The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11

Background Epidemiological information on tuberculosis (TB) is required to plan control and prevention strategies and to inform service delivery systems. The aim of present study was to determine the epidemiological status of TB in Hamadan Province covering a seven-year period. Methods In...

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Main Authors: Salman Khazaei, Ghodratollah Roshanaei, Mohammad Saatchi, Shahab Rezaeian, Ali Zahiri, Seyyed Jalal Bathaei
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2014-02-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/pdf_2822_d36b4bfd0850eaa47bd62469062859dc.html
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spelling doaj-694f97a2f74c45238bd327950f8382242020-11-25T01:03:26ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392014-02-0122758010.15171/ijhpm.2014.18The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11Salman Khazaei0Ghodratollah Roshanaei1Mohammad Saatchi2Shahab Rezaeian3Ali Zahiri4Seyyed Jalal Bathaei5Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, IranCenter for Disease Control & Prevention, Deputy of Health Services, Hamadan University of Medical Sciences, Hamadan, IranCenter for Disease Control & Prevention, Deputy of Health Services, Hamadan University of Medical Sciences, Hamadan, IranBackground Epidemiological information on tuberculosis (TB) is required to plan control and prevention strategies and to inform service delivery systems. The aim of present study was to determine the epidemiological status of TB in Hamadan Province covering a seven-year period. Methods In this cross-sectional study all registered TB patients suffering from any form of smear-positive, smear-negative or extra pulmonary from 2005 to 2011 were assessed. Age-adjusted incidence trend was studied. The Cochran-Armitage (C-A) test was used for testing the trends over time. Results The mean age of TB patients was 57.0 (±21.1), 49.9% were males, 52.8% were aged 61 years or older and 39.7% were rural residents. Previous history of jailed was present in 13 (2.2%) patients and 12 (2.0%) were HIV positive. From all TB patients, 60.8% were smear-positive, 87.6% were new cases, and 87.3% of smear-positive patients were cured cases. Also, 23.6% patients had history of hospitalization for TB. More than half (55.4%) of TB patients were reported by public health system. Age-adjusted incidence rates of all TB cases during 2005–11 was 3.4, 3.2, 3.6, 4.7, 3.3, 4.4 and 7.3 in 100,000 respectively (C-A trend test, P< 0.001). Conclusion Although, the incidence rate of TB in Hamadan Province is lower than country’s average, increasing trend of TB incidence is not concordant with its decreasing trend in Iran. An epidemiological study is required to evaluate risk factors associated with TB to identify ways to decrease the prevalence of TB.http://www.ijhpm.com/pdf_2822_d36b4bfd0850eaa47bd62469062859dc.htmlTuberculosis (TB)IncidenceEpidemiologyIran
collection DOAJ
language English
format Article
sources DOAJ
author Salman Khazaei
Ghodratollah Roshanaei
Mohammad Saatchi
Shahab Rezaeian
Ali Zahiri
Seyyed Jalal Bathaei
spellingShingle Salman Khazaei
Ghodratollah Roshanaei
Mohammad Saatchi
Shahab Rezaeian
Ali Zahiri
Seyyed Jalal Bathaei
The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
International Journal of Health Policy and Management
Tuberculosis (TB)
Incidence
Epidemiology
Iran
author_facet Salman Khazaei
Ghodratollah Roshanaei
Mohammad Saatchi
Shahab Rezaeian
Ali Zahiri
Seyyed Jalal Bathaei
author_sort Salman Khazaei
title The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
title_short The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
title_full The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
title_fullStr The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
title_full_unstemmed The Epidemiological Aspects of Tuberculosis in Hamadan Province during 2005–11
title_sort epidemiological aspects of tuberculosis in hamadan province during 2005–11
publisher Kerman University of Medical Sciences
series International Journal of Health Policy and Management
issn 2322-5939
2322-5939
publishDate 2014-02-01
description Background Epidemiological information on tuberculosis (TB) is required to plan control and prevention strategies and to inform service delivery systems. The aim of present study was to determine the epidemiological status of TB in Hamadan Province covering a seven-year period. Methods In this cross-sectional study all registered TB patients suffering from any form of smear-positive, smear-negative or extra pulmonary from 2005 to 2011 were assessed. Age-adjusted incidence trend was studied. The Cochran-Armitage (C-A) test was used for testing the trends over time. Results The mean age of TB patients was 57.0 (±21.1), 49.9% were males, 52.8% were aged 61 years or older and 39.7% were rural residents. Previous history of jailed was present in 13 (2.2%) patients and 12 (2.0%) were HIV positive. From all TB patients, 60.8% were smear-positive, 87.6% were new cases, and 87.3% of smear-positive patients were cured cases. Also, 23.6% patients had history of hospitalization for TB. More than half (55.4%) of TB patients were reported by public health system. Age-adjusted incidence rates of all TB cases during 2005–11 was 3.4, 3.2, 3.6, 4.7, 3.3, 4.4 and 7.3 in 100,000 respectively (C-A trend test, P< 0.001). Conclusion Although, the incidence rate of TB in Hamadan Province is lower than country’s average, increasing trend of TB incidence is not concordant with its decreasing trend in Iran. An epidemiological study is required to evaluate risk factors associated with TB to identify ways to decrease the prevalence of TB.
topic Tuberculosis (TB)
Incidence
Epidemiology
Iran
url http://www.ijhpm.com/pdf_2822_d36b4bfd0850eaa47bd62469062859dc.html
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