Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019

Introduction: Although the incidence rates of tuberculosis (TB) are declining, Turkey continues to be a high-priority country in Europe. We analyzed the trend in TB notification rates in Turkey between 2005 and 2019. Materials and Methods: In this ecological study we obtained surveillance data and...

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Main Authors: Pınar KIRAN, Ahmet Naci EMECEN, Derya ÇAĞLAYAN
Format: Article
Language:Turkish
Published: Galenos Yayinevi 2023-11-01
Series:Mediterranean Journal of Infection, Microbes and Antimicrobials
Subjects:
Online Access:https://mjima.org/text.php?&id=392
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author Pınar KIRAN
Ahmet Naci EMECEN
Derya ÇAĞLAYAN
author_facet Pınar KIRAN
Ahmet Naci EMECEN
Derya ÇAĞLAYAN
author_sort Pınar KIRAN
collection DOAJ
description Introduction: Although the incidence rates of tuberculosis (TB) are declining, Turkey continues to be a high-priority country in Europe. We analyzed the trend in TB notification rates in Turkey between 2005 and 2019. Materials and Methods: In this ecological study we obtained surveillance data and mid-year population estimates from the annual reports of the Turkish General Directorate of Public Health’s Tuberculosis Department and Turkish Statistics Institute between 2005 and 2019. To evaluate the trends in TB rates, calculate the annual percent changes (APCs) for successive periods, and calculate the average APCs (AAPCs) for the entire period, piecewise log-linear Poisson regression models were used. Results: The TB incidence decreased significantly from 2005 to 2019 in Turkey, with an AAPC of -5.7% [95% confidence interval (CI) -5.83%-(-5.61%)]. However, the TB notification rates in foreign-born individuals increased (AAPC: 23.5%; 95% CI: 22.6-24.5) during the same period. An increasing trend in TB notification rates was observed in the 0-4 years age group after 2013, with an APC of 5.6% (95% CI: 0.9-10.5). Conclusion: TB remains an important health concern in Turkey. Healthcare executives and decision-makers should take necessary precautions to reduce the TB burden among foreign-born individuals and those aged 0-4 years.
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spelling doaj.art-f4d0baad93c74d0ca84fd2ff087f8e5e2023-11-29T06:47:04ZturGalenos YayineviMediterranean Journal of Infection, Microbes and Antimicrobials2147-673X2023-11-0112110.4274/mjima.galenos.2023.2023.26Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019Pınar KIRAN0https://orcid.org/0000-0003-4247-4098Ahmet Naci EMECEN1https://orcid.org/0000-0003-3995-0591Derya ÇAĞLAYAN2https://orcid.org/0000-0002-7330-5978Dokuz Eylül University Faculty of Medicine, Department of Public Health, Division of Epidemiology, İzmir, TurkeyDokuz Eylül University Faculty of Medicine, Department of Public Health, Division of Epidemiology, İzmir, TurkeyDokuz Eylül University Faculty of Medicine, Department of Public Health, Division of Epidemiology, İzmir, TurkeyIntroduction: Although the incidence rates of tuberculosis (TB) are declining, Turkey continues to be a high-priority country in Europe. We analyzed the trend in TB notification rates in Turkey between 2005 and 2019. Materials and Methods: In this ecological study we obtained surveillance data and mid-year population estimates from the annual reports of the Turkish General Directorate of Public Health’s Tuberculosis Department and Turkish Statistics Institute between 2005 and 2019. To evaluate the trends in TB rates, calculate the annual percent changes (APCs) for successive periods, and calculate the average APCs (AAPCs) for the entire period, piecewise log-linear Poisson regression models were used. Results: The TB incidence decreased significantly from 2005 to 2019 in Turkey, with an AAPC of -5.7% [95% confidence interval (CI) -5.83%-(-5.61%)]. However, the TB notification rates in foreign-born individuals increased (AAPC: 23.5%; 95% CI: 22.6-24.5) during the same period. An increasing trend in TB notification rates was observed in the 0-4 years age group after 2013, with an APC of 5.6% (95% CI: 0.9-10.5). Conclusion: TB remains an important health concern in Turkey. Healthcare executives and decision-makers should take necessary precautions to reduce the TB burden among foreign-born individuals and those aged 0-4 years.https://mjima.org/text.php?&id=392tuberculosisincidenceepidemiologyregression analysis
spellingShingle Pınar KIRAN
Ahmet Naci EMECEN
Derya ÇAĞLAYAN
Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019
Mediterranean Journal of Infection, Microbes and Antimicrobials
tuberculosis
incidence
epidemiology
regression analysis
title Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019
title_full Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019
title_fullStr Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019
title_full_unstemmed Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019
title_short Temporal Trend Analysis of Tuberculosis in Turkey Between 2005 and 2019
title_sort temporal trend analysis of tuberculosis in turkey between 2005 and 2019
topic tuberculosis
incidence
epidemiology
regression analysis
url https://mjima.org/text.php?&id=392
work_keys_str_mv AT pınarkiran temporaltrendanalysisoftuberculosisinturkeybetween2005and2019
AT ahmetnaciemecen temporaltrendanalysisoftuberculosisinturkeybetween2005and2019
AT deryacaglayan temporaltrendanalysisoftuberculosisinturkeybetween2005and2019