, Safety Promotion and Injury Prevention Research Center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3
Assistant Professor, Department of Epidemiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4
Professor, Department of Epidemiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5
General Practitioner, The Centre for Management of Noncommunicable Diseases, Iran Ministry of Health and Medical Education, Tehran, Iran
(Received January 12, 2015 ; Accepted June 5, 2015)
Abstract
Background and purpose: So far, no spatial analysis of in-hospital mortality due to myocardial infarction (MI) has been conducted in Iran. The present study was performed to determine the geographical pattern of mortality due to myocardial infarction in Iran.
Materials and methods: In a prospective hospital-based study, we used the data of cases with MI registered by Myocardial Infarction Registry of Iran, 2012. For spatial analysis, LISA, Global Moran’s I, and Getis-Ord’s statistics were used. Data was analyzed using Stata software and ArcGIS 9.3
Results:A total of 20,750 patients was admitted to hospital due to MI and 2511 (12.1%) deaths occurred (median age at death: 65.2 ± 15.2). The incidence of death from MI did not follow a particular pattern (Moran's Index: 0.141, P-value = 0.126). The highest standardized incidence rates of in-hospital mortality from MI in 100,000 population were observed in Ardebil (31), North Khorasan (23.7), Yazd (20.2), West Azerbaijan (19.1) and Khuzestan (18.4). The lowest incidence rates were found in Sistan-Baluchestan and Khorasan provinces.
Conclusion: This study supports the hypothesis of random pattern of mortality due to myocardial infarction in Iran.
Keywords: Myocardial infarction, mortality, spatial analysis, geographical pattern, geographical information system
هرود ﻢﺠﻨﭘوﺖﺴﻴﺑ هرﺎﻤﺷ 125 دادﺮﺧ لﺎﺳ 1394 ) 9 -1 (
ﻲﻳﺎﻴﻓاﺮﻐﺟ
يﻮﮕﻟا
ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ
يﺎﻫ
گﺮﻣ
ﻲﺷﺎﻧ
ﻲﺒﻠﻗ
ﻪﺘﻜﺳ
زا
ناﺮﻳا
رد
يﺪﻤﺣاﻲﻠﻋ 1 يرﻮﺳﺪﻴﻤﺣ 2 دﺎﻤﺘﻋاشرﻮﻛ 3 ﻲﺑاﺮﺤﻣﷲاﺪﻳ 4 يﺮﺑﮋﻫاﻮﻴﺷ 5
هﺪﻴﻜﭼ
ﻪﻘﺑﺎﺳ فﺪﻫو : ﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗنﻮﻨﻛﺎﺗناﺮﻳارد گﺮﻣ زاﻲﺷﺎﻧﻲﻧﺎﺘﺳرﺎﻤﻴﺑيﺎﻫ ﺖﺳاهﺪﺸﻧمﺎﺠﻧاﻲﺒﻠﻗﻪﺘﻜﺳ . ﻪﻌﻟﺎﻄﻣﻦﻳا ﺎﺑ ﻲﻳﺎﻴﻓاﺮﻐﺟﻊﻳزﻮﺗيﻮﮕﻟاﻦﻴﻴﻌﺗفﺪﻫ ﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗو گﺮﻣ زاﻲﺷﺎﻧﻲﻧﺎﺘﺳرﺎﻤﻴﺑيﺎﻫ مﺎﺠﻧاناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳ ﺖﺳاهﺪﺷ . شوروداﻮﻣ ﺎﻫ : هﺪﻨﻳآﻪﻌﻟﺎﻄﻣﻚﻳﺮﺿﺎﺣﻪﻌﻟﺎﻄﻣ ﺖﺳانﺎﺘﺳرﺎﻤﻴﺑﺮﺑﻲﻨﺘﺒﻣوﺮﮕﻧ . وگﺮﻣتﺎﻋﻼﻃازاﺶﻫوﮋﭘﻦﻳارد ﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧﺮﻴﻣ ﻠﻣﻪﻧﺎﻣﺎﺳ ﻲ ﻪﺘﻜﺳﺖﺒﺛ ﺎﻫ ي ﺒﻠﻗ ﻲ لﺎﺳردرﻮﺸﻛﻞﻛ 1392 ﺪﺷهدﺎﻔﺘﺳا . ﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗياﺮﺑ گﺮﻣ ﺎﻫ زا ﻲﻧﺎﻜﻣﻲﮕﺘﺴﺒﻤﻫدﻮﺧﺐﻳﺮﺿ هرﺎﻣآو يﺎﻫ LISA و Global Moran's I و Getis-Ord هدادﻞﻴﻠﺤﺗياﺮﺑو مﺮﻧزاﺎﻫ راﺰﻓا Stata و ArcGIS9.3 ﺪﺷهدﺎﻔﺘﺳا . ﻪﺘﻓﺎﻳ ﺎﻫ : ،ﻲﺳرﺮﺑدرﻮﻣلﺎﺳﻚﻳﻲﻃرد 20750 ﺘﻜﺳﺖﻠﻋﻪﺑﺮﻔﻧ نﺎﺘﺳرﺎﻤﻴﺑردﻲﺒﻠﻗﻪ ﺪﻧﺪـﺷيﺮﺘﺴﺑناﺮﻳايﺎﻫ . نﺎـﻴﻣزا هﺪﺷيﺮﺘﺴﺑنارﺎﻤﻴﺑ 2511 رﺎﻤﻴﺑ ) 1 / 12 ﺪﺻرد ( ﺪﻧدﻮﺑهدﻮﻤﻧتﻮﻓ . گﺮـﻣداﺪـﺧرﻦﺳرﺎﻴﻌﻣفاﺮﺤﻧاوﻦﻴﮕﻧﺎﻴﻣ 2 / 15 ± 2 / 65 دﻮﺑلﺎﺳ . گﺮـﻣزوﺮـﺑيﻮـﮕﻟاوهدﺮـﻜﻧﺖـﻴﻌﺒﺗﻲـﺻﺎﺧيﻮﮕﻟازاناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧﻲﻧﺎﺘﺳرﺎﻤﻴﺑگﺮﻣزوﺮﺑ ﺎـﻫ ﻪـﺑ دﻮﺑﻲﻓدﺎﺼﺗترﻮﺻ ) 126 / 0 p= ، 141 / 0 Moran's Index: .( ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑﺮـﻴﻣوگﺮـﻣهﺪـﺷدراﺪﻧﺎﺘﺳازوﺮـﺑناﺰﻴﻣﻦﻳﺮﺗﻻﺎﺑ نﺎﺘﺳاردﺖﻴﻌﻤﺟﺮﻔﻧراﺰﻫﺪﺻﻚﻳردﻲﺒﻠﻗﻪﺘﻜﺳ ﻞﻴﺑدرا ) 31 ( نﺎﺳاﺮﺧ، ﻲﻟﺎﻤﺷ ) 7 / 23 ( ، دﺰﻳ ) 2 / 20 ( نﺎﺠﻳﺎﺑرذآ، ﻲﺑﺮﻏ ) 1 / 19 ( و نﺎﺘﺳزﻮﺧ ) 4 / 18 ( دﻮﺑ . ﻢﻛ وﺮﺑناﺰﻴﻣﻦﻳﺮﺗ نﺎﺘـﺳاردﻲـﺒﻠﻗﻪﺘﻜـﺳﻲﻧﺎﺘﺳرﺎﻤﻴﺑگﺮﻣز نﺎـﺳاﺮﺧونﺎﺘـﺴﭼﻮﻠﺑونﺎﺘـﺴﻴﺳيﺎـﻫ دﻮﺑﻲﺑﻮﻨﺟ . جﺎﺘﻨﺘﺳا : گﺮﻣزوﺮﺑناﺰﻴﻣشراﺰﮔﻦﻤﺿﻪﻌﻟﺎﻄﻣﻦﻳا نﺎﺘﺳاردﻲﺒﻠﻗﻪﺘﻜﺳﻲﻧﺎﺘﺳرﺎﻤﻴﺑيﺎﻫ ناﺮﻳايﺎﻫ ، ﻲﻓدﺎﺼﺗﻪﻴﺿﺮﻓزا گﺮﻣزوﺮﺑيﻮﮕﻟاندﻮﺑ ﻲﻣﺖﻳﺎﻤﺣناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳﻲﻧﺎﺘﺳرﺎﻤﻴﺑيﺎﻫ ﺪﻨﻛ . ژاو يﺪﻴﻠﻛيﺎﻫه : ﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗ،ﺮﻴﻣوگﺮﻣ،ﻲﺒﻠﻗﻪﺘﻜﺳ ، ﻲﻳﺎﻴﻓاﺮﻐﺟتﺎﻋﻼﻃاﻢﺘﺴﻴﺳ،ﻲﻳﺎﻴﻓاﺮﻐﺟﻊﻳزﻮﺗ
ﻪﻣﺪﻘﻣ
ﻢـﻬﻣناﻮـﻨﻋﻪـﺑﻲﺒﻠﻗﻪﺘﻜﺳيﻻﺎﺑزوﺮﺑوعﻮﻴﺷ ﻦﻳﺮـﺗ ﺖﻳدوﺪـﺤﻣ،ﺮـﻴﻣوگﺮـﻣﺖـﻠﻋوﻲـﻗوﺮﻋﻲﺒﻠﻗيرﺎﻤﻴﺑ ،ﻲﻳﺎﻴﻓاﺮﻐﺟ دراﺪـﻧيدﺎﺼﺘﻗاﻲﻋﺎﻤﺘﺟاوﻲﺘﻴﺴﻨﺟ،ﻲﻧﺎﻜﻣ . يرﺎﻤﻴﺑﻢﻬﺳ ﻲﺒﻠﻗيﺎﻫ رد،ﻲـﻠﻛﺮـﻴﻣوگﺮـﻣزاﻲﻗوﺮﻋ دوﺪﺣﺎﻴﻧد 30 دوﺪـﺣﺎﻜﻳﺮﻣآرد،ﺪﺻرد 6 / 40 وﺪـﺻرد ﺣناﺮﻳارد ـ دوﺪ 39 ﺖﺳاﺪﺻرد ) 3 -1 ( . ﻲﺷﺎﻧگﺮﻣناﺰﻴﻣ لﻮﺌﺴﻣﻒﻟﻮﻣ : ﻲﺑاﺮﺤﻣﷲاﺪﻳ -ناﺮﻬﺗ : ﻚﺠﻨﻟو،ﻲﺘﺸﻬﺑﺪﻴﻬﺷﻲﻜﺷﺰﭘمﻮﻠﻋهﺎﮕﺸﻧاد E Mail: [email protected] 1 . رﺎﻳدﺎﺘﺳا ،ﻲﺘﺴﻳزرﺎﻣآويژﻮﻟﻮﻴﻣﺪﻴﭘاهوﺮﮔ، ،ﺖﻣﻼﺳرديزﺎﺳلﺪﻣتﺎﻘﻴﻘﺤﺗﺰﻛﺮﻣ ﻠﻋهﺎﮕﺸﻧاد،ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد ناﺮﻳا،دﺮﻛﺮﻬﺷ،دﺮﻛﺮﻬﺷﻲﻜﺷﺰﭘمﻮ 2 . دﺎﺘﺳا ،يژﻮﻟﻮﻴﻣﺪﻴﭘاهوﺮﮔ، زايﺮﻴﮕﺸﻴﭘوﻲﻨﻤﻳاتﺎﻘﻴﻘﺤﺗﺰﻛﺮﻣ ﺖﻴﻣوﺪﺼﻣ ﺎﻫ ، ﺑهﺪﻜﺸﻧاد مﻮﻠﻋهﺎﮕﺸﻧاد،ﺖﺷاﺪﻬ ناﺮﻳا،ناﺮﻬﺗ،ﻲﺘﺸﻬﺑﺪﻴﻬﺷﻲﻜﺷﺰﭘ 3 . دﺎﺘﺳا رﺎﻳ مﻮﻠﻋهﺎﮕﺸﻧاد،ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد،يژﻮﻟﻮﻴﻣﺪﻴﭘاهوﺮﮔ، ناﺮﻳا،ناﺮﻬﺗ،ﻲﺘﺸﻬﺑﺪﻴﻬﺷﻲﻜﺷﺰﭘ 4 . دﺎﺘﺳا مﻮﻠﻋهﺎﮕﺸﻧاد،ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد،يژﻮﻟﻮﻴﻣﺪﻴﭘاهوﺮﮔ، ناﺮﻳا،ناﺮﻬﺗ،ﻲﺘﺸﻬﺑﺪﻴﻬﺷﻲﻜﺷﺰﭘ 5 . وﺐﻠﻗهرادا،ﻲﻣﻮﻤﻋﻚﺷﺰﭘ ﺖﻳﺮﻳﺪﻣﺰﻛﺮﻣقوﺮﻋ يرﺎﻤﻴﺑ يﺎﻫ ناﺮﻳا،ناﺮﻬﺗ،ﻲﻜﺷﺰﭘشزﻮﻣآونﺎﻣرد،ﺖﺷاﺪﻬﺑترازو،ﺮﻴﮔاوﺮﻴﻏ ﺖﻓﺎﻳردﺦﻳرﺎﺗ : 22 / 10 / 1393 تﺎﺣﻼﺻاﺖﻬﺟعﺎﺟراﺦﻳرﺎﺗ : 18 / 11 / 1393 ﺐﻳﻮﺼﺗﺦﻳرﺎﺗ : 15 / 3 / 1394
نارﺎﻜﻤﻫويﺪﻤﺣاﻲﻠﻋ ﻲﺸﻫوﮋﭘ يرﺎﻤﻴﺑﻦﻳازا ﺎﻴﻧدردﺎﻫ 265 ﻲﻗﺮـﺷﻪـﻧاﺮﺘﻳﺪﻣﻪـﻘﻄﻨﻣرد، ﻲﻧﺎﻬﺟنﺎﻣزﺎﺳ ،ﺖﺷاﺪﻬﺑ 224 ناﺮـﻳاردو 171 رددرﻮـﻣ ﺖﺳاﺖﻴﻌﻤﺟﺮﻔﻧراﺰﻫﺪﺼﻜﻳ ) 3 ، 4 ( . ﻲـﺒﻠﻗگﺮـﻣناﺰﻴﻣزا ناﺮﻳاردﻲﻗوﺮﻋ 85 وﻲـﺒﻠﻗﻪﺘﻜـﺳﻪﺑدرﻮﻣ 40 ﻪـﺑدرﻮـﻣ ﻲﻣﺐﺴﺘﻨﻣيﺰﻐﻣﻪﺘﻜﺳ دﻮﺷ . لﺎﺳرد 2020 ﻲﺷﺎﻧگﺮﻣ، يرﺎﻤﻴﺑزا ﻪﺘﻓﺮـﺸﻴﭘيﺎﻫرﻮـﺸﻛردﻲـﻗوﺮﻋﻲـﺒﻠﻗيﺎﻫ 15 ،ﺪﺻرد ﻦﻴﭼرد 77 ﻛﺮﻳﺎﺳردوﺪﺻرد ﻲﻳﺎﻴـﺳآيﺎﻫرﻮﺸ 6 / 10 ﻲﻣﺶﻳاﺰﻓاﺪﺻرد ﺪـﺑﺎﻳ ) 2 (. يرﺎـﻤﻴﺑﻦـﻳارﺎـﺑ ردﺎـﻫ ﺶﻴﺑ،ﻂﺳﻮﺘﻣوﻢﻛﺪﻣآردﺎﺑيﺎﻫرﻮﺸﻛ يﺎﻫرﻮـﺸﻛزاﺮﺗ ﺖـﺳﻻﺎﺑﺪـﻣآردﺎﺑ ) 5 (. ﺎـﺑﻪـﻬﺟاﻮﻣﺖﻴﻌـﺿوردفﻼﺘـﺧا وﻲﮔﺪـﻧزهﻮﻴـﺷ،ﺎﻴﻓاﺮﻐﺟونﺎﻜﻣﺐﺴﺣﺮﺑﺮﻄﺧﻞﻣاﻮﻋ ﺖــﺳاهﺪــﺷﻪﺘﺧﺎﻨــﺷﻞــﻠﻋزاﺖــﺛارو ) 2 ، 5 ( . تﺎــﻌﻟﺎﻄﻣرد ﻴﻣﺪﻴﭘا ﺖـﻴﻌﻤﺟردﻲـﺒﻠﻗﻪﺘﻜـﺳزوﺮـﺑناﺰـﻴﻣزا،ﻚﻳژﻮﻟﻮ ﻲﻣ دروآﺮـﺑياﺮـﺑﻲﻨﻴﺸﻧﺎﺟﺎﻳﺺﺧﺎﺷﻚﻳناﻮﻨﻋﻪﺑناﻮﺗ يرﺎﻤﻴﺑ نآرﺎـﺑوﺐـﻠﻗقوﺮﻋيﺎﻫ هدﺎﻔﺘـﺳاﻪـﻌﻣﺎﺟردﺎـﻫ دﻮــﻤﻧ ) 6 (. ﺶﻴــﺑﺶــﻧادوﻲﻫﺎــﮔآ وتاﺮــﻴﻴﻐﺗهرﺎــﺑردﺮــﺗ گﺮﻣﻲﻳﺎﻴﻓاﺮﻐﺟﻲﮔﺪﻨﻛاﺮﭘ وكردﻪـﺑﻲـﺒﻠﻗﻪﺘﻜﺳيﺎﻫ ﻮﻋ،يرﺎﻤﻴﺑيژﻮﻟﻮﻴﺗانﺪﻴﻤﻬﻓ ﺖـﻳﻮﻟوا،ﺮـﻄﺧﻞـﻣا يﺪـﻨﺑ ﺮﺗﺐﺳﺎﻨﻣيﺰﻳرﻪﻣﺎﻧﺮﺑوﻲﻧﺎﻣردﻊﺑﺎﻨﻣصﺎﺼﺘﺧا،ﻲﻘﻄﻨﻣ ﻲﻣﺮﺠﻨﻣﺖﻣﻼﺳمﺎﻈﻧرد دﻮﺷ ) 7 ، 8 ( . ﻊـﻳزﻮﺗيﻮﮕﻟاﻦﻴﻴﻌﺗ گﺮﻣﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗوﻲﻳﺎﻴﻓاﺮﻐﺟ ﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧيﺎﻫ هدﺎــﻴﭘردارﻲــﻤﻬﻣﺶــﻘﻧ ﻪــﻣﺎﻧﺮﺑيزﺎــﺳ ﺮــﺑﺰــﻛﺮﻤﺗوﺎــﻫ ﻪﻣﺎﻧﺮﺑ ﻼـﺳمﺎـﻈﻧردﺪـﻳﺪﺟويرﺎﻜﺘﺑايﺎﻫ ﺶﻫﺎـﻛوﺖﻣ يرﺎﻤﻴﺑرديﺮﺑاﺮﺑﺎﻧ درادﻲﻗوﺮﻋﻲﺒﻠﻗيﺎﻫ ) 9 (. نﺎﻣز،ﺺﺨﺷ ﻞﻴﻠﺤﺗردﻲﺳﺎﺳاﺮﺼﻨﻋﻪﺳنﺎﻜﻣو وﻚﻳژﻮﻟﻮﻴﻣﺪﻴﭘايﺎﻫ ﻪﻣﺎﻧﺮﺑ ﺖـﺳاﻲﺘـﺷاﺪﻬﺑيﺰـﻳر . زاﻪﺧﺎـﺷﺮـﻳزﻚـﻳنﺎـﻜﻣ ﺖﺳاﺖﻣﻼﺳيﺎﻴﻓاﺮﻐﺟ ) 10 ( . زا،ﺖﻣﻼـﺳردنﺎـﻜﻣﺶﻘﻧ ﺖﺳاهدﻮﺑﻪﺟﻮﺗدرﻮﻣزﺎﺑﺮﻳد ) 10 ، 11 ( . ﻪﺑﻢﻠﻋزاﻪﺧﺎﺷﻦﻳا ﻲﻳﺎـﻴﻓاﺮﻐﺟتاﺮـﻴﻴﻐﺗوﺖﻣﻼـﺳيﺎﻫﺪـﻣﺎﻴﭘﻲﻧﺎـﻜﻣﻊﻳزﻮﺗ يرﺎــﻤﻴﺑ نآﺮــﻄﺧﻞــﻣاﻮﻋوﺎــﻫ ﻲﻧﺎــﺴﻧاﺖــﻴﻌﻤﺟردﺎــﻫ ﻲﻣ دزادﺮﭘ ) 12 ، 13 ( . ﻞﻣﺎﻌﺗياﺮﺑﻲﻨﻴﺸﻧﺎﺟناﻮﻨﻋﻪﺑنﺎﻜﻣزا هدﺎﻔﺘــﺳاﻂﻴــﺤﻣوﻲﮔﺪــﻧزهﻮﻴــﺷ،ﻲــﻜﻴﺘﻧژﻞــﻣاﻮﻋنﺎــﻴﻣ ﻲــﻣ دﻮــﺷ ) 11 ، 14 ( . نﺎــﺸﻧﻚﻳژﻮﻟﻮﻴﻣﺪــﻴﭘاتﺎــﻌﻟﺎﻄﻣﺪــﻧور ﻲﻣ ﺤﺗهﺪﻤﻋﻪﻛﺪﻫد نﺎـﻣزوﺺﺨـﺷﺮﺼﻨﻋودﺮﺑتﺎﻘﻴﻘ ﺶﻴﺑ هدﺮـﻛﻪـﻴﻜﺗنﺎـﻜﻣزاﺮـﺗ ﺪـﻧا . ﻲـﻠﻋ زاهدﺎﻔﺘـﺳاﻢـﻏر ﻪﺸﻘﻧ يرﺎﻤﻴﺑيﺎﻫ زﺎﺑﺮﻳدزانﺎﻜﻣﺐﺴﺣﺮﺑﺎﻫ ) لﺎﺳ 1854 ﻂﺳﻮﺗ John Snow نﺪﻨﻟردﺎﺑوﻪﻌﻟﺎﻄﻣرد ( ﻞـﻴﻟدﻪـﺑﺎـﻣا ﻞــﻴﻠﺤﺗندﻮــﺑهﺪــﻴﭽﻴﭘ زوﺮــﺑيﺎــﻫﻮﮕﻟاوﻲﻧﺎــﻜﻣيﺎــﻫ يرﺎﻤﻴﺑ گﺮﻣوﺎﻫ ـﻴﻧونﺎـﻜﻣﺐـﺴﺣﺮﺑﺎﻫ دﻮـﺟومﺪـﻋﺰ هداد ﻢـﻛناﺮﮕـﺸﻫوﮋﭘ،زﺎـﻴﻧدرﻮﻣيﺎﻫ ﻪـﻧﻮﮕﻨﻳاغاﺮـﺳﺮـﺗ ﻞﻴﻠﺤﺗ ﻪﺘﻓرﺎﻫ نﺎـﻜﻣﺶـﻘﻧ،تﺎـﻌﻟﺎﻄﻣزاﻲـﻀﻌﺑردوﺪـﻧا ﺖﺳاﻪﺘﻓﺮﮔراﺮﻗﺖﻠﻔﻏدرﻮﻣ ) 15 ، 16 ( . ﻢﺘـﺴﻴﺳﻪﻌﺳﻮﺗﺎﺑ يﺎـﻫ ﻲﻳﺎﻴﻓاﺮﻐﺟتﺎﻋﻼﻃا ) GIS ( ﺑ ﻪ وﺪﻨﻤﺗرﺪﻗراﺰﺑاﻚﻳناﻮﻨﻋ ﻲﻣ،ﻊﻳﺮﺳ وﻚﻳژﻮﻟﻮﻴﻣﺪـﻴﭘاتﺎـﻌﻟﺎﻄﻣردناﻮـﺗ ﻳﺪـﻣ ﺖﻳﺮ ﺖﺧادﺮﭘﻲﻧﺎﻜﻣيﺎﻫﻮﮕﻟاﻲﺳرﺮﺑﻪﺑﺖﻣﻼﺳ ) 13 (. ﻒﺸﻛرد گﺮﻣزوﺮﺑيﺎﻫﻮﮕﻟاﻲﻳﺎﺳﺎﻨﺷو ﻲﺒﻠﻗﻪﺘﻜﺳيﺎﻫ ﻲﻳﺎـﺳﺎﻨﺷ يﻮـﮕﻟاوهﺪـﻨﻛاﺮﭘ،ﻲﻓدﺎﺼﺗﻊﻳزﻮﺗيﺎﻫﻮﮕﻟاﺺﻴﺨﺸﺗو ﻪﺷﻮﺧ ﺖﺳاﺮﻈﻧﺪﻣيا . ﻪﺷﻮﺧيﻮﮕﻟا زاﺶﻴـﺑعﻮﻗوﻪﺑيا گﺮﻣدراﻮﻣرﺎﻈﺘﻧا ﻲﻳﺎـﻴﻓاﺮﻐﺟﻪـﻴﺣﺎﻧردﻲـﺒﻠﻗﻪﺘﻜﺳيﺎﻫ هرﺎﺷاﺺﺨﺸﻣ دراد ) 12 ، 15 ، 19 -17 ( . ﺐـﻠﻏاﻲﻧﺎـﻜﻣﻞـﻴﻠﺤﺗ يرﺎــﻤﻴﺑزوﺮــﺑيﺎــﻫﻮﮕﻟاﻒﻴــﺻﻮﺗرد وﻲﻧﻮــﻔﻋيﺎــﻫ نﺎﻃﺮﺳ ﻲـﻣهدﺮـﺑرﺎـﻛﻪـﺑﺎـﻫ دﻮـﺷ ) 20 ، 21 ( . ردشورﻦـﻳا يرﺎﻤﻴﺑ راﺮـﻗهدﺎﻔﺘـﺳادرﻮـﻣترﺪـﻧﻪـﺑﻲﻗوﺮﻋﻲﺒﻠﻗيﺎﻫ ﺖــﺳاﻪــﺘﻓﺮﮔ ) 22 ، 23 ( . ﻲﻧﺎــﻜﻣﻞــﻴﻠﺤﺗنﻮﻨﻛﺎــﺗناﺮــﻳارد گﺮﻣ يﺎﻫ زاﻲﺷﺎﻧ ﺸﻧمﺎﺠﻧاﻲﺒﻠﻗﻪﺘﻜﺳ ﺪ . ﻞـﻴﻠﺤﺗمﺎﺠﻧاﺎﺑ گﺮــﻣداﺪــﺧريﻮــﮕﻟا،ﻲﻧﺎــﻜﻣ ﻦﻴــﻴﻌﺗﻲــﺒﻠﻗﻪﺘﻜــﺳيﺎــﻫ ﻲﻣوددﺮﮔﻲﻣ نﺎﺘﺳاناﻮﺗ يﺮﺗﻻﺎـﺑﺮـﻴﻣوگﺮﻣﻪﻛﻲﻳﺎﻫ نﺎﺘﺳاﻪﺑﺖﺒﺴﻧ دﻮـﻤﻧﻲﻳﺎـﺳﺎﻨﺷار،ﺪـﻧرادﺮـﮕﻳديﺎـﻫ . ﺎـﺑ نﺎﺘﺳاﻲﻳﺎﺳﺎﻨﺷ ﺶﻴﺑﺮﻄﺧضﺮﻌﻣرديﺎﻫ ﺮـﻴﻣوگﺮـﻣﺮﺗ ﻲﻣ،ﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧ ﻪﻨﻳﺰﻫﻪﺑﻪﺟﻮﺗﺎﺑناﻮﺗ – ﺮﺛا ﻲﺸﺨﺑ ﻪـﻣﺎﻧﺮﺑﻲﻳارﺎﻛدﻮﺒﻬﺑو ،ﻊﺑﺎـﻨﻣﺖﻳدوﺪـﺤﻣﻂﻳاﺮـﺷردﺎـﻫ دادمﺎﺠﻧااريﺮﺘﻬﺑتﻼﺧاﺪﻣ . ﻞﻴﻠﺤﺗفﺪﻫﺎﺑﻪﻌﻟﺎﻄﻣﻦﻳا گﺮــﻣﻲﻳﺎــﻴﻓاﺮﻐﺟﻊــﻳزﻮﺗيﻮــﮕﻟاﻦﻴــﻴﻌﺗوﻲﻧﺎــﻜﻣ يﺎــﻫ ﺐــﺴﺣﺮــﺑناﺮــﻳاردﻲــﺒﻠﻗﻪﺘﻜــﺳزاﻲــﺷﺎﻧﻲﻧﺎﺘــﺳرﺎﻤﻴﺑ ﺪﻳدﺮﮔمﺎﺠﻧانﺎﺘﺳا . ﻲﻣﻪﻌﻟﺎﻄﻣﻦﻳا ﻪـﻣﺎﻧﺮﺑردﺪﻧاﻮﺗ يﺰـﻳر ﺎــﻈﻧرد زايﺮﻴﮕــﺸﻴﭘياﺮــﺑيﮋﺗاﺮﺘــﺳاذﺎــﺨﺗاوﺖﻣﻼــﺳم گﺮــﻣ وﺪــﻴﻔﻣﻲــﺒﻠﻗﻪﺘﻜــﺳزاﻲــﺷﺎﻧﻲﻧﺎﺘــﺳرﺎﻤﻴﺑيﺎــﻫ ﻚﻤﻛ ﺪﺷﺎﺑهﺪﻨﻨﻛ .
