Incidence of tuberculosis in the city of Cordoba and its relationship with areas in need of social transformation: a study from 2015 to 2021.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Central European journal of public health Pub Date : 2025-06-01 DOI:10.21101/cejph.a8452

Emilia García Rivera, Carmen Aguilar Romero, Rafael Ruiz Montero, Juan José López Moyano, Mohamed Farouk Allam, Álvaro Serrano Ortiz, Inmaculada Salcedo Leal

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引用次数: 0

Abstract

Objectives: In 2022, about 17% of Andalusian population lived in disadvantaged areas, which accounted for 21% of tuberculosis (TB) cases. This concentration of cases resulted in TB rates in these areas being higher than both the regional and national averages. The aim of the present study was to understand the behaviour of TB in terms of person, time, and place in the city of Cordoba during the period 2015-2021 and its association with areas in need of social transformation (ANST).

Methods: A retrospective observational analytical study was conducted on cases reported to the Andalusian Epidemiological Surveillance System (Spanish acronym SVEA). Membership in ANST was determined by the SVEA.

Results: A total of 136 cases were reported, with 26.5% in ANST. The incidence rate (IR) in the city was 5.97 cases per 100,000 population per year, higher in ANST (11.82) compared to non-ANST (5.06), RR = 2.34 (95% CI: 1.60-3.42). In 2020, fewer cases were reported (IR: 3.99). The mean age was 44.82 years, lower in ANST (38.08) than in non-ANST (47.25), with a p-value < 0.05. Hospitalizations were more frequent in ANST (78% vs. 68%, p = 0.3). In ANST, the IR was highest in men over 60 years old and lowest in women of the same age. No significant difference was found between the groups regarding risk factors, except for HIV status (p = 0.02).

Conclusions: TB incidence rates in Andalusia vary by area of residence. To make better public health decisions, it is crucial to enhance the collection of socio-demographic and clinical data related to these cases.

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科尔多瓦市结核病发病率及其与需要社会转型地区的关系：2015年至2021年的研究

目标：2022年，约17%的安达卢西亚人口生活在弱势地区，占结核病病例的21%。这种病例集中导致这些地区的结核病发病率高于区域和全国平均水平。本研究的目的是了解2015-2021年期间科尔多瓦市结核病在人、时间和地点方面的行为及其与需要社会转型的地区（ANST）的关系。方法：对安达卢西亚流行病学监测系统（西班牙语缩写SVEA）报告的病例进行回顾性观察分析研究。ANST的成员资格由SVEA决定。结果：共报告136例，其中ANST占26.5%。该市每年的发病率（IR）为每10万人5.97例，ANST组（11.82例）高于非ANST组（5.06例），RR = 2.34 （95% CI: 1.60-3.42）。2020年报告的病例较少（IR: 3.99）。平均年龄为44.82岁，ANST组38.08岁低于非ANST组47.25岁，p值< 0.05。ANST组的住院率更高（78%对68%，p = 0.3）。在ANST中，60岁以上的男性IR最高，而同年龄的女性IR最低。除了艾滋病毒感染状况外，各组之间的危险因素无显著差异（p = 0.02）。结论：安达卢西亚地区结核病发病率因居住地区而异。为了做出更好的公共卫生决策，加强收集与这些病例有关的社会人口和临床数据至关重要。

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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来源期刊

Central European journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： The Journal publishes original articles on disease prevention and health protection, environmental impacts on health, the role of nutrition in health promotion, results of population health studies and critiques of specific health issues including intervention measures such as vaccination and its effectiveness. The review articles are targeted at providing up-to-date information in the sphere of public health. The Journal is geographically targeted at the European region but will accept specialised articles from foreign sources that contribute to public health issues also applicable to the European cultural milieu.