Spatial distribution and determinants of tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Cuboia, Nelson; Reis-Pardal, Joana; Pfumo-Cuboia, Isabel; Manhiça, Ivan; Mutaquiha, Cláudia; Nitrogénio, Luis; Zindoga, Pereira; Azevedo, Luís

doi:10.1016/j.sste.2023.100632

Spatial and Spatio-temporal Epidemiology

2024

DOI: 10.1016/j.sste.2023.100632

|View full text |Cite

Spatial distribution and determinants of tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Nelson Cuboia,

Joana Reis-Pardal,

Isabel Pfumo-Cuboia

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Spatial distribution and predictors of drug‐resistant tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Cuboia,

Mutaquiha,

Manhiça

et al. 2024

Tropical Med Int Health

View full text Add to dashboard Cite

IntroductionMozambique is among the highest‐burden countries for drug‐resistant tuberculosis in the world. However, the spatial distribution of drug‐resistant tuberculosis, in the country is unknown. Therefore, we aimed to analyse the spatial distribution, predictors, and hotspot districts for drug‐resistant tuberculosis incidence in Mozambique.MethodWe carried out an ecological study using the district as the unit of analysis where we included all cases of drug‐resistant tuberculosis diagnosed in Mozambique from 2016 to 2020. We obtained the data from the Minister of Health and other open sources. Parameters of interest were estimated through a spatial Bayesian Poisson regression model using Markov Chain Monte Carlo simulation.ResultsA total of 5092 people with drug‐resistant tuberculosis in Mozambique were diagnosed during our study period. We found heterogeneity in the spatial distribution of drug‐resistant tuberculosis incidence across the country. Higher incidence rates were mainly observed in the south and central regions, and 26 (16.9%) districts out of 154 were identified as hotspot areas. The incidence of drug‐resistant tuberculosis increased with an increase in the HIV prevalence (Relative risk [RR]: 1.53; 95% Credibility Interval [CrI]: 1.32 to 1.76), electricity coverage rate (RR: 1.59; 95% CrI: 1.19 to 2.09), and population density (RR: 1.36; 95% CrI: 1.08 to 1.69) and decreased with an increase in the proportion of people with a bank account per district (RR: 0.71; 95% Crl: 0.51 to 0.96).ConclusionThe incidence of drug‐resistant tuberculosis was not homogeneous, and it was associated with social determinants of health. Targeting interventions in hotspot districts and addressing social determinants is crucial for tuberculosis elimination in Mozambique.

show abstract

Spatial distribution and predictors of drug‐resistant tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Cuboia,

Mutaquiha,

Manhiça

et al. 2024

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Spatial distribution and determinants of tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Cited by 1 publication

References 44 publications

Spatial distribution and predictors of drug‐resistant tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Spatial distribution and predictors of drug‐resistant tuberculosis incidence in Mozambique: A nationwide Bayesian disease mapping study

Contact Info

Product

Resources

About