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Analysis of Tuberculosis Epidemiological Distribution Characteristics in Fujian Province, China, 2005-2021:
Shanshan Yu1,2, Meirong Zhan3, Kangguo Li1,2
1State Key Laboratory of Vaccines for Infectious Diseases, Xiangan Biomedicine Laboratory, School of Public Health, Xiamen University, No 4221-117, Xiang'an South Road, Xiang'an District, Xiamen City, 361101, China, 86 13661934715.
JMIR Public Health and Surveillance
|November 18, 2024
Summary
Tuberculosis incidence declined in Fujian Province, with cases concentrated in older males, farmers, and southeastern areas. Targeted interventions are crucial for effective tuberculosis control.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Analysis
Background:
- Tuberculosis (TB) is a persistent global health threat.
- Understanding TB epidemiological distribution is vital for targeted control strategies.
- Fine-level temporal and spatial trends of pulmonary TB (PTB) in Fujian Province were previously unclear.
Purpose of the Study:
- To analyze the distribution characteristics of TB in Fujian Province.
- To explore the prevalence of TB across different demographics and regions.
- To provide a scientific basis for enhancing TB control efforts in Fujian, China.
Main Methods:
- Collected prefectural and county-level PTB case data (2005-2021).
- Employed joinpoint regression for temporal pattern analysis.
- Utilized spatial clustering and autocorrelation for geographical distribution assessment.
- Conducted descriptive analysis for demographic characteristics.
Main Results:
- Overall TB incidence showed a downward trend (32,728 cases in 2005 to 15,155 in 2021).
- Cases predominantly affected middle-aged and older males (42.6%), farmers (47.1%), and were often etiologically positive (45.3%).
- Significant spatial clustering observed in southeastern Fujian cities, with high local aggregation.
Conclusions:
- Annual TB incidence decreased in Fujian Province.
- Key affected demographics include males, older adults, and farmers.
- Higher incidence in economically developed southeastern cities necessitates strengthened control measures, including early screening and case management.
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