Castañeda-Hernández Diana M, Tobón-García Daniel, Rodríguez-Morales Alfonso J
Secretaría de Salud y Seguridad Social, Alcaldía de Pereira, Pereira, Colombia.
Facultad de Ciencias de la Salud, Universidad Tecnológica de Pereira, Pereira, Colombia.
Rev Peru Med Exp Salud Publica. 2013 Oct-Dec;30(4):560-8.
Assess relationship between the Human Development Index (HDI) and the incidence of tuberculosis (TB) in 165 countries in the World in the period 2005-2011.
An ecological study was done, using HDI data that were obtained from the United Nations Development Program (UNDP), and the incidence rates from the Stop TB Program of the World Health Organization (WHO). The annual variation of the variables was assessed and non-linear regression models (Exponential), were done.
At the non-linear regression models, it was observed that the relationship between epidemiological and HDI was significant, those countries with higher rates presented lower values of HDI (p<0.01). Additionally the variation in time was significantly associated with HDI variation.
This information reflect the significant influence of socioeconomical indicators such as the HDI on the TB incidence rates in the World, particularly in endemic countries, being an inverse relationship between both types of variables; with an increase or improvement in the HDI, the disease incidence rate decreased or it is found lower.
评估2005 - 2011年期间世界上165个国家的人类发展指数（HDI）与结核病（TB）发病率之间的关系。
进行了一项生态研究，使用从联合国开发计划署（UNDP）获得的HDI数据以及世界卫生组织（WHO）终止结核病计划的发病率数据。评估了变量的年度变化并建立了非线性回归模型（指数模型）。
在非线性回归模型中，观察到流行病学与HDI之间的关系显著，发病率较高的国家HDI值较低（p<0.01）。此外，时间变化与HDI变化显著相关。
该信息反映了诸如HDI等社会经济指标对世界结核病发病率的重大影响，特别是在流行国家，这两类变量之间呈反比关系；随着HDI的提高或改善，疾病发病率降低或处于较低水平。
