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Spatial patterns of tuberculosis incidence in Cologne (Germany)

Author

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  • Kistemann, Thomas
  • Munzinger, Annette
  • Dangendorf, Friederike

Abstract

In many European countries, the decline of tuberculosis notification rates levelled off in the mid 1980s. Germany has been facing only a very modest resurgence of tuberculosis (TB) in the early 1990s, but until now, the notification rate does not yet fulfil the WHO definition of a low incidence country. Mainly immigration from high incidence countries is held responsible for the delayed decline and temporary increase of TB. This paper seeks to investigate the inner-urban strength of association between tuberculosis and several potential risk factors in the city of Cologne using geographical and statistical methods within a small-area division based, GIS-supported ecological study, which never before has been conducted for a German city. Standardised annual TB incidence rates for 78 urban subdistricts between 1986 and 1997, disaggregated by age, have been analysed. Twelve independent variables representing contemporary ethnic and socio-economic conditions are used to calculate Poisson regression models. For the entire population and for the

Suggested Citation

  • Kistemann, Thomas & Munzinger, Annette & Dangendorf, Friederike, 2002. "Spatial patterns of tuberculosis incidence in Cologne (Germany)," Social Science & Medicine, Elsevier, vol. 55(1), pages 7-19, July.
    • Handle: RePEc:eee:socmed:v:55:y:2002:i:1:p:7-19
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