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داﻮﻣ
ﻦــﻳا ﺮــﺑﻲــﻨﺘﺒﻣوﺮــﮕﻧهﺪــﻨﻳآﻪــﻌﻟﺎﻄﻣﻚــﻳﻲــﺳرﺮﺑ دﻮـﺑنﺎﺘﺳرﺎﻤﻴﺑ . تﺎـﻋﻼﻃازاﻪـﻌﻟﺎﻄﻣﻦـﻳارد 20750 ﺮـﻔﻧ گﺮﻣوﻲﺒﻠﻗﻪﺘﻜﺳﻪﺑﻼﺘﺒﻣﺪﻳﺪﺟرﺎﻤﻴﺑ نآزاﻲـﺷﺎﻧيﺎﻫ ﻪﺘﻜــﺳﺖــﺒﺛﻲــﻠﻣﻪﻧﺎﻣﺎــﺳردﻪــﻛ ﻪــﻴﻠﻛردﻲــﺒﻠﻗيﺎــﻫ نﺎﺘﺳرﺎﻤﻴﺑ ردﺐﻠﻗﺶﺨﺑياراديﺎﻫ 31 ﺎـﺑرﻮـﺸﻛنﺎﺘـﺳا دوﺪـﺣﻲﺘﻴﻌﻤﺟﺶﺷﻮﭘ 75 ،دﻮـﺑهﺪـﺷﺖـﺒﺛﺮـﻔﻧنﻮـﻴﻠﻴﻣ ﺪﻳدﺮﮔهدﺎﻔﺘﺳا ) 3 ، 24 ( . نارﺎﻤﻴﺑهوﺮﮕﻤﻫ ﺦﻳرﺎـﺗﺐـﺴﺣﺮـﺑ وﻲﺒﻠﻗﻪﺘﻜﺳﻪﺑﻼﺘﺑا ﺎـﺗنﺎﺘـﺳرﺎﻤﻴﺑرديﺮﺘﺴﺑنﺎﻣزتﺪﻣ ﺎـﻳگﺮـﻣﻪﻌﻗاوداﺪﺧر ياﺪـﺘﺑازانﺎﺘـﺳرﺎﻤﻴﺑزاﺺﻴﺧﺮـﺗ لﺎﺳ 1392 لﺎـﺳنﺎـﻳﺎﭘﺎﺗ 1392 ﺪـﺷﻒـﻳﺮﻌﺗ . ردﻪـﻌﻟﺎﻄﻣ ﻲﺘـﺸﻬﺑﺪﻴﻬـﺷﻲﻜـﺷﺰﭘمﻮـﻠﻋهﺎﮕـﺸﻧادقﻼـﺧاﻪﺘﻴﻤﻛ ﻪـﺑ ﺪﻴــﺳرﺐﻳﻮــﺼﺗ . ﺮــﺑﻲــﻨﺘﺒﻣﻪــﻌﻟﺎﻄﻣﻪــﺑدورويﺎــﻫرﺎﻴﻌﻣ ﺐﻠﻗﻲﻧﺎﻬﺟنﻮﻴﺳارﺪﻓوﺖﺷاﺪﻬﺑﻲﻧﺎﻬﺟنﺎﻣزﺎﺳﻒﻳﺮﻌﺗ اﺮﺑنآزاﻲﺷﺎﻧگﺮﻣوﻲﺒﻠﻗﻪﺘﻜﺳﺺﻴﺨﺸﺗياﺮﺑ سﺎـﺳ ﻪﻘﺒﻃﻢﺘﺴﻴﺳ ﻦﻴﺑيﺪﻨﺑ يرﺎﻤﻴﺑﻲﻠﻠﻤﻟا ﺐﻴﺳآوﺎﻫ ﺪـﻛﺎـﺑﺎﻫ
I21, I22, I25.2 , I24.9
دﻮﺑ ) 6 ( . ﻲﻠﺒﻗﻪﻘﺑﺎﺳﻪﻛﻲﻧارﺎﻤﻴﺑ ﻚـﺷﺰﭘﻂـﺳﻮﺗﻲـﻌﻄﻗﺺﻴﺨـﺸﺗﺎـﻳﺪﻨﺘـﺷادﻲـﺒﻠﻗﻪﺘﻜﺳ ﺪﻧﺪــﺷجرﺎــﺧﻪــﻌﻟﺎﻄﻣزا،ﺪﻨﺘــﺷاﺪﻧارﺐــﻠﻗﺺــﺼﺨﺘﻣ . وﺖﻴﺴﻨﺟ،ﻦﺳﺐﺴﺣﺮﺑتﺎﻋﻼﻃا ﺖﻧﻮﻜـﺳﻞـﺤﻣنﺎﺘﺳا ﻊﻤﺟرﺎﻤﻴﺑ ﺮﮔيروآ ﺪﻳد . ناﺰﻴﻣ ياﺮـﺑگﺮـﻣمﺎﺧزوﺮﺑيﺎﻫ ﻚﻳردرﻮﺸﻛﻞﻛونﺎﺘﺳاﺮﻫ ﺐـﺴﺣﺮـﺑﺮـﻔﻧراﺰـﻫﺪـﺻ هوﺮﮔ ﺪـﻳدﺮﮔﻪﺒـﺳﺎﺤﻣﻒﻠﺘﺨﻣﻲﻨﺳيﺎﻫ . ﻪﺒـﺳﺎﺤﻣياﺮـﺑ يرﺎﻤـﺷﺮﺳتﺎـﻋﻼﻃازا،ﺮﺴﻛجﺮﺨﻣردﻲﻌﻗاوزوﺮﺑناﺰﻴﻣ لﺎـﺳردناﺮـﻳارﺎﻣآﺰﻛﺮﻣﻂﺳﻮﺗﺖﻴﻌﻤﺟ 2011 هدﺎﻔﺘـﺳا ﺪــﺷ . سﺎــﻴﻘﻣﺮــﺑﺖﻴــﺴﻨﺟوﻦــﺳﺮــﺛافﺬــﺣياﺮــﺑ ــﻫ يﺎ ندﻮــﻤﻧﻖــﻴﺒﻄﺗشورزاﻲﻳﺎــﻴﻓاﺮﻐﺟ ناﺰــﻴﻣ ﺎــﻫ وﻲﻨــﺳي ﻪــﺑﻲــﺴﻨﺟ ﺖــﻴﻌﻤﺟزاوﻢﻴﻘﺘــﺴﻣيزﺎــﺳدراﺪﻧﺎﺘﺳاشور ﺪـﻳدﺮﮔهدﺎﻔﺘـﺳاﺖـﺷاﺪﻬﺑﻲﻧﺎـﻬﺟنﺎﻣزﺎﺳدراﺪﻧﺎﺘﺳا ) 25 (. ﻲﻧﺎـــﻜﻣﻞـــﻴﻠﺤﺗياﺮـــﺑ زا SpatialAutocorrelation و هرﺎـﻣآ يﺎـﻫ LISA و Global Moran's I و Getis-Ord ﺪﻳدﺮﮔهدﺎﻔﺘﺳا ) 28 -26 ( . ا مﺮﻧز راﺰـﻓا stata و ArcGIS9.3 هدادﻞﻴﻠﺤﺗياﺮﺑ ﺪﺷهدﺎﻔﺘﺳاﺎﻫ .
ﺎﻫ
ﻪﺘﻓﺎﻳ
زا 20750 ﻲـﺒﻠﻗﻪﺘﻜـﺳﻪـﺑﻼﺘﺒﻣﺪﻳﺪﺟرﺎﻤﻴﺑ 15033 ﺮﻔﻧ ) 4 / 72 ﺪـﺻرد ( ودﺮـﻣ 5717 ﺮـﻔﻧ ) 6 / 27 ﺪـﺻرد ( نز ﺪﻧدﻮﺑ . ،ﻲـﺳرﺮﺑدرﻮـﻣلﺎـﺳﻚـﻳﻲﻃرد 2511 زارﺎـﻤﻴﺑ 20750 ﺪﻧﺪـﺷگﺮـﻣرﺎـﭼد،ﻲـﺒﻠﻗﻪﺘﻜـﺳﻪـﺑﻼﺘﺒﻣرﺎﻤﻴﺑ . ﻣ گﺮـﻣمﺎـﮕﻨﻫردنارﺎـﻤﻴﺑﻦـﺳرﺎـﻴﻌﻣفاﺮﺤﻧاوﻦﻴﮕﻧﺎﻴ 2 / 15 ± 2 / 65 دﻮـﺑلﺎﺳ . ﺖـﻳﺮﺜﻛا نارﺎـﻤﻴﺑ ) 2 / 47 ﺪـﺻرد ( ، ﻲﻨـﺳهوﺮـﮔردهﺪﺷتﻮﻓ 30 ﺎـﺗ 64 ﺪﻨﺘـﺷادراﺮـﻗلﺎـﺳ . ،نﺎﺘـﺳرﺎﻤﻴﺑردﻲـﺒﻠﻗﻪﺘﻜﺳﻲﮔﺪﻨﺸﻛناﺰﻴﻣ 1 / 12 ﺪـﺻرد دﻮﺑ . نﺎﻧزردﻲﺒﻠﻗﻪﺘﻜﺳﻲﮔﺪﻨﺸﻛناﺰﻴﻣ ) 96 / 14 ﺪـﺻرد ( ﺶﻴﺑو نادﺮـﻣزاﺮﺗ ) 02 / 11 ﺪـﺻرد ( دﻮـﺑ . ﺖﻴـﺴﻨﺟ 9 / 65 نارﺎﻤﻴﺑﺪﺻرد ) 1656 ﺮﻔﻧ ( ودﺮﻣهﺪﺷتﻮﻓ 1 / 34 ﺪﺻرد ) 855 ﺮﻔﻧ ( دﻮﺑنز . ردگﺮـﻣمﺎـﺧزوﺮـﺑناﺰـﻴﻣﻦﻳﺮﺗﻻﺎـﺑ ﻚﻳ نﺎﺘـﺳاﻪـﺑطﻮـﺑﺮﻣﺖﻴﻌﻤﺟﺮﻔﻧراﺰﻫﺪﺻ يﺎـﻫ ﻞـﻴﺑدرا ) 4 / 25 ( نﺎﺳاﺮﺧ، ﻲﻟﺎﻤﺷ ) 9 / 18 ( ، دﺰـﻳ ) 5 / 17 ( نﺎـﺠﻳﺎﺑرذآ، ﻲﺑﺮﻏ ) 9 / 15 ( و نﺎﺘـﺳزﻮﺧ ) 2 / 13 ( دﻮـﺑ . ﺗﻻﺎـﺑ ناﺰـﻴﻣﻦﻳﺮ نﺎﺘﺳاردهﺪﺷدراﺪﻧﺎﺘﺳاگﺮﻣزوﺮﺑ ﻞﻴﺑدرا ) 31 ( نﺎـﺳاﺮﺧ، ﻲﻟﺎﻤﺷ ) 7 / 23 ( ، دﺰﻳ ) 2 / 20 ( نﺎﺠﻳﺎﺑرذآ، ﻲـﺑﺮﻏ ) 1 / 19 ( و نﺎﺘﺳزﻮﺧ ) 4 / 18 ( راﺰﻫﺪﺻﻚﻳرد دﻮـﺑﺮـﻔﻧ . ناﺰـﻴﻣ يﺎـﻫ نﺎﺘـﺳاردﻲـﺒﻠﻗﻪﺘﻜـﺳگﺮـﻣهﺪـﺷدراﺪﻧﺎﺘـﺳازوﺮﺑ يﺎـﻫ هرﺎﻤﺷﺮﻳﻮﺼﺗردرﻮﺸﻛ 1 ﺖﺳاهﺪﻣآ . ﻳهرﺎﻤﺷﺮﻳﻮﺼﺗسﺎﺳاﺮﺑ ﺶﻴﺑ،ﻚ زوﺮـﺑناﺰـﻴﻣﻦﻳﺮﺗ نﺎﺘـﺳارد،نﺎﺘـﺳرﺎﻤﻴﺑردﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧگﺮﻣ يﺎـﻫ ﺖﺷاددﻮﺟوﻞﻴﺑدراوﻲﻟﺎﻤﺷنﺎﺳاﺮﺧ . گﺮﻣزوﺮﺑناﺰﻴﻣ نﺎﺘﺳاردﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧﻲﻧﺎﺘﺳرﺎﻤﻴﺑ ﻦﻴـﺑرﻮﻛﺬﻣيﺎﻫ 21 ﺎﺗ 31 ﻚﻳرد دﻮﺑﺖﻴﻌﻤﺟﺮﻔﻧراﺰﻫﺪﺻ . نﺎﺘﺳازاﺪﻌﺑ يﺎﻫ ردﻲــﺒﻠﻗﻪﺘﻜـﺳزاﻲــﺷﺎﻧگﺮــﻣ،رﻮﻛﺬـﻣ رد،نﺎﺘــﺳرﺎﻤﻴﺑ نﺎﺘﺳا ﻪـﺑنﺎﺘـﺳزﻮﺧوﻲﺑﺮﻏنﺎﺠﻳﺎﺑرذآ،ﺮﻬﺷﻮﺑ،دﺰﻳيﺎﻫ ﺖﺷادارزوﺮﺑﻦﻳﺮﺗﺶﻴﺑﺐﻴﺗﺮﺗ . زوﺮـﺑناﺰـﻴﻣﻦﻳﺮـﺗﻢـﻛ نﺎﺘﺳاﻪﺑطﻮﺑﺮﻣگﺮﻣ نﺎـﺳاﺮﺧونﺎﺘـﺴﭼﻮﻠﺑونﺎﺘﺴﻴﺳيﺎﻫ دﻮـﺑﻲﺑﻮﻨﺟ . ﻪﺒـﺳﺎﺤﻣسﺎـﺳاﺮـﺑ ﻲﮕﺘـﺴﺒﻤﻫدﻮﺧﺐﻳﺮـﺿ سﺎﻴﻘﻣردﻲﻧﺎﻜﻣ يرﻮﺸﻛ ) Global Moran's I ( يﻮﮕﻟا،
نارﺎﻜﻤﻫويﺪﻤﺣاﻲﻠﻋ ﻲﺸﻫوﮋﭘ زوﺮـﺑ ترﻮـﺻﻪـﺑناﺮـﻳاردﻲـﺒﻠﻗﻪﺘﻜـﺳزاﻲـﺷﺎﻧگﺮـﻣ دﻮﺑﻲﻓدﺎﺼﺗ . زاﺪﻨﺗرﺎﺒﻋﻪﺒﺳﺎﺤﻣﻦﻳايﺎﻫﻪﺘﻓﺎﻳ :
Moran's Index: 0/141, Variance: 0/011, Z-Score: 1/52, p = 0/126 نﺎﺘﺳا نﺎـﺠﻳﺎﺑرذآ،ﻲﻗﺮـﺷنﺎـﺠﻳﺎﺑرذآ،نﺎـﺠﻧزيﺎـﻫ ﻪــﺑنﻼﻴــﮔوﻦﻳوﺰــﻗ،نﺎﺘــﺳدﺮﻛ،ﻲــﺑﺮﻏ غادطﺎــﻘﻧناﻮــﻨﻋ ﺎﺘﺳرﺎﻤﻴﺑگﺮﻣ ﻲـﺒﻠﻗﻪﺘﻜـﺳزاﻲﺷﺎﻧﻲﻧ ﺪﻧﺪـﺷﻲﻳﺎـﺳﺎﻨﺷ . ﻢﻫ نﺎﺘﺳاﻦﻴﻨﭼ ﻪﺑسرﺎﻓونﺎﮔﺰﻣﺮﻫيﺎﻫ دﺮﺳطﺎﻘﻧناﻮﻨﻋ ﺪﻧﺪـﺷﻲﻳﺎـﺳﺎﻨﺷﻲـﺒﻠﻗﻪﺘﻜـﺳزاﻲﺷﺎﻧﻲﻧﺎﺘﺳرﺎﻤﻴﺑگﺮﻣ . وﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧگﺮﻣزوﺮﺑيﻮﮕﻟاﻲﮔﺪﻨﻛاﺮﭘﻪﺸﻘﻧ لﺎـﺳردناﺮـﻳاردﻲـﺒﻠﻗﻪﺘﻜـﺳزاﻲـﺷﺎﻧگﺮﻣغادطﺎﻘﻧ 1392 رد هرﺎﻤﺷﺮﻳوﺎﺼﺗ 2 و 3 ﺪﺷهدادنﺎﺸﻧ . هرﺎﻤﺷﺮﻳﻮﺼﺗسﺎﺳاﺮﺑ 2 گﺮﻣﻪﭼﺮﮔا، ﻲﻧﺎﺘﺳرﺎﻤﻴﺑيﺎﻫ نﺎﺘﺳاردﻲﺒﻠﻗﻪﺘﻜﺳ نﺎـﺳاﺮﺧونﺎﺘـﺴﻠﮔ،نﺎﺘـﺳزﻮﺧيﺎﻫ ﺶﻴﺑﻲﻟﺎﻤﺷ نﺎﺘﺳاﻪﻴﻘﺑزاﺮﺗ گﺮﻣزوﺮﺑيﻮﮕﻟاﺎﻣا،دﻮﺑﺎﻫ ﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧﻲﻧﺎﺘﺳرﺎﻤﻴﺑ دﻮـﺑﻲﻓدﺎـﺼﺗترﻮﺻﻪﺑ . ﻪﻴﺿﺮﻓﻦﻳاﺮﺑﺎﻨﺑ ﺶﻫوﮋﭘ " ﻲـﺷﺎﻧگﺮﻣزوﺮﺑندﻮﺑﻲﻓدﺎﺼﺗ زا ﻪﺘﻜﺳ رﻮﺸﻛﺢﻄﺳردﻲﺒﻠﻗيﺎﻫ " ﺖﻓﺮﮔراﺮﻗﺪﻴﺋﺎﺗدرﻮﻣ . هرﺎﻤﺷﺮﻳﻮﺼﺗ 1 : زاﻲﺷﺎﻧگﺮﻣزوﺮﺑ ناﺰﻴﻣﻲﮔﺪﻨﻛاﺮﭘﻪﺸﻘﻧ ﻪﺘﻜﺳ ﻚﻳردﻲﺒﻠﻗ لﺎﺳردناﺮﻳاﺖﻴﻌﻤﺟﺮﻔﻧراﺰﻫﺪﺻ 1392 هرﺎﻤﺷﺮﻳﻮﺼﺗ 2 : ﻪﺘﻜﺳزاﻲﺷﺎﻧگﺮﻣزوﺮﺑيﻮﮕﻟاﻲﮔﺪﻨﻛاﺮﭘﻪﺸﻘﻧ لﺎﺳردناﺮﻳاردﻲﺒﻠﻗ 1392 ـﺷﺮﻳﻮﺼﺗ هرﺎﻤ 3 : زاﻲـﺷﺎﻧگﺮـﻣغادطﺎـﻘﻧﻊـﻳزﻮﺗﻲﮔﺪـﻨﻛاﺮﭘﻪـﺸﻘﻧ لﺎﺳردناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳ 1392
ﺚﺤﺑ
يرﺎﻤﻴﺑ ﻲـﺒﻠﻗيﺎﻫ ردگﺮـﻣﺖـﻠﻋﻦﻴـﻟواﻲـﻗوﺮﻋ ﺪﻨﺘﺴﻫناﺮﻳا . يرﺎﻤﻴﺑﻦﻳا ﻞـﻴﻤﺤﺗﻪـﻌﻣﺎﺟﺮـﺑيدﺎﻳزرﺎﺑﺎﻫ
ﻲﻣ ﺪﻨﻨﻛ . ﻦﺷورونﺎﻜﻣﺮﺑﻲﻨﺘﺒﻣزوﺮﺑيﻮﮕﻟاﻪﺑﻦﺘﺧادﺮﭘ ﻪﺒﻨﺟندﻮﻤﻧ آﻚﻳژﻮﻟﻮﻴﻣﺪﻴﭘايﺎﻫ ن ﻞـﻴﻠﺤﺗﻪـﻠﻤﺟزاوﺎﻫ يرﺎﻤﻴﺑﻦﻳاﻲﻧﺎﻜﻣ ﺖـﺳاهﺪﺸﻧمﺎﺠﻧاناﺮﻳاردنﻮﻨﻛﺎﺗﺎﻫ . ﻪـﺑﻚـﻤﻛرﻮﻈﻨﻣﻪﺑﺶﻫوﮋﭘﻦﻳامﺎﺠﻧاتروﺮﺿﻦﻳاﺮﺑﺎﻨﺑ ﻢﻴﻤﺼﺗ ﻪﻣﺎﻧﺮﺑونﺎﮔﺪﻧﺮﻴﮔ ًﻼﻣﺎﻛﺖﻣﻼﺳمﺎﻈﻧناﺰﻳر دﻮﻬﺸﻣ ﺖﺳا . ﻲﻧﺎـﻜﻣﻞـﻴﻠﺤﺗشراﺰـﮔﻦﻴﻟواﺮﺿﺎﺣﻪﻌﻟﺎﻄﻣﺞﻳﺎﺘﻧ گﺮﻣ يﺎﻫ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ دﻲﺒﻠﻗيﺎﻫﻪﺘﻜﺳ ﺖـﺳاناﺮﻳار . ﺎـﺑ ﻪﻣﺎﻧﺮﺑ،رﻮﻛﺬﻣﺞﻳﺎﺘﻧزاهدﺎﻔﺘﺳا لﺮـﺘﻨﻛويﺮﻴﮕـﺸﻴﭘيﺎـﻫ يرﺎﻤﻴﺑ ﻲﺒﻠﻗﻪﺘﻜﺳوﻲﻗوﺮﻋﻲﺒﻠﻗيﺎﻫ -ﻪﺑ ﻢـﻬﻣناﻮـﻨﻋ ﻦﻳﺮـﺗ گﺮﻣﺖﻠﻋ -ﻲﻣبﻮﻠﻄﻣﻮﺤﻧﻪﺑار دﻮﻤﻧهدﺎﻴﭘناﻮﺗ ) 9 (. ﺎـﺑ ﺖﻴﻌﻤﺟﺖﺧﺎﻨﺷوﻊﺑﺎﻨﻣردﺖﻳدوﺪﺤﻣﻦﺘﻓﺮﮔﺮﻈﻧرد يﺎﻫ ﻧﺎﺘﺳاسﺎﻴﻘﻣردنﺎﻜﻣﺐﺴﺣﺮﺑﺮﻄﺧضﺮﻌﻣرد ،ﻲ ﻲﻣ ناﻮﺗ ﻪـﻣﺎﻧﺮﺑياﺮـﺟاوﻊﺑﺎﻨﻣصﺎﺼﺘﺧا يﺮﻴﮕـﺸﻴﭘيﺎـﻫ ) ،ﻪـﻴﻟوا ﻪــﻴﻟﺎﺛوﻪــﻳﻮﻧﺎﺛ ( ﺖــﻳﻮﻟاار دﺮــﻛيﺪــﻨﺑ ) 22 ، 31 -29 ( . ﻦــﻳارد گﺮﻣزوﺮﺑندﻮﺑﻲﻓدﺎﺼﺗﻪﻴﺿﺮﻓﻪﻌﻟﺎﻄﻣ ﻲـﺒﻠﻗﻪﺘﻜﺳيﺎﻫ هدﺎﻔﺘـﺳاوﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗزاهدﺎﻔﺘﺳاﺎﺑيرﻮﺸﻛسﺎﻴﻘﻣرد زا Moran's I ﺗدرﻮﻣوﻲﺳرﺮﺑ ﺄ ﺖﻓﺮﮔراﺮﻗﺪﻴﻳ . ـﻨﺑ ﻦﻳاﺮﺑﺎ ﻪـﺑناﺮـﻳاردﻲـﺒﻠﻗﻪﺘﻜـﺳزاﻲﺷﺎﻧگﺮﻣ،ﻲﻠﻣسﺎﻴﻘﻣرد ﮓﻨﻳﺮﺘﺳﻼﻛترﻮﺻ ﺖـﺴﻴﻧ . ردﻪـﻛﻲـﺒﻠﻗﻪﺘﻜـﺳدراﻮـﻣ ﻲﻣتﻮﻓنﺎﺘﺳرﺎﻤﻴﺑزاجرﺎﺧﺎﻳلﺰﻨﻣ مﺪـﻋﻞـﻴﻟدﻪﺑ،ﺪﻨﻨﻛ نآﺖﺒﺛ گﺮﻣردﺎﻫ ناﺰـﻴﻣﻪﺒـﺳﺎﺤﻣرد،ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑيﺎﻫ هﺪـﺸﻧهدﺎﻔﺘـﺳاﺮـﺿﺎﺣﻪـﻌﻟﺎﻄﻣردﻲﺒﻠﻗﻪﺘﻜﺳگﺮﻣزوﺮﺑ ﺖﺳا . اﺮﺑﺎﻨﺑ گﺮﻣﻪﺑﻪﻌﻟﺎﻄﻣﻦﻳاﺞﻳﺎﺘﻧﻦﻳ ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑيﺎـﻫ درادﻢﻴﻤﻌﺗﺖﻴﻠﺑﺎﻗ . ﻪـﻠﻤﺣﻞﻴﻟدﻪﺑگﺮﻣﻲﻧاواﺮﻓناﺮﻳارد نﺎﺘﺳرﺎﻤﻴﺑﻪﺑنﺪﻴﺳرزاﻞﺒﻗﻲﺒﻠﻗدﺎﺣ 20 شراﺰـﮔﺪﺻرد ﺪﻳدﺮﮔ ) 32 .( ﺰـﻴﻧﻲﺟرﺎﺧيﺎﻫرﻮﺸﻛتﺎﻌﻟﺎﻄﻣردﻢﻗرﻦﻳا 20 ﻲﻣﺪﺻرد ﺪﺷﺎﺑ ) 33 .( ﻢﻫ ردﺮـﺿﺎﺣﻪـﻌﻟﺎﻄﻣﺞﻳﺎﺘﻧﻦﻴﻨﭼ راﺰــﮔﺎــﺑﻪــﺴﻳﺎﻘﻣ ﻲﻨــﺳهﺪــﺷدراﺪﻧﺎﺘﺳازوﺮــﺑناﺰــﻴﻣش گﺮﻣ لﺎـﺳزاهﺮـﻛردﻲﺒﻠﻗﻪﺘﻜﺳزاﻲﺷﺎﻧﺮﻴﻣو 1998 ﺎـﺗ 2007 ﺐــﻴﺗﺮﺗﻪــﺑﻪــﻛ 62 / 17 ، 3 / 24 ، 86 / 30 و 5 / 28 رد ﺶﻴــﺑ،ﺪــﻳدﺮﮔشراﺰــﮔﺖــﻴﻌﻤﺟﺮــﻔﻧراﺰﻫﺪــﺻﻚــﻳ ﺮــﺗ ﻲﻣ ﺪﺷﺎﺑ ) 12 ( . ردياﻪـﻌﻟﺎﻄﻣﺞﻳﺎـﺘﻧﺎـﺑﺮﺿﺎﺣﻪﻌﻟﺎﻄﻣﺞﻳﺎﺘﻧ اﺰـﮔارﻲـﺒﻠﻗﻪﺘﻜـﺳﮓﻨﻳﺮﺘـﺳﻼﻛﻪﻛﺎﻴﻟاﺮﺘﺳا ،دﻮـﻤﻧشر دراﺪﻧﺖﻘﺑﺎﻄﻣ ) 15 ( . ﻪﻌﻟﺎﻄﻣ ناﺰـﻴﻣﻦـﭘاژرديا زوﺮـﺑيﺎـﻫ لﺎﺳردارﻲﺒﻠﻗﻪﺘﻜﺳ 1979 و 2008 ﺐـﻴﺗﺮﺗﻪﺑ 4 / 7 و 27 دﻮـﻤﻧشراﺰـﮔﺖﻴﻌﻤﺟﺮﻔﻧراﺰﻫﺪﺻﻚﻳرد . ﻪـﺴﻳﺎﻘﻣرد زوﺮـﺑﻪـﻛﺖـﺳاﺢـﺿاوﺮﭘ،ﻦـﭘاژﺎـﺑﺮـﺿﺎﺣﻪﻌﻟﺎﻄﻣﺞﻳﺎﺘﻧ ﺶﻴﺑناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳ ﺖﺳاﻦﭘاژزاﺮﺗ ) 23 ( . زوﺮﺑناﺰﻴﻣ ﻢـﻛﺪﻧﻼﻨﻓوﺎﻴﻧﺎﭙﺳايﺎﻫرﻮﺸﻛزاناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳ ﺮـﺗ ﺖﺳا . نﺎـﻧزونادﺮـﻣردﻲﻧﺎـﻜﻣزوﺮـﺑيﻮـﮕﻟاﺪﻧﻼﻨﻓرد ﺖﺳانﺎﺴﻜﻳ . ﺖﺳاتوﺎﻔﺘﻣﻲﻧﺎﻜﻣزوﺮﺑيﻮﮕﻟاﺎﻣا . ﺞﻳﺎﺘﻧ ﺖـﻘﺑﺎﻄﻣﺪـﻧﻼﻨﻓردزوﺮﺑﻲﻧﺎﻜﻣفﻼﺘﺧاﺎﺑﺮﺿﺎﺣﻪﻌﻟﺎﻄﻣ دراد ) 25 ، 36 ( . ناﺰــﻴﻣﺎــﻜﻳﺮﻣآردﻪــﻌﻟﺎﻄﻣﻚــﻳرد زوﺮــﺑ لﺎـﺳردﺖﻟﺎﻳاﺖﺴﻴﺑردﻲﺒﻠﻗﻪﺘﻜﺳهﺪﺷدراﺪﻧﺎﺘﺳا 2008 زا 2 / 22 ﺎﺗ 7 / 39 ﺖـﻴﻌﻤﺟﺮـﻔﻧراﺰﻫﺪﺼﻜﻳرد 35 وﻪﻟﺎـﺳ ﺪﻳدﺮﮔشراﺰﮔﺮﺗﻻﺎﺑ ) 27 ( . ﻪـﻛدﻮـﻤﻧشراﺰﮔﻪﻌﻟﺎﻄﻣﻦﻳا ﺖـﻟﺎﻳاﻦﻴـﺑﻲـﮔرﺰﺑﻲﻳﺎـﻴﻓاﺮﻐﺟتاﺮﻴﻴﻐﺗ دراددﻮـﺟوﺎـﻫ . ﺎـﻜﻳﺮﻣآردﺎـﻫﺖـﻟﺎﻳاﻦـﻳاﺎـﺑﺮﺿﺎﺣﻪﻌﻟﺎﻄﻣﺞﻳﺎﺘﻧﻪﺴﻳﺎﻘﻣ نﺎﺸﻧ ﻲﻣ نﺎﺘـﺳاردزوﺮـﺑناﺰﻴﻣﻪﻛﺪﻫد ﺪـﻨﻧﺎﻣناﺮـﻳايﺎـﻫ ﺖﻟﺎﻳا ﺶﻴـﺑزوﺮـﺑناﺰﻴﻣﺎﻣا،ﺖﺳاتوﺎﻔﺘﻣﺎﻜﻳﺮﻣآيﺎﻫ ﺮـﺗ ﺖــﺳاﺎــﻜﻳﺮﻣآردزوﺮــﺑزا ) 27 (. ﺎــﺑﺮــﺿﺎﺣﻪــﻌﻟﺎﻄﻣﺞﻳﺎــﺘﻧ ﻪﻌﻟﺎﻄﻣ زادﻮﻤﻧشراﺰﮔﻪﻛﻞﻳزﺮﺑرديا 35 درﻮـﻣﻪـﻘﻄﻨﻣ ،ﻲﺳرﺮﺑ 4 / 31 زايﺮﺗﻻﺎـﺑﻲـﺒﻠﻗﻪﺘﻜـﺳزوﺮﺑﻖﻃﺎﻨﻣﺪﺻرد