Temporal trends in mortality of tuberculosis attributable to high fasting plasma glucose in China from 1990 to 2019

A joinpoint regression and age-period-cohort analysis

Datos Bibliográficos

ID22073179
AutoresChao Wang (0000-0002-4737-0717, Capital Medical University), Xueli Yang (0000-0002-8373-4389, Tianjin Medical University), Honglu Zhang (0000-0002-1104-3714, Tianjin Medical University), Yanzhuo Zhang (0000-0002-8374-7489, Capital Medical University), Jianfeng Tao (0000-0002-8621-9382, Capital Medical University), Xu Jiang (0000-0001-7324-7125, Capital Medical University), Chengai Wu (0000-0002-6918-6216, Capital Medical University, autor de correspondencia)
Año2023
Volumen11
Páginas1225931-1225931
Fecha de publicación2023-07-27
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1225931
PMID37575123
OpenAlexW4385323649
IdiomaEN
Citas recibidas2
Referencias citadas60

Background: Nowadays, high fasting plasma glucose (HFPG) has been identified as the important risk factor contributing to the increased burden of diseases. But there remains a lack of research on tuberculosis (TB) mortality specifically attributable to HFPG. Thus, this study aims to explore the long-term trends in HFPG-related TB mortality in China from 1990 to 2019. Methods: Data on HFPG-related TB mortality were obtained from the Global Burden of Disease (GBD) Study 2019. Analyzing the data using joinpoint regression and age-period-cohort methods adjusting for age, period, and cohort allowed us to assess the trends in TB mortality due to HFPG. Results: The age-standardized mortality rates (ASMRs) of TB attributable to HFPG exhibited a downward trend in China from 1990 to 2019, with an average annual percentage change (AAPC) of -7.0 (95% CI, -7.5 to -6.6). Similar trends were found for male (AAPC of -6.5 [95% CI, -7.0 to -6.0]) and female (AAPC of -8.2 [95% CI, -8.5 to -7.9]), respectively. Local drifts curve with a U-shaped pattern reflected the AAPC of TB mortality due to HFPG across age groups. The greatest decline was observed in the age group of 60-64 years. The mortality rates related to HFPG first increased and then decreased with increasing age, peaking in the 55-59 age group. Our analysis of the period and cohort effects found that the rate ratios of TB mortality due to HFPG have decreased over the past three decades, more prominently in women. It is noteworthy that while both genders have seen a decline in HFPG-attributable TB mortality and risk, men have a higher risk and slightly less significant decline than women. Conclusion: The present study shows that HFPG-related ASMRs and risk of TB in China decreased over the last 30 years, with similar trends observed in both men and women. In order to attain the recommended level set by the WHO, the effective strategies for glycemic control and management still needed to be implemented strictly to further decrease the burden of TB

Age groups · China · Cohort · Cohort effect · Cohort study · Geography · Mortality rate · Pathology · Tuberculosis · Demography · Diagnosis and treatment of tuberculosis · Immune responses and vaccinations · Medicine · Tuberculosis Research and Epidemiology · Internal Medicine