Skip to main content
Erschienen in: Journal of Public Health 5/2019

03.11.2018 | Original Article

Political, economic, and health system determinants of tuberculosis incidence

verfasst von: Ashley E. Rutherford, Lynn Unruh

Erschienen in: Journal of Public Health | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Aim

Although global tuberculosis (TB) rates have decreased, multidrug-resistant strains have become a concern. Traditionally, causes of infectious diseases are determined through health and health system factors, yet socioeconomic and political variables may influence a nation’s vulnerability and response to infectious disease control. This study explores relationships among political stability, economic stability, tuberculosis detection policies, health system constructs, and the incidence of tuberculosis.

Subjects and methods

A retrospective, cross-sectional, observational design was employed using open-source, secondary, 2014 country-level data from the World Bank and World Health Organization. A structural equation model examined the direct and indirect effects of economic, political, and other constructs on tuberculosis incidence rates.

Results

Political and economic stability, health system indicators, and detection policies all covaried. Political stability, health system indicators, and detection policies directly affected tuberculosis incidence rates, but economic stability did not. Political stability and health system indicators were negatively associated with tuberculosis incidence, while detection policies were positively associated.

Conclusions

Countries with greater political stability and better health systems experienced lower TB incidence, but countries with more detection policies in place had higher TB incidence rates. Economic stability did not directly affect TB incidence, but covaried positively with political stability, indicating strong links to political stability.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
Zurück zum Zitat Abubakar I, Rangaka M, Lipman M (2016) Investigating emerging infectious diseases. Chapter 6 in infectious disease epidemiology. 87. Oxford University Press, OxfordCrossRef Abubakar I, Rangaka M, Lipman M (2016) Investigating emerging infectious diseases. Chapter 6 in infectious disease epidemiology. 87. Oxford University Press, OxfordCrossRef
Zurück zum Zitat Aisen A, Veiga FJ (2013) How does political instability affect economic growth? Eur J Polit Econ 29:151–167CrossRef Aisen A, Veiga FJ (2013) How does political instability affect economic growth? Eur J Polit Econ 29:151–167CrossRef
Zurück zum Zitat Andreas J (2015) History of the Prussian tuberculosis sanatorium movement, 1863–1934. The brief history of the “Prussian tuberculosis sanatorium movement” in today Western polish landscapes and its first site in Sokołowsko, the lower Silesia. Acta Medicorum Polonorum 5:5–14 Andreas J (2015) History of the Prussian tuberculosis sanatorium movement, 1863–1934. The brief history of the “Prussian tuberculosis sanatorium movement” in today Western polish landscapes and its first site in Sokołowsko, the lower Silesia. Acta Medicorum Polonorum 5:5–14
Zurück zum Zitat Apodaca C (2004) The rule of law and human rights. Judicature 87(6):292–299 Apodaca C (2004) The rule of law and human rights. Judicature 87(6):292–299
Zurück zum Zitat Bloom D, Fink G (2014) The economic case for devoting public resources to health. Chapter 4 in Manson’s tropical infectious diseases. Philadelphia: Saunders (Elsevier) e1:23–30 Bloom D, Fink G (2014) The economic case for devoting public resources to health. Chapter 4 in Manson’s tropical infectious diseases. Philadelphia: Saunders (Elsevier) e1:23–30
Zurück zum Zitat Bloom DE, Black S, Rappuoli R (2017) Emerging infectious diseases: a proactive approach. Proc Natl Acad Sci 114(16):4055–4059CrossRefPubMed Bloom DE, Black S, Rappuoli R (2017) Emerging infectious diseases: a proactive approach. Proc Natl Acad Sci 114(16):4055–4059CrossRefPubMed
