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

  • 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
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.

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
Published
2016-11-24
How to Cite
1.
Taylan M, Demir M, Yılmaz S, Kaya H, Sen H, 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: https://doi.org/10.3855/jidc.8101
Section
Original Articles