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Measuring socio-economic data in tuberculosis prevalence surveys
F van Leth1, R S Guilatco2, S Hossain3
1KNCV Tuberculosis Foundation, The Hague, The Netherlands; and Center for Poverty-Related Communicable Diseases, Amsterdam Institute for Global Health and Development, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Measuring social determinants like wealth is crucial for understanding tuberculosis (TB) prevalence. An assets score offers a feasible method to assess socio-economic factors linked to TB risk and disease in high-burden countries.
Area of Science:
- Epidemiology
- Public Health
- Social Medicine
Background:
- Tuberculosis (TB) incidence remains high globally despite effective control strategies.
- Addressing social determinants is critical for improving TB control outcomes.
- World Health Organization (WHO) initiatives include population-based TB prevalence surveys in high-burden countries.
Purpose of the Study:
- To describe methods for measuring socio-economic position within TB prevalence surveys.
- To highlight the utility of an assets score for assessing socio-economic determinants of TB.
- To provide examples of assets score application in recent TB prevalence surveys.
Main Methods:
- Indirect measurement of socio-economic position using an assets score.
- Utilizing data from active screening in random population samples.
- Analyzing the construction and application of assets scores in prevalence surveys.
Main Results:
- An assets score is identified as the most feasible method for measuring socio-economic position in TB prevalence surveys.
- Examples demonstrate the practical use and analysis of assets scores.
- The surveys provide valuable data on socio-economic determinants and TB risk factors.
Conclusions:
- Measuring socio-economic position via an assets score is essential for understanding TB prevalence.
- Assets scores facilitate the assessment of socio-economic factors influencing TB.
- This approach supports targeted interventions in high-burden settings.
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