Zurück zum Zitat Canetti D, Russ E, Luborsky J, Gerhart JI, Hobfoll SE (2014) Inflamed by the flames? The impact of terrorism and war on immunity. J Trauma Stress 27(3):345–352CrossRefPubMedPubMedCentral Canetti D, Russ E, Luborsky J, Gerhart JI, Hobfoll SE (2014) Inflamed by the flames? The impact of terrorism and war on immunity. J Trauma Stress 27(3):345–352CrossRefPubMedPubMedCentral
Zurück zum Zitat Ceddia MG, Beardsley NO, Goodwin R, Holloway GJ, Novella G, Stasi AA (2013) Complex system perspective on the emergence and spread of infectious diseases: integrating economic and ecological aspects. Ecol Econ 90:124–131CrossRef Ceddia MG, Beardsley NO, Goodwin R, Holloway GJ, Novella G, Stasi AA (2013) Complex system perspective on the emergence and spread of infectious diseases: integrating economic and ecological aspects. Ecol Econ 90:124–131CrossRef
Zurück zum Zitat De Vries G, Aldridge RW, Cayla JA, Haas W, Sandgren A, van Hest NA, Abubakar I (2014) Epidemiology of tuberculosis in big cities of the European Union and European economic area countries. Euro Surveill 19(9):1–8CrossRef De Vries G, Aldridge RW, Cayla JA, Haas W, Sandgren A, van Hest NA, Abubakar I (2014) Epidemiology of tuberculosis in big cities of the European Union and European economic area countries. Euro Surveill 19(9):1–8CrossRef
Zurück zum Zitat Diaz A, Soler K, Valdes L, Matthys F, Ochoa E, Van der Stuyft P (2010) Tuberculosis incidence strata in Cuban municipalities: 1999-2002 and 2003-2006. Rev Panam Salud Publica 28(4):275–281CrossRef Diaz A, Soler K, Valdes L, Matthys F, Ochoa E, Van der Stuyft P (2010) Tuberculosis incidence strata in Cuban municipalities: 1999-2002 and 2003-2006. Rev Panam Salud Publica 28(4):275–281CrossRef
Zurück zum Zitat Dudnyk A, Rzhepishevska O, Rogach K, Kutsyna G, Lange C (2015) Multidrug-resistant tuberculosis in Ukraine at a time of military conflict. Int J Tuberc Lung Dis 19(4):492–493CrossRefPubMed Dudnyk A, Rzhepishevska O, Rogach K, Kutsyna G, Lange C (2015) Multidrug-resistant tuberculosis in Ukraine at a time of military conflict. Int J Tuberc Lung Dis 19(4):492–493CrossRefPubMed
Zurück zum Zitat Eldholm V, Pettersson JHO, Brynildsrud OB, Kitchen A, Rasmussen EM, Lillebaek T et al (2016) Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis. Proc Natl Acad Sci 113(48):13881–13886CrossRefPubMed Eldholm V, Pettersson JHO, Brynildsrud OB, Kitchen A, Rasmussen EM, Lillebaek T et al (2016) Armed conflict and population displacement as drivers of the evolution and dispersal of Mycobacterium tuberculosis. Proc Natl Acad Sci 113(48):13881–13886CrossRefPubMed
Zurück zum Zitat Evans RG, Stoddart GL (1990) Producing health, consuming health care. Soc Sci Med 31(12):1347–1363CrossRefPubMed Evans RG, Stoddart GL (1990) Producing health, consuming health care. Soc Sci Med 31(12):1347–1363CrossRefPubMed
Zurück zum Zitat Garchitorena A, Sokolow SH, Roche B, Ngonghala CN, Jocque M, Lund A, Andrews JR (2017) Disease ecology, health and the environment: a framework to account for ecological and socio-economic drivers in the control of neglected tropical diseases. Phil Trans R Soc B 372(1722):2016–2128CrossRef Garchitorena A, Sokolow SH, Roche B, Ngonghala CN, Jocque M, Lund A, Andrews JR (2017) Disease ecology, health and the environment: a framework to account for ecological and socio-economic drivers in the control of neglected tropical diseases. Phil Trans R Soc B 372(1722):2016–2128CrossRef
Zurück zum Zitat Goenka A, Liu L, Nguyen MH (2014) Infectious diseases and economic growth. J Math Econ 50:34–53CrossRef Goenka A, Liu L, Nguyen MH (2014) Infectious diseases and economic growth. J Math Econ 50:34–53CrossRef
Zurück zum Zitat Grimes JE, Croll D, Harrison WE, Utzinger J, Freeman MC, Templeton MR (2014) The relationship between water, sanitation and schistosomiasis: a systematic review and meta-analysis. PLoS Negl Trop Dis 8(12):e3296CrossRefPubMedPubMedCentral Grimes JE, Croll D, Harrison WE, Utzinger J, Freeman MC, Templeton MR (2014) The relationship between water, sanitation and schistosomiasis: a systematic review and meta-analysis. PLoS Negl Trop Dis 8(12):e3296CrossRefPubMedPubMedCentral
