The Trend of Tuberculosis Case Notification Rates from 1995 to 2022 by Country Income and World Health Organization Region.

IF 2.8 4区医学 Q2 INFECTIOUS DISEASES

Tropical Medicine and Infectious Disease Pub Date : 2024-12-02 DOI:10.3390/tropicalmed9120294

Kobto G Koura, Anthony D Harries

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Abstract

Over the past 27 years, three major global TB control strategies have been implemented, and it is important at this stage to evaluate their impact on tuberculosis (TB) case notification rates (CNRs). This study, therefore, analyzed TB CNR trends from 1995 to 2022 across 208 countries and islands, using data from the WHO Global TB Programme database. Countries were classified by income level and population size based on World Bank criteria. The analysis revealed significant disparities in TB CNRs across income groups: Low-income, lower-middle-income, and upper-middle-income countries consistently reported higher CNRs compared to high-income countries. Regional analysis further demonstrated notable variations influenced by both economic and geographical factors. These findings reaffirm the strong link between TB and poverty, underscoring the need for a holistic approach to combat the disease. Efforts must extend beyond enhancing health care access and delivery to addressing the social determinants that drive TB transmission and progression.

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按国家收入和世界卫生组织地区分列的 1995 至 2022 年结核病病例通报率趋势。

在过去27年中，实施了三种主要的全球结核病控制战略，在现阶段评估它们对结核病病例通报率的影响非常重要。因此，本研究使用来自世卫组织全球结核病规划数据库的数据，分析了1995年至2022年在208个国家和岛屿的结核病总发病率趋势。根据世界银行的标准，各国按收入水平和人口规模进行分类。分析显示，不同收入群体的结核病总发病率存在显著差异：低收入、中低收入和中高收入国家报告的总发病率始终高于高收入国家。区域分析进一步显示出受经济和地理因素影响的显著差异。这些发现重申了结核病与贫困之间的紧密联系，强调需要采取整体方法来防治这一疾病。努力的范围必须超越加强卫生保健的可及性和提供，还要解决推动结核病传播和发展的社会决定因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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