Spatial Analysis of Drug-Susceptible and Multidrug-Resistant Cases of Tuberculosis, Ho Chi Minh City, Vietnam, 2020-2023

We characterized the spatial distribution of drug-susceptible (DS) and multidrug-resistant (MDR) tuberculosis (TB) cases in Ho Chi Minh City, Vietnam, a major metropolis in southeastern Asia, and explored demographic and socioeconomic factors associated with local TB burden. Hot spots of DS and MDR...

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Bibliographic Details
Published in:	Emerging infectious diseases Vol. 30; no. 3; pp. 499 - 509
Main Authors:	Spies, Ruan, Hong, Hanh N, Trieu, Phu P, Lan, Luong K, Lan, Kim, Hue, N N, Huong, Nguyen T L, Thao, Tran T L N, Quang, Nguyen L, Anh, Thu D D, Vinh, Truong V, Ha, Dang T M, Dat, Phan T, Hai, Nguyen P, Van, Le H, Thwaites, Guy E, Thuong, Nguyen T T, Watson, James A, Walker, Timothy M
Format:	Journal Article
Language:	English
Published:	United States U.S. National Center for Infectious Diseases 01-03-2024 Centers for Disease Control and Prevention
Subjects:	Analysis Asia bacteria Clinical outcomes Cohort analysis Demographic aspects Distribution Drug resistance in microorganisms Geospatial data Heterogeneity HIV Human immunodeficiency virus Humans Hypotheses Male Neighborhoods Population Public sector respiratory infections Risk factors Socioeconomic factors Socioeconomics Spatial Analysis Spatial Analysis of Drug-Susceptible and Multidrug-Resistant Cases of Tuberculosis, Ho Chi Minh City, Vietnam, 2020–2023 Spatial distribution Statistics Tuberculosis tuberculosis and other mycobacteria Tuberculosis, Multidrug-Resistant - epidemiology Vietnam - epidemiology Asia Vietnam United Kingdom Ho Chi Minh City Vietnam Vietnam spatial analysis bacteria drug-susceptible TB tuberculosis multidrug-resistant TB tuberculosis and other mycobacteria spatial heterogeneity Ho Chi Minh City TB respiratory infections
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Summary:	We characterized the spatial distribution of drug-susceptible (DS) and multidrug-resistant (MDR) tuberculosis (TB) cases in Ho Chi Minh City, Vietnam, a major metropolis in southeastern Asia, and explored demographic and socioeconomic factors associated with local TB burden. Hot spots of DS and MDR TB incidence were observed in the central parts of Ho Chi Minh City, and substantial heterogeneity was observed across wards. Positive spatial autocorrelation was observed for both DS TB and MDR TB. Ward-level TB incidence was associated with HIV prevalence and the male proportion of the population. No ward-level demographic and socioeconomic indicators were associated with MDR TB case count relative to total TB case count. Our findings might inform spatially targeted TB control strategies and provide insights for generating hypotheses about the nature of the relationship between DS and MDR TB in Ho Chi Minh City and the wider southeastern region of Asia.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1080-6040 1080-6059
DOI:	10.3201/eid3003.231309