Zurück zum Zitat Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D et al (2013) Financial crisis, austerity, and health in Europe. Lancet 381(9874):1323–1331CrossRefPubMed Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D et al (2013) Financial crisis, austerity, and health in Europe. Lancet 381(9874):1323–1331CrossRefPubMed
Zurück zum Zitat Kaufmann D, Kraay A, Mastruzzi M (2009) Governance matters VIII: aggregate and individual governance indicators, 1996-2008. World Bank Policy Research Working Paper 4978 Kaufmann D, Kraay A, Mastruzzi M (2009) Governance matters VIII: aggregate and individual governance indicators, 1996-2008. World Bank Policy Research Working Paper 4978
Zurück zum Zitat Kringos DS, Boerma W, van der Zee J, Groenewegen P (2013) Europe’s strong primary care systems are linked to better population health but also to higher health spending. Health Aff (Millwood) 32(4):686–694CrossRef Kringos DS, Boerma W, van der Zee J, Groenewegen P (2013) Europe’s strong primary care systems are linked to better population health but also to higher health spending. Health Aff (Millwood) 32(4):686–694CrossRef
Zurück zum Zitat Leblebicioglu H, Ozaras R (2015) Syrian refugees and infectious disease challenges. Travel Med Infect Dis 13(6):443–444CrossRefPubMed Leblebicioglu H, Ozaras R (2015) Syrian refugees and infectious disease challenges. Travel Med Infect Dis 13(6):443–444CrossRefPubMed
Zurück zum Zitat Lindsay RP (2015) The effects of housing stability and the residential environment on HIV risk factors and tuberculosis. Doctoral dissertation. University of California, San Diego Lindsay RP (2015) The effects of housing stability and the residential environment on HIV risk factors and tuberculosis. Doctoral dissertation. University of California, San Diego
Zurück zum Zitat Lönnroth K, Migliori GB, Abubakar I, D’Ambrosio L, De Vries G, Diel R et al (2015) Towards tuberculosis elimination: an action framework for low-incidence countries. Eur Respir J 45(4):928–952CrossRefPubMedPubMedCentral Lönnroth K, Migliori GB, Abubakar I, D’Ambrosio L, De Vries G, Diel R et al (2015) Towards tuberculosis elimination: an action framework for low-incidence countries. Eur Respir J 45(4):928–952CrossRefPubMedPubMedCentral
Zurück zum Zitat Moreno-Serra R, Smith PC (2012) Does progress towards universal health coverage improve population health? Lancet 380(9845):917–923CrossRefPubMed Moreno-Serra R, Smith PC (2012) Does progress towards universal health coverage improve population health? Lancet 380(9845):917–923CrossRefPubMed
Zurück zum Zitat Neumayer E (2002) Do democracies exhibit stronger international environmental commitment? A cross-country analysis. J Peace Res 39(2):139–164CrossRef Neumayer E (2002) Do democracies exhibit stronger international environmental commitment? A cross-country analysis. J Peace Res 39(2):139–164CrossRef
Zurück zum Zitat Ostrach B, Singer M (2012) Syndemics of war: malnutrition-infectious disease interactions and the unintended health consequences of intentional war policies. Ann Anthropol Pract 36(2):257–273CrossRef Ostrach B, Singer M (2012) Syndemics of war: malnutrition-infectious disease interactions and the unintended health consequences of intentional war policies. Ann Anthropol Pract 36(2):257–273CrossRef
Zurück zum Zitat Paules CI, Fauci AS (2017) Emerging and reemerging infectious diseases: the dichotomy between acute outbreaks and chronic endemicity. JAMA 317(7):691–692CrossRefPubMed Paules CI, Fauci AS (2017) Emerging and reemerging infectious diseases: the dichotomy between acute outbreaks and chronic endemicity. JAMA 317(7):691–692CrossRefPubMed
Zurück zum Zitat Perrings C (2016) Options for managing the infectious animal and plant disease risks of international trade. Food Secur 8(1):27–35CrossRef Perrings C (2016) Options for managing the infectious animal and plant disease risks of international trade. Food Secur 8(1):27–35CrossRef
Zurück zum Zitat Polachek SW, Sevastianova D (2012) Does conflict disrupt growth? Evidence of the relationship between political instability and national economic performance. J Int Trade Econ Dev 21(3):361–388CrossRef Polachek SW, Sevastianova D (2012) Does conflict disrupt growth? Evidence of the relationship between political instability and national economic performance. J Int Trade Econ Dev 21(3):361–388CrossRef
