Effect of human development index parameters on tuberculosis incidence in Turkish provinces

Authors

  • Mahsuk Taylan Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Melike Demir Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Sureyya Yılmaz Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Halide Kaya Şevket Yılmaz Training and Research Hospital, Bursa, Turkey
  • Hadice Selimoglu Sen Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Menduh Oruc Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Mustafa Icer Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Ercan Gunduz Faculty of Medicine, Dicle University, Diyarbakir, Turkey
  • Cengizhan Sezgi Faculty of Medicine, Dicle University, Diyarbakir, Turkey

DOI:

https://doi.org/10.3855/jidc.8101

Keywords:

surveillance, tuberculosis incidence, human development index

Abstract

Introduction: A country’s development level is measured with a quantitative parameter called the human development index (HDI). The present study researched the effects of HDI parameters (such as healthcare standards, income, and education level) on the incidence of tuberculosis.

Methodology: HDI data of 36 provinces of Turkey and the tuberculosis surveillance data were obtained from the Ministry of Development and the Ministry of Health, respectively. The associations between the incidence of tuberculosis and other HDI parameters were analyzed.

Results: Higher population density (n/km2) (CI = 0.05 to 0.40) and higher relapse rate of tuberculosis (CI = 0.36 to 1.48) were identified to be independent predicting factors that increased the incidence of tuberculosis, whereas higher gross national product (CI = -0.06 to 0.00), the population that holds a green Medicare card (CI=-0.58 to -0.04), increased general practitioners per 100,000 people (CI=-0.66 to -0.01), female population (CI = -0.70 to -0.06), married population (CI = -1.34 to -0.03), were found to be significant negative predicting factors that were relevant to the incidence (protective against tuberculosis).

Conclusions: Tuberculosis is a disease that is affected by multiple factors, including the components of HDI. Improvement of income level, facilitation of access to health services via health insurance, urbanization with lower population density strategy, and provision of enough general practitioners may be useful in reducing the incidence of TB' in provinces of developing countries such as Turkey.

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Author Biographies

Mahsuk Taylan, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Pulmonology Department

Melike Demir, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Pulmonology Department

Sureyya Yılmaz, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Pulmonology Department

Halide Kaya, Şevket Yılmaz Training and Research Hospital, Bursa, Turkey

Pulmonology Department

Hadice Selimoglu Sen, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Pulmonology Department

Menduh Oruc, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Department of Chest Surgery

Mustafa Icer, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Emergency Department

Ercan Gunduz, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Emergency Department

Cengizhan Sezgi, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Pulmonology Department

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Published

2016-11-24

How to Cite

1.
Taylan M, Demir M, Yılmaz S, Kaya H, Sen HS, Oruc M, Icer M, Gunduz E, Sezgi C (2016) Effect of human development index parameters on tuberculosis incidence in Turkish provinces. J Infect Dev Ctries 10:1183–1190. doi: 10.3855/jidc.8101

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Section

Original Articles