Analysis of the epidemiological characteristics and influencing factors of tuberculosis among students in a large province of China, 2008-2018

Yu Shanshan, Pan Yan, Chen Qiuping, Liu Qiao, Wang Jing, Rui Jia, Guo Yichao, Gavotte Laurent, Zhao Qinglong, Frutos Roger, Xu Mingshu, Pu Dan, Chen Tianmu. 2024. Analysis of the epidemiological characteristics and influencing factors of tuberculosis among students in a large province of China, 2008-2018. Scientific Reports, 14:20472, 13 p.

Résumé : This study examines tuberculosis (TB) incidence among students in Jilin Province, China, focusing on spatial, temporal, and demographic dynamics in areas of social inequality. Variation in incidence rate of TB was analyzed using the joinpoint regression method. Spatial analyses techniques included the global and local Moran indices and Getis-Ord Gi* analysis. Demographic changes in new cases were analyzed descriptively, and the Geodetector method measured the influence of risk factors on student TB incidence. The analysis revealed a declining trend in TB cases, particularly among male students. TB incidence showed geographical heterogeneity, with lower rates in underdeveloped rural areas compared to urban regions. Significant spatial correlations were observed, with high-high clusters forming in central Jilin Province. Hotspots of student TB transmission were primarily concentrated in the southwestern and central regions from 2008 to 2018. Socio-economic factors exhibited nonlinear enhancement effects on incidence rates, with a dominant bifactor effect. High-risk zones were predominantly located in urban centers, with university and high school students showing higher incidences than other educational stages. The study revealed economic determinants as being especially important in affecting TB incidence among students, with these factors having nonlinear interacting effects on student TB incidence.

Mots-clés Agrovoc : épidémiologie, tuberculose, distribution géographique, surveillance épidémiologique, facteur de risque, distribution spatiale, analyse spatiale, zone urbaine, méthode statistique, analyse économique, facteur du milieu, contrôle de maladies, méthodologie

Mots-clés géographiques Agrovoc : Chine, Jilin

Mots-clés libres : Tuberculosis, Modeling, Epidemiological characteristics, China, Influencing factors, Students, Education stages

Classification Agris : S50 - Santé humaine

Champ stratégique Cirad : CTS 4 (2019-) - Santé des plantes, des animaux et des écosystèmes

Agences de financement hors UE : Guangzhou Laboratory

Auteurs et affiliations

• Yu Shanshan, Xiamen University (CHN)
• Pan Yan, Jilin Scientific Research Institute of Tuberculosis Control (CHN)
• Chen Qiuping, Xiamen University (CHN)
• Liu Qiao, Xiamen University (CHN)
• Wang Jing, Xiamen University (CHN)
• Rui Jia, Xiamen University (CHN)
• Guo Yichao, Xiamen University (CHN)
• Gavotte Laurent, Université de Montpellier (FRA)
• Zhao Qinglong, Jilin Provincial Center for Disease Control and Prevention (CHN)
• Frutos Roger, CIRAD-BIOS-UMR INTERTRYP (FRA)
• Xu Mingshu, Shangrao Centre for Disease Control and Prevention (CHN)
• Pu Dan, Jilin Provincial Center for Disease Control and Prevention (CHN) - auteur correspondant
• Chen Tianmu, Xiamen University (CHN) - auteur correspondant

Source : Cirad-Agritrop (https://agritrop.cirad.fr/612135/)

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