Zurück zum Zitat Reeves A, Basu S, McKee M, Sandgren A, Stuckler D, Semenza JC (2015) Tuberculosis control and economic recession: longitudinal study of data from 21 European countries, 1991-2012. Bull World Health Organ 93(6):369–379CrossRefPubMedPubMedCentral Reeves A, Basu S, McKee M, Sandgren A, Stuckler D, Semenza JC (2015) Tuberculosis control and economic recession: longitudinal study of data from 21 European countries, 1991-2012. Bull World Health Organ 93(6):369–379CrossRefPubMedPubMedCentral
Zurück zum Zitat Sahoo P, Dash RK (2012) Economic growth in South Asia: role of infrastructure. J Int Trade Econ Dev 21(2):217–252CrossRef Sahoo P, Dash RK (2012) Economic growth in South Asia: role of infrastructure. J Int Trade Econ Dev 21(2):217–252CrossRef
Zurück zum Zitat Selgelid MJ (2016) Ethics and security aspects of infectious disease control: interdisciplinary perspectives. Routledge, LondonCrossRef Selgelid MJ (2016) Ethics and security aspects of infectious disease control: interdisciplinary perspectives. Routledge, LondonCrossRef
Zurück zum Zitat Semenza JC, Tsolova S, Lim TA (2012) Economic crisis and infectious disease control: a public health predicament. Eur J Pub Health 22(1):5–6CrossRef Semenza JC, Tsolova S, Lim TA (2012) Economic crisis and infectious disease control: a public health predicament. Eur J Pub Health 22(1):5–6CrossRef
Zurück zum Zitat Siroka A, Ponce NA, Lönnroth K (2016) Association between spending on social protection and tuberculosis burden: a global analysis. Lancet Infect Dis 16(4):473–479CrossRefPubMed Siroka A, Ponce NA, Lönnroth K (2016) Association between spending on social protection and tuberculosis burden: a global analysis. Lancet Infect Dis 16(4):473–479CrossRefPubMed
Zurück zum Zitat Sisko AM, Keehan SP, Cuckler GA, Madison AJ, Smith S.D, Wolfe CJ, … Poisal JA (2014) National health expenditure projections, 2013–23: faster growth expected with expanded coverage and improving economy. Health Aff (Millwood) 33(10):1841–1850 Sisko AM, Keehan SP, Cuckler GA, Madison AJ, Smith S.D, Wolfe CJ, … Poisal JA (2014) National health expenditure projections, 2013–23: faster growth expected with expanded coverage and improving economy. Health Aff (Millwood) 33(10):1841–1850
Zurück zum Zitat Siverson RM, Johnson RA (2014) Politics and parasites: the contribution of corruption to human misery. Int Stud Q 58:199–206CrossRef Siverson RM, Johnson RA (2014) Politics and parasites: the contribution of corruption to human misery. Int Stud Q 58:199–206CrossRef
Zurück zum Zitat Sloan DJ, O’Dempsey TJ (2015) Tuberculosis in the time of Ebola: obstacles and opportunities. Int J Tuberc Lung Dis 19(11):1269CrossRefPubMed Sloan DJ, O’Dempsey TJ (2015) Tuberculosis in the time of Ebola: obstacles and opportunities. Int J Tuberc Lung Dis 19(11):1269CrossRefPubMed
Zurück zum Zitat Vittecoq M, Thomas F, Jourdain E, Moutou F, Renaud F, Gauthier-Cler M (2014) Risks of emerging infectious diseases: evolving threats in a changing area, the Mediterranean basin. Transbound Emerg Dis 61(1):17–27CrossRefPubMed Vittecoq M, Thomas F, Jourdain E, Moutou F, Renaud F, Gauthier-Cler M (2014) Risks of emerging infectious diseases: evolving threats in a changing area, the Mediterranean basin. Transbound Emerg Dis 61(1):17–27CrossRefPubMed
Zurück zum Zitat WHO (World Health Organization) (2014b) Policy Update: Xpert MTB/RIF assay for the diagnosis of pulmonary and extrapulmonary TB in adults and children. World Health Organization, Geneva WHO (World Health Organization) (2014b) Policy Update: Xpert MTB/RIF assay for the diagnosis of pulmonary and extrapulmonary TB in adults and children. World Health Organization, Geneva
Metadaten
Titel
Political, economic, and health system determinants of tuberculosis incidence
verfasst von
Ashley E. Rutherford
Lynn Unruh
Publikationsdatum
03.11.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Public Health / Ausgabe 5/2019
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-018-0991-8

Weitere Artikel der Ausgabe 5/2019

Journal of Public Health 5/2019 Zur Ausgabe