Educational level and tuberculosis mortality in Colombia

Growing Inequalities and Stagnation in Reduction

Bibliographic Data

ID5167705
AuthorsSalomé Valencia-Aguirre (0000-0002-5285-410X, Instituto Nacional de Salud, Colombia), Ivan Arroyave (0000-0001-9989-5833, Universidad de Antioquia), Alberto L García-Basteiro (0000-0002-2038-5505, Centro de Investigação em Saúde de Manhiça, Moçambique; Universitat de Barcelona, Spain)
Year2022
Volume38
Issue1
Pagese00031721-e00031721
Publication date2022-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00031721
PMID35107505
OpenAlexW4210775967
SciELOS0102-311X2022000105019
LanguageEN
References cited30

We aim to describe the role of educational inequalities, for sex and age groups, in adult tuberculosis (TB) mortality in Colombia, 1999-2017. We linked mortality data to data estimation of the national population based on censuses and surveys to obtain primary, secondary, and tertiary adult (25+ years of age) age-standardized mortality rates (ASMR) by educational level. Thus, a population-based study was conducted using national secondary mortality data between 1999 and 2017. Tuberculosis age-standardized mortality rates were calculated separately by educational level, sex, and age groups, using Poisson regression models. Educational relative inequalities in adult mortality were evaluated by calculating the rate ratio, and the relative index of inequality (RII). Trends and joinpoints were evaluated by annual percentage change (APC). We found that, out of the 19,720 TB deaths reported, 69% occurred in men, and 45% in older adults (men and women, aged 65+). Men presented higher TB mortality rates than women (ASMR men = 7.1/100,000 inhabitants, ASMR women = 2.7/100,000 inhabitants). As mortality was consistently higher in the lowest educational level for both sexes and all age groups, inequalities in TB mortality were found to be high (RII = 9.7 and 13.4 among men and women, respectively) and growing at an annual rate of 8% and 1%. High and increasing inequalities, regarding educational level, in TB mortality in Colombia suggest the need to comprehensively address strategies for reducing TB by considering social determinants and including health education strategies throughout the country

Environmental health · Inequality · Mortality rate · Poisson regression · Population · Tuberculosis · Chronic Disease Management Strategies · Demography · Global Health and Epidemiology · Medicine · Tuberculosis Research and Epidemiology · Gerontology

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