Journal article
The burden of tuberculosis in Ho Chi Minh City, Vietnam: a spatial analysis of drug-susceptible and multi-drug resistant cases between 2020 and 2023
- Abstract:
- We characterised the spatial distribution of drug-susceptible (DS) and multi-drug resistant (MDR) tuberculosis (TB) cases in Ho Chi Minh City (HCMC), a major South-East Asian metropolis, and explored demographic and socioeconomic factors associated with local TB burden. Hot spots of DS- and MDR-TB incidence were observed in the central parts of HCMC, with substantial heterogeneity observed across wards. Positive spatial autocorrelation was observed for both DS- and MDR-TB. Ward-level TB incidence was associated with HIV prevalence (incidence rate ratio [IRR] 1.77, 95% CI 1.54-2.03) and the male proportion of the population (IRR 1.05, 95% CI 1.02-1.08). No ward-level demographic and socioeconomic indicators were associated with MDR-TB case count relative to total TB case count. Our findings may inform spatially-targeted TB control strategies and provide insights for generating hypotheses about the nature of the relationship between DS- and MDR-TB in HCMC, Vietnam and the wider South-East Asia region.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
-
-
(Preview, Accepted manuscript, pdf, 135.3KB, Terms of use)
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- Publisher copy:
- 10.3201/eid3003.231309
Authors
- Publisher:
- Centers for Disease Control and Prevention
- Journal:
- Emerging Infectious Diseases More from this journal
- Volume:
- 30
- Issue:
- 3
- Pages:
- 499-509
- Publication date:
- 2024-02-23
- Acceptance date:
- 2023-12-07
- DOI:
- EISSN:
-
1080-6059
- ISSN:
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1080-6040
- Language:
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English
- Keywords:
- Pubs id:
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1580090
- Local pid:
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pubs:1580090
- Deposit date:
-
2023-12-11
Terms of use
- Copyright date:
- 2024
- Notes:
- For the purpose of open access, the author has applied a CC BY public copyright licence to any Author Accepted Manuscript version arising from this submission. This is the accepted manuscript version of the article. The final version is available online from Centers for Disease Control and Prevention at: https://doi.org/10.3201/eid3003.231309
- Licence:
- CC Attribution (CC BY)
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