Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020
BackgroundPulmonary tuberculosis (PTB) is a serious chronic communicable disease that causes a significant disease burden in China; however, few studies have described its spatial epidemiological features in students.MethodsData of all notified PTB cases from 2007 to 2020 in the student population w...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-02-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1114248/full |
| _version_ | 1811168213430435840 |
|---|---|
| author | Mengdie Zhang Songhua Chen Dan Luo Bin Chen Bin Chen Yu Zhang Wei Wang Qian Wu Kui Liu Kui Liu Hongmei Wang Jianmin Jiang Jianmin Jiang |
| author_facet | Mengdie Zhang Songhua Chen Dan Luo Bin Chen Bin Chen Yu Zhang Wei Wang Qian Wu Kui Liu Kui Liu Hongmei Wang Jianmin Jiang Jianmin Jiang |
| author_sort | Mengdie Zhang |
| collection | DOAJ |
| description | BackgroundPulmonary tuberculosis (PTB) is a serious chronic communicable disease that causes a significant disease burden in China; however, few studies have described its spatial epidemiological features in students.MethodsData of all notified PTB cases from 2007 to 2020 in the student population were collected in the Zhejiang Province, China using the available TB Management Information System. Analyses including time trend, spatial autocorrelation, and spatial–temporal analysis were performed to identify temporal trends, hotspots, and clustering, respectively.ResultsA total of 17,500 PTB cases were identified among students in the Zhejiang Province during the study period, accounting for 3.75% of all notified PTB cases. The health-seeking delay rate was 45.32%. There was a decreasing trend in PTB notifications throughout the period; clustering of cases was seen in the western area of Zhejiang Province. Additionally, one most likely cluster along with three secondary clusters were identified by spatial–temporal analysis.ConclusionAlthough was a downward trend in PTB notifications among students during the time period, an upward trend was seen in bacteriologically confirmed cases since 2017. The risk of PTB was higher among senior high school and above than of junior high school. The western area of Zhejiang Province was the highest PTB risk settings for students, and more comprehensive interventions should be strengthened such as admission screening and routine health monitoring to improve early identification of PTB. |
| first_indexed | 2024-04-10T16:23:29Z |
| format | Article |
| id | doaj.art-5a435eb43e5441d79bdcc3f37e7812d8 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T16:23:29Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-5a435eb43e5441d79bdcc3f37e7812d82023-02-09T10:08:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.11142481114248Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020Mengdie Zhang0Songhua Chen1Dan Luo2Bin Chen3Bin Chen4Yu Zhang5Wei Wang6Qian Wu7Kui Liu8Kui Liu9Hongmei Wang10Jianmin Jiang11Jianmin Jiang12Department of Social Medicine of School of Public Health and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Public Health, Hangzhou Medical College, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaKey Laboratory of Vaccine, Prevention and Control of Infectious Disease of Zhejiang Province, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaKey Laboratory of Vaccine, Prevention and Control of Infectious Disease of Zhejiang Province, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaDepartment of Social Medicine of School of Public Health and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaKey Laboratory of Vaccine, Prevention and Control of Infectious Disease of Zhejiang Province, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, ChinaBackgroundPulmonary tuberculosis (PTB) is a serious chronic communicable disease that causes a significant disease burden in China; however, few studies have described its spatial epidemiological features in students.MethodsData of all notified PTB cases from 2007 to 2020 in the student population were collected in the Zhejiang Province, China using the available TB Management Information System. Analyses including time trend, spatial autocorrelation, and spatial–temporal analysis were performed to identify temporal trends, hotspots, and clustering, respectively.ResultsA total of 17,500 PTB cases were identified among students in the Zhejiang Province during the study period, accounting for 3.75% of all notified PTB cases. The health-seeking delay rate was 45.32%. There was a decreasing trend in PTB notifications throughout the period; clustering of cases was seen in the western area of Zhejiang Province. Additionally, one most likely cluster along with three secondary clusters were identified by spatial–temporal analysis.ConclusionAlthough was a downward trend in PTB notifications among students during the time period, an upward trend was seen in bacteriologically confirmed cases since 2017. The risk of PTB was higher among senior high school and above than of junior high school. The western area of Zhejiang Province was the highest PTB risk settings for students, and more comprehensive interventions should be strengthened such as admission screening and routine health monitoring to improve early identification of PTB.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1114248/fullpulmonary tuberculosisspatial–temporalJoinpoint regressionstudentepidemiology |
| spellingShingle | Mengdie Zhang Songhua Chen Dan Luo Bin Chen Bin Chen Yu Zhang Wei Wang Qian Wu Kui Liu Kui Liu Hongmei Wang Jianmin Jiang Jianmin Jiang Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020 Frontiers in Public Health pulmonary tuberculosis spatial–temporal Joinpoint regression student epidemiology |
| title | Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020 |
| title_full | Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020 |
| title_fullStr | Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020 |
| title_full_unstemmed | Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020 |
| title_short | Spatial–temporal analysis of pulmonary tuberculosis among students in the Zhejiang Province of China from 2007–2020 |
| title_sort | spatial temporal analysis of pulmonary tuberculosis among students in the zhejiang province of china from 2007 2020 |
| topic | pulmonary tuberculosis spatial–temporal Joinpoint regression student epidemiology |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1114248/full |
| work_keys_str_mv | AT mengdiezhang spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT songhuachen spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT danluo spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT binchen spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT binchen spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT yuzhang spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT weiwang spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT qianwu spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT kuiliu spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT kuiliu spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT hongmeiwang spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT jianminjiang spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 AT jianminjiang spatialtemporalanalysisofpulmonarytuberculosisamongstudentsinthezhejiangprovinceofchinafrom20072020 |