Sub-district level correlation between tuberculosis notifications and socio-demographic factors in Dhaka City corporation, Bangladesh. (2nd September 2021)

• Record Type: Journal Article
• Authors: Jo, Youngji; Baik, Yeonsoo; Shrestha, Sourya; Pennington, Jeffrey; Gomes, Isabella; Reja, Mehdi; Islam, Shamiul; Roy, Tapash; Hussain, Hamidah; Dowdy, David
• Is Part Of: Epidemiology and infection. Volume 149(2021)
• Publication Date: 2021-09-02
• Subjects: Dhaka -- gravity model -- sociodemographic risk factors -- spatial analysis -- tuberculosis; Communicable diseases -- Periodicals; Epidemiology -- Periodicals; 614.4
• DOI: 10.1017/S0950268821001679
• Languages: English
• ISSNs: 0950-2688

Abstract

Abstract: We developed a novel method to align two data sources (TB notifications and the Demographic Health Survey, DHS) captured at different geographic scales. We used this method to identify sociodemographic indicators – specifically population density – that were ecologically correlated with elevated TB notification rates across wards (~100 000 people) in Dhaka, Bangladesh. We found population density was the variable most closely correlated with ward-level TB notification rates (Spearman's rank correlation 0.45). Our approach can be useful, as publicly available data (e.g. DHS data) could help identify factors that are ecologically associated with disease burden when more granular data (e.g. ward-level TB notifications) are not available. Use of this approach might help in designing spatially targeted interventions for TB and other diseases in settings of weak existing data on disease burden at the subdistrict level.