ﺸﻛزوﺮﺑﻂﺳﻮﺘﻣ ﻪﺘﻜـﺳزوﺮـﺑرديﺮﺑاﺮﺑﺎـﻧوﺪﻨﺘﺷاديرﻮ ﺖــﻘﺑﺎﻄﻣ،دﻮــﻤﻧشراﺰــﮔارﻒــﻠﺘﺨﻣﻖﻃﺎــﻨﻣردﻲــﺒﻠﻗ دراد ) 28 (. ﻲـﺒﻠﻗﻪﺘﻜـﺳزوﺮﺑناﺰﻴﻣردتوﺎﻔﺗﺖﺳاﻦﻜﻤﻣ ﻲﻄﻴﺤﻣوﻲﻜﻴﺘﻧژﻞﻣاﻮﻋزاﻲﺷﺎﻧ،ﻒﻠﺘﺨﻣيﺎﻫرﻮﺸﻛرد رديرﺎـﻤﻴﺑﻦـﻳاﺮﻄﺧﻞﻣاﻮﻋيﺮﺑاﺮﺑﺎﻧزاﻲﺷﺎﻧﺎﻳتوﺎﻔﺘﻣ نﺎﺘﺳاﻦﻴﺑ ﺖﻟﺎﻳا،ﺎﻫ اتﺎﻘﺒﻃوﺎﻫ نآيدﺎـﺼﺘﻗاﻲﻋﺎﻤﺘﺟ ﺎـﻫ ﺖﺳايﺪﻌﺑتﺎﻌﻟﺎﻄﻣردﻲﺳرﺮﺑﺪﻨﻣزﺎﻴﻧﻪﻛﺪﺷﺎﺑ . ﻪﭼﺮﮔا هدادﺖﺒﺛﺖﻴﻔﻴﻛ ناﺮـﻳاردﻲـﺒﻠﻗﻪﺘﻜـﺳﻲﻧﺎﺘـﺳرﺎﻤﻴﺑيﺎـﻫ ﺖـﺳاهﺪـﺷشراﺰـﮔبﻮﻠﻄﻣ ) 30 ( ، دراﻮـﻣﺖـﺒﺛمﺪـﻋﺎـﻣا لﺰﻨﻣونﺎﺘﺳرﺎﻤﻴﺑزاجرﺎﺧردگﺮﻣﻪﺑﻲﻬﺘﻨﻣﻲﺒﻠﻗﻪﺘﻜﺳ ﻪﺘﻜﺳﺖﺒﺛندﻮﺒﻧﻚﻨﻴﻟو گﺮـﻣﺖـﺒﺛﻪـﺑﺎـﻫ زاﺎـﻫ ﻪـﻠﻤﺟ ﺖﻳدوﺪﺤﻣ ﻪـﻛﺖـﺳاﺮـﺿﺎﺣﻪـﻌﻟﺎﻄﻣﻒﻌـﺿﻪـﻄﻘﻧوﺎـﻫ ﻲﻣدﺎﻬﻨﺸﻴﭘ ﻪـﺑﺰـﻴﻧدراﻮـﻣﻦـﻳايﺪـﻌﺑتﺎـﻌﻟﺎﻄﻣرددﻮـﺷ هرودﻲﺑﺎﻳزراهاﺮﻤﻫ ﻪﺘﻜـﺳﺖﺒﺛيا رﻮـﻈﻨﻣﻪـﺑﻲـﺒﻠﻗيﺎـﻫ تﺎــﺒﺛﻪــﺑﺎــﺗﺖــﺒﺛدراﻮــﻣﺖﺤــﺻوﺖــﻗدﺪــﻧورﻲــﺳرﺮﺑ
نارﺎﻜﻤﻫويﺪﻤﺣاﻲﻠﻋ ﻲﺸﻫوﮋﭘ هدادﺖﺒﺛهﻮﺤﻧنﺪﻴﺳر ﺮـﻈﻧردناﺮـﻳاردﻲﺒﻠﻗﻪﺘﻜﺳيﺎﻫ ﺪﻧﻮـﺷﻪﺘﻓﺮﮔ . ـﻗطﺎـﻘﻧزا ﻲـﻣﻪـﻌﻟﺎﻄﻣتﻮ ﺮـﺑﻲـﻨﺘﺒﻣناﻮـﺗ نﺎﺘـﺳاﻪﻤﻫﻦﺘﻓﺮﮔﺮﻈﻧرد،ندﻮﺑنﺎﺘﺳرﺎﻤﻴﺑ وناﺮـﻳايﺎـﻫ ﺖـﻴﻌﻤﺟوﻲﻧﺎﺘﺳاﻲﻤﺳريﺎﻫزﺮﻣسﺎﺳاﺮﺑزوﺮﺑﻪﺒﺳﺎﺤﻣ ﻲﻧﺎـﻬﺟنﺎﻣزﺎـﺳيﺎﻫدراﺪﻧﺎﺘﺳاﺎﺑﻖﺑﺎﻄﻣ،ناﺮﻳارﺎﻣآﺰﻛﺮﻣ ﺺـﺼﺨﺘﻣﻚﺷﺰﭘﻂﺳﻮﺗنارﺎﻤﻴﺑﻲﻌﻄﻗﺺﻴﺨﺸﺗ،ﺖﺷاﺪﻬﺑ ﺎﻤﻴﺑگﺮــﻣزوﺮــﺑرﻮــﺼﻣشراﺰــﮔﻦﻴــﻟواوﺐــﻠﻗ ﻲﻧﺎﺘــﺳر ناﺮﻳاردﻲﺒﻠﻗﻪﺘﻜﺳ دﺮﻛهرﺎﺷا . ﻲـﺒﻠﻗﻪﺘﻜـﺳزوﺮـﺑناﺰﻴﻣ ﺶﻴﺑهﺮﻛوﻦﭘاژﻪﺑﺖﺒﺴﻧ ناﺮﻳارد ﻪـﺑﺖﺒـﺴﻧﺎﻣاﺖﺳاﺮﺗ ﻢﻛﻲﺑﺮﻏيﺎﻫرﻮﺸﻛوﺎﻴﻟاﺮﺘﺳا،ﺪﻧﻼﻨﻓ ﺖـﺳاﺮﺗ . شراﺰـﮔ يﺎـﻫزﺮﻣونﺎـﻜﻣﺐـﺴﺣﺮﺑﻲﺒﻠﻗﻪﺘﻜﺳگﺮﻣزوﺮﺑناﺰﻴﻣ ﻪﻣﺎﻧﺮﺑردﻲﻤﺳر ﻪﻣﺎﻧﺮﺑيﺰﻳر ﺖـﺳاﺪـﻴﻔﻣﻲﺘـﺷاﺪﻬﺑيﺎـﻫ . ﻔﺘﻣ نﺎﺘـﺳاﻲـﺧﺮﺑردﻲﺒﻠﻗﻪﺘﻜﺳزوﺮﺑناﺰﻴﻣندﻮﺑتوﺎ ﺎـﻫ ،يدﺮــﻓﺮـﻄﺧﻞـﻣاﻮﻋردتوﺎـﻔﺗﻞــﻴﻟدﻪـﺑﺖـﺳاﻦـﻜﻤﻣ وﺺﻴﺨـﺸﺗﺎـﻳوﻲﺒﻠﻗﻪﺘﻜﺳﻪﺑﻼﺘﺑاﻲﻄﻴﺤﻣوﻲﻳﺎﻴﻓاﺮﻐﺟ ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑﺮﻴﻣوگﺮﻣوﻲﺒﻠﻗﻪﺘﻜﺳﺖﺳردﺖﺒﺛ ﺪـﺷﺎﺑ . زوﺮــﺑيﻮــﮕﻟاندﻮــﺑنﺎــﺴﻜﻳﻪﻴــﺿﺮﻓزاﺖــﻳﺎﻤﺣياﺮــﺑ گﺮﻣ ـﺒﻠﻗﻪﺘﻜـﺳﻲﻧﺎﺘﺳرﺎﻤﻴﺑيﺎﻫ نﺎﺘـﺳاردﻲ ناﺮـﻳايﺎـﻫ ،دراﺪﻧدﻮﺟويﺪﻨﺘﺴﻣ ندﻮـﻤﻧﻢﻫاﺮـﻓﻦﻤـﺿﻪـﻌﻟﺎﻄﻣﻦـﻳا ناﺰــﻴﻣشراﺰــﮔو،رﻮﻛﺬــﻣﺪﻨﺘــﺴﻣ گﺮــﻣزوﺮــﺑيﺎــﻫ گﺮـﻣزوﺮـﺑيﻮﮕﻟاﻦﻴﻴﻌﺗوﻲﻧﺎﺘﺳرﺎﻤﻴﺑ ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑيﺎـﻫ ﻲﻣدﺎﻬﻨﺸﻴﭘﻲﺒﻠﻗﻪﺘﻜﺳ گﺮﻣزايﺮﻴﮕﺸﻴﭘياﺮﺑﺪﻨﻛ يﺎـﻫ نﺎﺘﺳرﺎﻤﻴﺑردﻲﺒﻠﻗﻪﺘﻜﺳبﺎﻨﺘﺟاﻞﺑﺎﻗ ًﻻوا،ناﺮـﻳايﺎﻫ رد نﺎﺘﺳا نﺎﺠﻳﺎﺑرذآ،دﺰﻳ،ﻲﻟﺎﻤﺷنﺎﺳاﺮﺧ،ﻞﻴﺑدراﺪﻨﻧﺎﻣﻲﻳﺎﻫ ﻪﺘﻜﺳﻲﻧﺎﺘﺳرﺎﻤﻴﺑﺮﻴﻣوگﺮﻣزوﺮﺑﻪﻛنﺎﺘﺳزﻮﺧوﻲﺑﺮﻏ نﺎﺘﺳاﻪﻴﻘﺑزاﺮﺗﻻﺎﺑﻲﺒﻠﻗ ﺶﻴﺑﺰﻛﺮﻤﺗ،ﺖﺳاﺎﻫ هدﻮـﻤﻧيﺮﺗ وﻲﻧﺎـﻣردوﻲـﺼﻴﺨﺸﺗتﺎـﻧﺎﻜﻣاندﻮـﻤﻧﻢﻫاﺮـﻓﺎﺑًﺎﻴﻧﺎﺛو عﻼﻃا وﻲﻧﺎﺳر شزﻮﻣآ مدﺮﻣﻪﺑ ياﺮﺑ واﻪﺑﻪﻌﺟاﺮﻣ ﺲﻧاژر رد ﻢﺋﻼﻋﻦﺘﺷادترﻮﺻ ،ﻲـﺒﻠﻗﻪﺘﻜـﺳ ـﺳﺮﺘﺳد ﻲ ﻪـﺋاراو نﺎﻣرد ﺪـﻨﻳﺎﻤﻧﻢﻫاﺮـﻓنارﺎﻤﻴﺑياﺮﺑارﻲﻳﻼﻃﺖﻗورد . ﺎـﺑ ﻲﻣﻲﻧﺎﻜﻣﻞﻴﻠﺤﺗ ﺪﻫاﻮـﺷﺮـﺑﻲـﻨﺘﺒﻣيﺮﻴﮔﻢﻴﻤﺼﺗﻪﺑناﻮﺗ ﻪـﺟﻮﺗﺎﺑودﻮﻤﻧﻲﻧﺎﻳﺎﺷﻚﻤﻛنﺎﻣردوﺖﺷاﺪﻬﺑمﺎﻈﻧرد ﺶـﺨﺑﺮـﺛاﻢﻴﻤـﺼﺗذﺎـﺨﺗاﻪـﺑ،ﻊﺑﺎـﻨﻣﺖﻳدوﺪﺤﻣﻪﺑ ياﺮـﺑ ﺑلﺮﺘﻨﻛ يرﺎﻤﻴ ﺮـﻄﺧﻞﻣاﻮﻋوﻲﺒﻠﻗﻪﺘﻜﺳﺪﻨﻧﺎﻣﻦﻣﺰﻣيﺎﻫ نآ ﺎﻫ ) ﻻﺎﺑنﻮﺧرﺎﺸﻓوﺖﺑﺎﻳد ( دﻮﻤﻧﻚﻤﻛ ) 34،35 ( .
