Free Content Burden of tuberculosis among aboriginal and non-aboriginal Taiwanese, 1996–2006

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Abstract:

OBJECTIVE: To estimate the tuberculosis (TB) burden in Taiwan from 1996 to 2006, based on incidence, mortality and disability-adjusted life years (DALYs).

DESIGN: Data were collected from three databases: Tuberculosis Registry Database, National Mortality Database and Taiwan Household Registration System Database. Age standardisation of the incidence/mortality rates was performed by the direct method, using the 2000 World Health Organization world population as standard. Disease burden estimation used DALY, based on the Global Burden of Disease study.

RESULTS: The age-adjusted TB incidence/mortality rates decreased during the study period. The highest DALYs per 100 000 were in the ≥65 years age group among non-aboriginals, and in the 35–54 years and ≥65 years age groups in aboriginals. In general, the DALY/case increased with age among non-aboriginals, whereas the highest DALY/case was found in the 35–44 years age group in aboriginals. The DALY/100 000, DALY/case and total DALY significantly decreased from 1996 to 2006 for non-aboriginals, but fluctuated for aboriginals.

CONCLUSION: This analysis provided the first comprehensive evaluation of the burden of TB in Taiwan. The prevention and treatment of TB among aboriginals in all age groups should be enhanced.

Keywords: DALY; disease burden; incidence; mortality; tuberculosis

Document Type: Regular Paper

DOI: http://dx.doi.org/10.5588/ijtld.09.0579

Affiliations: 1: Department of Medical Care, Veterans Affairs Commission, Taipei, Taiwan; School of Oral Hygiene, Taipei Medical University, Taipei, Taiwan; and Department of Health, Centers for Disease Control, Taipei, Taiwan 2: Department of Health, Centers for Disease Control, Taipei, Taiwan 3: School of Oral Hygiene, Taipei Medical University, Taipei, Taiwan; and Graduate Institute of Applied Statistics, Fu-Jen Catholic University, New Taipei City, Taiwan 4: Department of Medical Care, Veterans Affairs Commission, Taipei, Taiwan 5: Division of Environmental Health and Occupational Medicine, National Health Research Institutes, Zhunan, Miaoli, Taiwan; and Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

Publication date: April 1, 2011

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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