The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019

Abstract Background Previous studies have shown that the risk of tuberculosis (TB) increases dramatically during adolescence. The objective of this article was to analyze the burdens and trends of TB incidence and mortality rates in Asian adolescents and young adults. Methods Time series ecological...

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Main Authors: Yu Siyu, Li Shihong, Liu Hanzhao, Xu Qiufang, Liu Jingyi, Cai Fengzhu, Xiao Shaotan, He Gengsheng
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-023-01160-w
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author Yu Siyu
Li Shihong
Liu Hanzhao
Xu Qiufang
Liu Jingyi
Cai Fengzhu
Xiao Shaotan
He Gengsheng
author_facet Yu Siyu
Li Shihong
Liu Hanzhao
Xu Qiufang
Liu Jingyi
Cai Fengzhu
Xiao Shaotan
He Gengsheng
author_sort Yu Siyu
collection DOAJ
description Abstract Background Previous studies have shown that the risk of tuberculosis (TB) increases dramatically during adolescence. The objective of this article was to analyze the burdens and trends of TB incidence and mortality rates in Asian adolescents and young adults. Methods Time series ecological study of TB incidence and mortality rates of adolescents and young adults aged 10–24 years from 1990 to 2019, using data extracted from the Global Burden of Disease website for 5 Asian countries. The annual percentage change was calculated by joinpoint regression analysis to estimate the trends in the age-standardized incidence rate (ASIR) and age-standardized death rate (ASDR). Results The highest ASIR per 100,000 person-years in 2019 was in Mongolia [74 (95% uncertainty interval (UI), 51 to 105)], while the lowest was in Japan [4 (95% UI, 2 to 6)]. The highest ASDR per 100,000 person-years was in Mongolia [2 (95% UI, 1 to 3)], while the lowest was in Japan [0.009 (95% UI, 0.008 to 0.010)]. As the absolute number of cases and deaths decreased from 1990 to 2019, the ASIRs and ASDRs in all five countries also decreased. Conclusions Our finding revealed that although all five countries in Asia experienced descending TB incidence and mortality trend in past three decades, the trends were especially significant in developed countries and varied across geographic regions. This study may be crucial in helping policymakers make decisions and allocate appropriate resources to adolescent TB control strategies.
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spelling doaj.art-79c268a7891c45058b528ce5ca3ae7232023-11-26T12:25:02ZengBMCArchives of Public Health2049-32582023-08-018111910.1186/s13690-023-01160-wThe burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019Yu Siyu0Li Shihong1Liu Hanzhao2Xu Qiufang3Liu Jingyi4Cai Fengzhu5Xiao Shaotan6He Gengsheng7School of Public Health/Key Laboratory of Public Health Safety, Ministry of Education, Department of Nutrition and Food Science, Fudan UniversityShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive MedicineShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive MedicineShanghai Qingpu Area Center for Disease Control and PreventionShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive MedicineShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive MedicineShanghai Pudong New Area Center for Disease Control and Prevention, Fudan University Pudong Institute of Preventive MedicineSchool of Public Health/Key Laboratory of Public Health Safety, Ministry of Education, Department of Nutrition and Food Science, Fudan UniversityAbstract Background Previous studies have shown that the risk of tuberculosis (TB) increases dramatically during adolescence. The objective of this article was to analyze the burdens and trends of TB incidence and mortality rates in Asian adolescents and young adults. Methods Time series ecological study of TB incidence and mortality rates of adolescents and young adults aged 10–24 years from 1990 to 2019, using data extracted from the Global Burden of Disease website for 5 Asian countries. The annual percentage change was calculated by joinpoint regression analysis to estimate the trends in the age-standardized incidence rate (ASIR) and age-standardized death rate (ASDR). Results The highest ASIR per 100,000 person-years in 2019 was in Mongolia [74 (95% uncertainty interval (UI), 51 to 105)], while the lowest was in Japan [4 (95% UI, 2 to 6)]. The highest ASDR per 100,000 person-years was in Mongolia [2 (95% UI, 1 to 3)], while the lowest was in Japan [0.009 (95% UI, 0.008 to 0.010)]. As the absolute number of cases and deaths decreased from 1990 to 2019, the ASIRs and ASDRs in all five countries also decreased. Conclusions Our finding revealed that although all five countries in Asia experienced descending TB incidence and mortality trend in past three decades, the trends were especially significant in developed countries and varied across geographic regions. This study may be crucial in helping policymakers make decisions and allocate appropriate resources to adolescent TB control strategies.https://doi.org/10.1186/s13690-023-01160-wTuberculosisIncidenceMortalityTrendsAsia
spellingShingle Yu Siyu
Li Shihong
Liu Hanzhao
Xu Qiufang
Liu Jingyi
Cai Fengzhu
Xiao Shaotan
He Gengsheng
The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019
Archives of Public Health
Tuberculosis
Incidence
Mortality
Trends
Asia
title The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019
title_full The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019
title_fullStr The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019
title_full_unstemmed The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019
title_short The burden of tuberculosis among adolescents and young adults in five Asian countries from 1990 to 2019
title_sort burden of tuberculosis among adolescents and young adults in five asian countries from 1990 to 2019
topic Tuberculosis
Incidence
Mortality
Trends
Asia
url https://doi.org/10.1186/s13690-023-01160-w
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