يراﺰﮕﺳﺎﭙﺳ
ﺖـﺷاﺪﻬﺑترازوﺐـﻠﻗهرادامﺮـﺘﺤﻣنﺎﻨﻛرﺎﻛزا ﻪـﺑ ﺧرﺎﻛﺮﺳهﮋﻳو تاوﺎﻤـﺳﺮـﺘﻛدﻢﻧﺎ او مﺮـﺘﺤﻣنﺎـﻨﻛرﺎﻛز ﺖﻧوﺎﻌﻣ هﺎﮕﺸﻧادنﺎﻣرديﺎﻫ ،رﻮـﺸﻛﻲﻜـﺷﺰﭘمﻮـﻠﻋيﺎـﻫ نارﺎﺘﺳﺮﭘ ﺶﺨﺑ نﺎﺘﺳرﺎﻤﻴﺑﺐﻠﻗيﺎﻫ نﺎﻜـﺷﺰﭘ،رﻮﺸﻛيﺎﻫ ناروﺎـﺸﻣونﻻﻮﺌـﺴﻣ،رﺎـﻜﻤﻫقوﺮـﻋوﺐـﻠﻗﺺﺼﺨﺘﻣ ﻪﺘﻜﺳﺖﺒﺛﻪﻣﺎﻧﺮﺑ ﻠﻗيﺎﻫ يﺎـﻗآزاهﮋـﻳوﻪـﺑوناﺮـﻳاردﻲﺒ ﻲﻧادرﺪـﻗوﺮﻜـﺸﺗﻪﻧﺎﻤﻴﻤـﺻدﺮـﻓيﺪـﻟﺎﺧنﻼـﺳراﺮﺘﻛد ﻲﻣ دﻮﺷ . هدادﻪﺑﻲﺳﺮﺘﺳد يﺎﻫ هرﺎﻤـﺷزﻮﺠﻣﺎﺑﻪﻌﻟﺎﻄﻣﻦﻳا 837 / 305 رﺎﻤﻴﺑﺖﻳﺮﻳﺪﻣﺰﻛﺮﻣ ي هراداوﺮـﻴﮔاوﺮـﻴﻏيﺎﻫ يرﺎﻤﻴﺑزايﺮﻴﮕﺸﻴﭘ ﺖـﺷاﺪﻬﺑترازوقوﺮـﻋوﺐﻠﻗيﺎﻫ مﺎﺠﻧاﻲﻜﺷﺰﭘشزﻮﻣآونﺎﻣرد ﺪﺷ . ﺖـﻳﺎﻤﺣﺎﺑﻪﻟﺎﻘﻣﻦﻳا و هرﺎﻤـﺷﺖﻧاﺮﮔ 12129 ﺪﻴﻬـﺷﻲﻜـﺷﺰﭘمﻮـﻠﻋهﺎﮕـﺸﻧاد ﻲﺘﺸﻬﺑ ﻢﻫو هرﺎﻤـﺷﺖـﻧاﺮﮔﻦﻴـﻨﭼ 2202 مﻮـﻠﻋهﺎﮕـﺸﻧاد دﺮﻛﺮﻬﺷﻲﻜﺷﺰﭘ و ﻲﻋﺎﻤﺘﺟاﻞﻣاﻮﻋتﺎﻘﻴﻘﺤﺗﺰﻛﺮﻣﺖﻳﺎﻤﺣ ﻼﺳﺮﺑﺮﺛﻮﻣ ﺖﻣ ﺪﺷمﺎﺠﻧا .
References
1. Ahmadi A, Soori H, Sajjadi H. Modeling of in hospital mortality determinants in myocardial infarction patients, with and without type 2 diabetes, undergoing pharmaco-invasive strategy: the first national report using two approaches in Iran. Diabetes Res Clin Pract 2015; 108(2): 216-222.
2. Celermajer DS, Chow CK, Maijon E, Anster NM, Woo KS. Cardiovascular disease in the developing world prevalences, patterns, and the potential of early disease detection. J Am Coll Cardiol 2012; 60(12): 1207-1216. 3. Ahmadi A, Khaledifar A, Sajjadi H, Soori H.
in-hospital mortality due to myocardial infarction by educational level: a national prospective study in Iran. Int J Equity Health 2014; 13(1): 116.
4. Ahmadi A, Mobasheri M, Soori H. Prevalence of major coronary heart disease risk factors in Iran. Int J Epidemi Res 2014; 1(1): 3-7.
5. Degano R, Elosua R, Marrugat J. Epidemiology of acute coronary syndromes in spain: estimation of the number of cases and trendsfrom 2005 to 2049. Rev Esp Cardiol 2013; 66(6): 472-481.
6. Mendis Shanthi TK, Kuulasmaa Kari, Giampaoli S, Mähönen M, Ngu Blackett K. World Health Organization definition of myocardial infarction: 2008–09 revision. Int J Epidemiol 2011; 40(1): 139-146.
7. Fares A. Winter cardiovascular diseases phenomenon. N Am J Med Scie 2013; 5(4): 266-279.
8. Pedigo A, Aldrich T, Odoi A. Neighborhood disparities in stroke and myocardial infarction mortality: a GIS and spatial scan statistics approach. BMC Public Health 2011; 12(11): 644-647.
9. Gourevitch D. Hippocratic medicine and the treatise Airs, waters and places. A short history of the beginnings and influence of a scientific error. Med Secoli 1995; 7(3): 425-433.
10. Rezaeian M, Dunn G, St Leger S, Appleby L. Geographical epidemiology, spatial analysis and geographical information systems: a multidisciplinary glossary. J Epidemiol Community Health 2007; 61(2): 98-102. 11. Jacquez GrM. Spatial analysis in epidemiology:
Nascent science or a failure of GIS? J Geograph Syst 2000; 2: 91-97.
12. Moore DA. Carpenter TE. Spatial analytical methods and geographic information systems: use in health research and epidemiology. Epidemiol Rev 1999; 21(2): 143-161.
13. Glass GE. Update: spatial aspects of epidemiology: the interface with medical geography. Epidemiol Rev 2000; 22(1): 136-139.
14. Stopka TJ, Krawczyk C, Gradziel P, Geraghty EM. Use of spatial epidemiology and hot spot analysis to target women eligible for prenatal women, infants, and children services. Am J Public Health 2014; 104(Suppl 1): S 183-189.
15. Loughnan ME, Nicholls N, Tapper NJ. Demographic, seasonal, and spatial differences in acute myocardial infarction admissions to hospital in Melbourne Australia. Int J Health Geogr 2008; 30(7): 42-47.
16. Mobasheri M, Ahmadi A. Incidence Patterns and Spatial Analysis of the Most Common Cancers in Southeastern Iran Using Geographic Information System (GIS). Acad J Canc Res 2014; (7): 141-145.
17. Auchincloss AH, Gebreab SY, Mair C, Diez Roux AV. Spatial Analytical Methods. Ann Rev Publ Health 2012; 33: 107-122.
18. Caprarelli G, Fletcher S. A brief review of spatial analysis concepts and tools used for mapping, containment and risk modelling of infectious diseases and other illnesses. Parasitology 2014; 141(5): 581-601.
19. Fritz CE, Schuurman N, Robertson C, Lear S. A scoping review of spatial cluster analysis techniques for point-event data. Geospat Health 2013; 7(2): 183-198.
20. Ahmadi A, Hashemi Nazari S, Mobasheri M. Does ethnicity affect survival following colorectal cancer? A prospective, cohort
نارﺎﻜﻤﻫويﺪﻤﺣاﻲﻠﻋ
ﻲﺸﻫوﮋﭘ
study using Iranian cancer registry. Med J Islam Repub Iran 2014; 28(2): 83-88.
21. Esmailnasab N, Moradi G, Delaveri A. Risk factors of non-communicable diseases and metabolic syndrome. Iran J Public Health 2012; 41(7): 77-85.
22. Hammar N, Larsen FF, Flemming U. Are geographical differences and time trends in myocardial infarction incidence in sweden real? Validity of hospital discharge diagnoses. J Clin Epidemiology 1994; 47(6): 685-693. 23. Takii T, Yasuda S, Takahashi J, Ito K, Shiba
N, Shirato K, et al. Trends in acute myocardial infarction incidence and mortality over 30 years in Japan: report from the MIYAGI-AMI Registry Study. Circ J 2010; 74(1): 93-100.
24. Ahmadi A, Soori H, Mobasheri M, Etemad K, Khaledifar A. Heart Failure, the Outcomes, Predictive and Related Factors in Iran. J Mazandaran Univ Med Sci 2014; 24(118): 180-188 (Persian).
25. Ahmadi A, Soori H, Mehrabi Y, Etemad K, Samavat T, Khaledifar A. Incidence of acute myocardial infarction in Islamic Republic of Iran: a study using national registry data in 2012. East Mediterr Health J 2015; 21(1): 5-12.
26. Havulinna AS, Paakkonen R, Karvonen M, Salomaa V. Geographic patterns of incidence of ischemic stroke and acute myocardial infarction in Finland during 1991-2003. Ann Epidemiol 2008; 18(3): 206-213.
27. Talbott EO, Rager JR, Brink LL, Benson SM, Bilonick RA, Wu WC, et al. Trends in
acute myocardial infarction hospitalization rates for US States in the CDC tracking network. PLoS One 2013; 8(5): e64457. 28. Soares PA, Nascimento LF. Spatial analysis
of hospitalization for heart diseases in Vale do Paraiba. Arq Bras Cardiol 2010; 94(6): 747-753.
29. Bayentin L, El Adlouni S, Ouarda TB, Gosselin P, Doyon B, Chebana F. Spatial variability of climate effects on ischemic heart disease hospitalization rates for the period 1989-2006 in Quebec, Canada. Int J Health Geog 2010; 9(5): 2-10.
30. Shahraz S, Barzanjeh A, Bahari A, Nadery Y, Farzadfar F, Beyranvand MR, et al. The completeness of medical records to assess quality of hospital care: the case of acute myocardial infarction in a district-level general hospital in Iran. Arch Iran Med 2012; 15(10): 592-595.
31. Schwartz S. The fallacy of the ecological fallacy: the potential misuse of a concept and the consequences. Am J Public Health 1994; 84(5): 819-824.
32. Talebizadeh N, Haghdoost A, Mirzazadeh A. An epidemiological model (Markov Chain) of cardiovascular disease in Iran. Payesh, Journal of The Iranian Institute For Health Sciences Research 2010; 8(2): 163-170 (Persian).
33. Greenlee RT, Naleway AL, Vidaillet H. Incidence of myocardial infarction in a general population: the Marshfield Epidemiologic Study Area. WMJ 2002; 101(7): 46-52.
