Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019
Abstract Background Tuberculosis is one of the most serious challenges facing the global healthcare system. This study aims to investigate the incidence and mortality of tuberculosis in Iran from 2010 to 2019 as well as its relationship with the human development index (HDI). Methods The present stu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-17114-4 |
| _version_ | 1797272957265903616 |
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| author | Hossien Fallahzadeh Zaher Khazaei Moslem Lari Najafi Sajjad Rahimi Pordanjani Elham Goodarzi |
| author_facet | Hossien Fallahzadeh Zaher Khazaei Moslem Lari Najafi Sajjad Rahimi Pordanjani Elham Goodarzi |
| author_sort | Hossien Fallahzadeh |
| collection | DOAJ |
| description | Abstract Background Tuberculosis is one of the most serious challenges facing the global healthcare system. This study aims to investigate the incidence and mortality of tuberculosis in Iran from 2010 to 2019 as well as its relationship with the human development index (HDI). Methods The present study is an ecological study aiming at investigating the incidence and mortality of tuberculosis in Iran during the years 2010 to 2019. The related data were extracted from the Global Burden of Disease (GBD) website. The spatial pattern attributed to tuberculosis in the provinces of Iran was analyzed using ArcGIS software. In this study, the two-variable correlation method was used to analyze the data extracted to study the correlation between Tuberculosis and HDI. Result Based on the results recorded in GBD, the incidence of tuberculosis in 2010, that is, 14.61 (12.72, 16.74), declined compared to 2019, namely 12.29 (10.71, 14.09). The age-standardized mortality rate which was 1.63 (1.52, 1.73) in 2010, has decreased compared to 2019: 1.17 (1.07, 1.32). The incidence and mortality rates of tuberculosis in Iran in all age groups have decreased in 2019 compared to 2010. The highest incidence and mortality among tuberculosis patients were recorded in Sistan and Baluchistan and Golestan provinces. The results indicated that there was a negative and significant correlation between the mortality rate of tuberculosis and the human development index in 2010 (r = -0.509, P-value = 0.003) and 2019 (r = -0.36, P-value = 0.001); however, this correlation between incidence and human development index was not significant (p > 0.05). Conclusion Since mortality is mostly observed in areas with low HDI, health system policymakers must pay more attention to these areas in order to improve care and perform screenings to diagnose and treat patients thus reducing the mortality rate of tuberculosis and preventing an increase in its incidence in Iran. |
| first_indexed | 2024-03-07T14:36:47Z |
| format | Article |
| id | doaj.art-53a60a79dc6d4539ad6b45d7f8d8f11e |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T14:36:47Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-53a60a79dc6d4539ad6b45d7f8d8f11e2024-03-05T20:34:50ZengBMCBMC Public Health1471-24582023-12-0123111210.1186/s12889-023-17114-4Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019Hossien Fallahzadeh0Zaher Khazaei1Moslem Lari Najafi2Sajjad Rahimi Pordanjani3Elham Goodarzi4Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical SciencesCenter for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical SciencesPharmaceutical Sciences and Cosmetic Products Research Center, Kerman University of Medical SciencesSocial Determinants of Health Research Center, Semnan University of Medical SciencesSocial Determinants of Health Research Center, Lorestan University of Medical SciencesAbstract Background Tuberculosis is one of the most serious challenges facing the global healthcare system. This study aims to investigate the incidence and mortality of tuberculosis in Iran from 2010 to 2019 as well as its relationship with the human development index (HDI). Methods The present study is an ecological study aiming at investigating the incidence and mortality of tuberculosis in Iran during the years 2010 to 2019. The related data were extracted from the Global Burden of Disease (GBD) website. The spatial pattern attributed to tuberculosis in the provinces of Iran was analyzed using ArcGIS software. In this study, the two-variable correlation method was used to analyze the data extracted to study the correlation between Tuberculosis and HDI. Result Based on the results recorded in GBD, the incidence of tuberculosis in 2010, that is, 14.61 (12.72, 16.74), declined compared to 2019, namely 12.29 (10.71, 14.09). The age-standardized mortality rate which was 1.63 (1.52, 1.73) in 2010, has decreased compared to 2019: 1.17 (1.07, 1.32). The incidence and mortality rates of tuberculosis in Iran in all age groups have decreased in 2019 compared to 2010. The highest incidence and mortality among tuberculosis patients were recorded in Sistan and Baluchistan and Golestan provinces. The results indicated that there was a negative and significant correlation between the mortality rate of tuberculosis and the human development index in 2010 (r = -0.509, P-value = 0.003) and 2019 (r = -0.36, P-value = 0.001); however, this correlation between incidence and human development index was not significant (p > 0.05). Conclusion Since mortality is mostly observed in areas with low HDI, health system policymakers must pay more attention to these areas in order to improve care and perform screenings to diagnose and treat patients thus reducing the mortality rate of tuberculosis and preventing an increase in its incidence in Iran.https://doi.org/10.1186/s12889-023-17114-4DeathIncidenceTuberculosisHDIIran |
| spellingShingle | Hossien Fallahzadeh Zaher Khazaei Moslem Lari Najafi Sajjad Rahimi Pordanjani Elham Goodarzi Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019 BMC Public Health Death Incidence Tuberculosis HDI Iran |
| title | Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019 |
| title_full | Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019 |
| title_fullStr | Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019 |
| title_full_unstemmed | Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019 |
| title_short | Distribution incidence, mortality of tuberculosis and human development index in Iran: estimates from the global burden of disease study 2019 |
| title_sort | distribution incidence mortality of tuberculosis and human development index in iran estimates from the global burden of disease study 2019 |
| topic | Death Incidence Tuberculosis HDI Iran |
| url | https://doi.org/10.1186/s12889-023-17114-4 |
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