Spatial patterns of tuberculosis incidence in Cologne (Germany)
Thomas Kistemann,
Annette Munzinger and
Friederike Dangendorf
Social Science & Medicine, 2002, vol. 55, issue 1, 7-19
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
Keywords: Tuberculosis; Immigration; Deprivation; GIS; Regression; model; Germany (search for similar items in EconPapers)
Date: 2002
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