Çelik M, Döker M F, Kırlangıçoğlu C, Ünsal Ö, Gökçeoğlu S, Ceylan M R, Karabay O
Faculty of Medicine Department of Infectious Diseases and Clinical Microbiology University of Harran Şanlıurfa Türkiye.
Faculty of Humanities and Social Sciences Department of Geography University of Sakarya Sakarya Türkiye.
Geohealth. 2025 Jul 22;9(7):e2024GH001235. doi: 10.1029/2024GH001235. eCollection 2025 Jul.
Tuberculosis (TB) remains a critical public health issue, particularly in regions with significant socio-economic disparities. This study provides a comprehensive spatial analysis of TB dynamics in Şanlıurfa, Türkiye, covering the period from 2016 to 2023. Utilizing Geographic Information Systems, epidemiological data, and advanced statistical techniques, the research examines the spatial distribution and temporal trends of TB cases within this region. By integrating patient data with demographic, environmental, and socio-economic variables, the study assesses the complex factors influencing TB incidence and prevalence. The results indicate significant spatial clustering of TB cases, with the highest concentrations in areas characterized by high population density, lower socio-economic status, limited healthcare accessibility, and poor environmental conditions. Temporal trends reveal a gradual decline in TB incidence over the study period; however, certain hotspots persist, underscoring the need for sustained and targeted interventions. Furthermore, the study identifies a correlation between TB prevalence and inadequate living conditions, emphasizing the role of socio-economic improvement in disease control. These findings provide crucial insights for policymakers and public health officials, facilitating the development of more effective, evidence-based TB control strategies tailored to the unique socio-economic and geographical landscape of Şanlıurfa.
结核病（TB）仍然是一个关键的公共卫生问题，特别是在社会经济差距显著的地区。本研究对土耳其尚勒乌尔法2016年至2023年期间的结核病动态进行了全面的空间分析。该研究利用地理信息系统、流行病学数据和先进的统计技术，考察了该地区结核病病例的空间分布和时间趋势。通过将患者数据与人口、环境和社会经济变量相结合，该研究评估了影响结核病发病率和患病率的复杂因素。结果表明，结核病病例存在显著的空间聚集现象，在人口密度高、社会经济地位较低、医疗服务可及性有限和环境条件较差的地区最为集中。时间趋势显示，在研究期间结核病发病率逐渐下降；然而，某些热点地区仍然存在，这突出表明需要持续和有针对性的干预措施。此外，该研究确定了结核病患病率与生活条件不足之间的相关性，强调了社会经济改善在疾病控制中的作用。这些发现为政策制定者和公共卫生官员提供了关键见解，有助于制定更有效的循证结核病控制策略，以适应尚勒乌尔法独特的社会经济和地理环境。
