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Determinants of tuberculosis incidence in East Asia and Pacific: A panel regression analysis

Mark Alipio

EconStor Preprints from ZBW - Leibniz Information Centre for Economics

Abstract: Tuberculosis (TB) remains one of the world’s deadliest communicable disease. To circumvent surges of TB cases, several studies have been carried out analyzing the determinants of TB incidence and recommended policy measures based on the significant indicators. Although the determinants were suggested for strategic planning of TB, the implementation of new measures was either unsuccessful or difficult to realize because of logistical, administrative, and financial constraints. This study aims to unravel potential determinants of TB incidence across 23 countries in East Asia and Pacific. The disentangling of possible association between variables was carried out using panel regression analysis. This is an ecological multinational-based study utilizing readily accessible public data in the analysis. Carbon dioxide emission, PM2.5 air pollution exposure, unemployment (percent of total labor force), percent of people using at least basic sanitation services, percent of people practicing open defecation, health expenditure (percent of GDP), and out-of-pocket health expenditure are included as the determinants of TB incidence. The single outcome variable of this study was TB incidence which is the estimated number of new and relapse tuberculosis cases arising in a given year, expressed as the rate per 100,000 population. A total of 23 countries in the East and Pacific region were included as sampling unit with a time-series length of five years (2010 – 2014), producing 115 samples. Given the nature of data, a panel regression was used to estimate the relationship between the potential determinants and TB incidence. A significant regression coefficient was found (F(7,107) = 37.9, p

Keywords: Carbon dioxide emission; air pollution; unemployment; sanitation; open defecation; health expenditure; out-of-pocket health expenditure; tuberculosis incidence; East Asia and Pacific; public health; economics (search for similar items in EconPapers)
JEL-codes: A12 C4 C6 H51 I14 I15 I18 I38 (search for similar items in EconPapers)
Date: 2020
New Economics Papers: this item is included in nep-sea
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