IDEAS home Printed from https://ideas.repec.org/a/plo/pmed00/1003935.html
   My bibliography  Save this article

Social determinants of the changing tuberculosis prevalence in Việt Nam: Analysis of population-level cross-sectional studies

Author

Listed:
  • Nicola Foster
  • Hai V Nguyen
  • Nhung V Nguyen
  • Hoa B Nguyen
  • Edine W Tiemersma
  • Frank G J Cobelens
  • Matthew Quaife
  • Rein M G J Houben

Abstract

Background: An ecological relationship between economic development and reduction in tuberculosis prevalence has been observed. Between 2007 and 2017, Việt Nam experienced rapid economic development with equitable distribution of resources and a 37% reduction in tuberculosis prevalence. Analysing consecutive prevalence surveys, we examined how the reduction in tuberculosis (and subclinical tuberculosis) prevalence was concentrated between socioeconomic groups. Methods and findings: We combined data from 2 nationally representative Việt Nam tuberculosis prevalence surveys with provincial-level measures of poverty. Data from 94,156 (2007) and 61,763 (2017) individuals were included. Of people with microbiologically confirmed tuberculosis, 21.6% (47/218) in 2007 and 29.0% (36/124) in 2017 had subclinical disease. We constructed an asset index using principal component analysis of consumption data. An illness concentration index was estimated to measure socioeconomic position inequality in tuberculosis prevalence. The illness concentration index changed from −0.10 (95% CI −0.08, −0.16; p = 0.003) in 2007 to 0.07 (95% CI 0.06, 0.18; p = 0.158) in 2017, indicating that tuberculosis was concentrated among the poorest households in 2007, with a shift towards more equal distribution between rich and poor households in 2017. This finding was similar for subclinical tuberculosis. We fitted multilevel models to investigate relationships between change in tuberculosis prevalence, individual risks, household socioeconomic position, and neighbourhood poverty. Controlling for provincial poverty level reduced the difference in prevalence, suggesting that changes in neighbourhood poverty contribute to the explanation of change in tuberculosis prevalence. A limitation of our study is that while tuberculosis prevalence surveys are valuable for understanding socioeconomic differences in tuberculosis prevalence in countries, given that tuberculosis is a relatively rare disease in the population studied, there is limited power to explore socioeconomic drivers. However, combining repeated cross-sectional surveys with provincial deprivation estimates during a period of remarkable economic growth provides valuable insights into the dynamics of the relationship between tuberculosis and economic development in Việt Nam. Conclusions: We found that with equitable economic growth and a reduction in tuberculosis burden, tuberculosis became less concentrated among the poor in Việt Nam. Nicola Foster and colleagues examine social and economic determinants of the changing tuberculosis prevalence in Việt Nam.Why was this study done?: What did the researchers do and find?: What do these findings mean?:

