Disease burden of tuberculosis in China and three South Asia countries along the Belt and Road, 1990-2019

ZHAO Fei; PEI Hang; YAO Yuan-yuan; LIU Xing-rong

doi:10.16462/j.cnki.zhjbkz.2023.02.008

Volume 27 Issue 2

Feb. 2023

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ZHAO Fei, PEI Hang, YAO Yuan-yuan, LIU Xing-rong. Disease burden of tuberculosis in China and three South Asia countries along the Belt and Road, 1990-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(2): 169-175. doi: 10.16462/j.cnki.zhjbkz.2023.02.008

Citation:

ZHAO Fei, PEI Hang, YAO Yuan-yuan, LIU Xing-rong. Disease burden of tuberculosis in China and three South Asia countries along the Belt and Road, 1990-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(2): 169-175. doi: 10.16462/j.cnki.zhjbkz.2023.02.008

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Disease burden of tuberculosis in China and three South Asia countries along the Belt and Road, 1990-2019

doi: 10.16462/j.cnki.zhjbkz.2023.02.008

School of Public Health, Lanzhou University, Lanzhou 730000, China

Funds:

Social Science Planning Major Project of Gansu Province 20ZD017

Special Foundation of "The Belt and Road" of Lanzhou University 2018

More Information

Corresponding author: LIU Xing-rong, E-mail: liuxr@lzu.edu.cn
Received Date: 2022-05-06
Rev Recd Date: 2022-07-29

Available Online: 2023-02-20

Publish Date: 2023-02-10

Abstract

Abstract

Objective The study aiming at analyzing the disease burden of tuberculosis in China, Bangladesh, India and Pakistan along the "Belt and Road" from 1990 to 2019, and to provide scientific evidence for tuberculosis prevention and control and international cooperation in the field of tuberculosis in China and other countries along the "Belt and Road". Methods Based on data from the Global Burden of Disease Study 2019 (GBD 2019), we used the incidence rate, the mortality rate and the disability-adjusted life years (DALYs) to describe the disease burden of tuberculosis from 1990 to 2019. And we applied the average annual percent change (AAPC) to analyze the trend of disease burden in tuberculosis. Results From 1990 to 2019, the age-standardized incidence rate (ASIR), the age-standardized mortality rate (ASMR) and the age-standardized DALY rate (ASDR) of tuberculosis in four countries decreased between 42.85% and 90.23%. The AAPC ranged from -7.77% to -1.90% and the trend was statistically significant (all P < 0.05). In 2019, Pakistan had the highest ASIR, ASMR and ASDR of tuberculosis among the four countries. Except in Pakistan, the ASIR, ASMR and ASDR of tuberculosis in males were higher than those in females. The incidence, mortality and DALY rates of tuberculosis increased with age in the four countries. Conclusions Although the disease burden of tuberculosis in the four countries showed an overall downward trend from 1990 to 2019, it was still far from the target of WHO strategy to stop tuberculosis. The ASIR of tuberculosis in the three South Asian countries, such as India, is generally higher than that in China; Therefore, tuberculosis prevention and control should be considered as a priority area of international health cooperation in the construction of the "Belt and Road".
- Tuberculosis,
- Burden of disease,
- "Belt and Road"

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References(31)

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