Suggested Citation

  • Nicola Foster & Hai V Nguyen & Nhung V Nguyen & Hoa B Nguyen & Edine W Tiemersma & Frank G J Cobelens & Matthew Quaife & Rein M G J Houben, 2022. "Social determinants of the changing tuberculosis prevalence in Việt Nam: Analysis of population-level cross-sectional studies," PLOS Medicine, Public Library of Science, vol. 19(3), pages 1-17, March.
    • Handle: RePEc:plo:pmed00:1003935
    DOI: 10.1371/journal.pmed.1003935
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003935
    Download Restriction: no
    File URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003935&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pmed.1003935?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Erreygers, Guido & Van Ourti, Tom, 2011. "Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice," Journal of Health Economics, Elsevier, vol. 30(4), pages 685-694, July.
    2. Lönnroth, Knut & Jaramillo, Ernesto & Williams, Brian G. & Dye, Christopher & Raviglione, Mario, 2009. "Drivers of tuberculosis epidemics: The role of risk factors and social determinants," Social Science & Medicine, Elsevier, vol. 68(12), pages 2240-2246, June.
    3. Ben Jann, 2016. "Estimating Lorenz and concentration curves," Stata Journal, StataCorp LLC, vol. 16(4), pages 837-866, December.
    4. Ben Jann, 2016. "Estimating Lorenz and concentration curves in Stata," University of Bern Social Sciences Working Papers 15, University of Bern, Department of Social Sciences, revised 27 Oct 2016.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mohamad A. Khaled & Paul Makdissi & Myra Yazbeck, 2023. "On absolute socioeconomic health inequality comparisons," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(1), pages 5-25, February.
    2. Nguyen, Thanh Viet & Tran, Tuyen Quang, 2018. "Forestland and rural household livelihoods in the North Central Provinces, Vietnam," Land Use Policy, Elsevier, vol. 79(C), pages 10-19.
    3. Joseph Teyu Chou & Chien-Hao Fu, 2022. "Which Families Benefited from the Recent Personal Income Tax Reform in Taiwan: Evidence from the Administrative Data," Journal of Family and Economic Issues, Springer, vol. 43(3), pages 433-451, September.
    4. Karl Taeuscher, 2019. "Uncertainty kills the long tail: demand concentration in peer-to-peer marketplaces," Electronic Markets, Springer;IIM University of St. Gallen, vol. 29(4), pages 649-660, December.
    5. John Gibson, 2021. "The micro‐geography of academic research: How distinctive is economics?," Scottish Journal of Political Economy, Scottish Economic Society, vol. 68(4), pages 467-484, September.
    6. Md Ashfikur Rahman, 2022. "Socioeconomic inequalities in the risk factors of noncommunicable diseases (hypertension and diabetes) among Bangladeshi population: Evidence based on population level data analysis," PLOS ONE, Public Library of Science, vol. 17(9), pages 1-20, September.
    7. Md Ashfikur Rahman & Md Amirul Islam & Mortuja Mahamud Tohan & S M Muhibullah & Md Sazedur Rahman & Md Hasan Howlader, 2024. "Socioeconomic inequalities in utilizing maternal health care in five South Asian countries: A decomposition analysis," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-18, February.
    8. Linda Llamas, "undated". "Comands clorenz, cdensity, and digini, and their application in the analysis of income distribution," Mexican Stata Conference 2023 06, Stata Users Group.
    9. Grover, David & Daniels, Benjamin, 2017. "Social equity issues in the distribution of feed-in tariff policy benefits: A cross sectional analysis from England and Wales using spatial census and policy data," Energy Policy, Elsevier, vol. 106(C), pages 255-265.
    10. Pham Bao Duong & Pham Tien Thanh & Tihomir Ancev, 2021. "Impacts of off‐farm employment on welfare, food security and poverty: Evidence from rural Vietnam," International Journal of Social Welfare, John Wiley & Sons, vol. 30(1), pages 84-96, January.
    11. Md Ashfikur Rahman & Satyajit Kundu & Harun Or Rashid & Hasibul Hasan Shanto & Md Mahmudur Rahman & Bayezid Khan & Md Hasan Howlader & Md Akhtarul Islam, 2022. "Socioeconomic inequalities in utilizing facility delivery in Bangladesh: A decomposition analysis using nationwide 2017–2018 demographic and health survey data," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-18, November.
    12. Viviana Fernandez, 2021. "Cross-country concentration and specialization of mining inventions," Scientometrics, Springer;Akadémiai Kiadó, vol. 126(8), pages 6715-6759, August.
    13. Karol Kempa, 2022. "Task-specific human capital and returns to specialization: evidence from association football [All about balance? A test of the jack-of-all-trades theory using military enlistment data]," Oxford Economic Papers, Oxford University Press, vol. 74(1), pages 136-154.
    14. Engelhardt, Carina & Wagener, Andreas, 2017. "The income distribution of voters: a case study from Germany," Hannover Economic Papers (HEP) dp-586, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    15. Aster Ferede Gebremedhin & Angela Dawson & Andrew Hayen, 2023. "Effective coverage of newborn postnatal care in Ethiopia: Measuring inequality and spatial distribution of quality-adjusted coverage," PLOS ONE, Public Library of Science, vol. 18(10), pages 1-14, October.
    16. Yawkal Tsega & Abel Endawkie & Shimels Derso Kebede & Eyob Tilahun Abeje & Ermias Bekele Enyew & Chala Daba & Lakew Asmare & Fekade Demeke Bayou & Mastewal Arefaynie & Asnakew Molla Mekonen & Abiyu Ab, 2025. "Trends of wealth-related inequality in stunting and its contributing factors among under-five children in Ethiopia: Decomposing the concentration index using Ethiopian Demographic Health Surveys 2011–," PLOS ONE, Public Library of Science, vol. 20(2), pages 1-14, February.
    17. Galanakis, Yannis, 2020. "Female Human Capital Mismatch: An extension for the British public sector," GLO Discussion Paper Series 669, Global Labor Organization (GLO).
    18. De Rosis, Sabina & Lopreite, Milena & Puliga, Michelangelo & Vainieri, Milena, 2021. "The early weeks of the Italian Covid-19 outbreak: sentiment insights from a Twitter analysis," Health Policy, Elsevier, vol. 125(8), pages 987-994.
    19. Aklilu Endalamaw & Charles F Gilks & Yibeltal Assefa, 2024. "Socioeconomic inequality in adults undertaking HIV testing over time in Ethiopia based on data from demographic and health surveys," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-16, February.
    20. Quang Tran, Tuyen & Viet Nguyen, Thanh, 2018. "Forestland and household welfares in North Central Provinces, Vietnam," MPRA Paper 88823, University Library of Munich, Germany, revised 17 Feb 2018.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pmed00:1003935. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosmedicine (email available below). General contact details of provider: https://journals.plos.org/plosmedicine/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.