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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
environmental science
Geospatial Overlap of Undernutrition and Tuberculosis in Ethiopia
International Journal of Environmental Research and Public Health, Volume 20, No. 21, Article 7000, Year 2023
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Description
Undernutrition is a key driver of the global tuberculosis (TB) epidemic, yet there is limited understanding regarding the spatial overlap of both diseases. This study aimed to determine the geographical co-distribution and socio-climatic factors of undernutrition and TB in Ethiopia. Data on undernutrition were found from the Ethiopian Demographic and Health Survey (EDHS). Data on TB were obtained from the Ethiopia national TB prevalence survey. We applied a geostatistical model using a Bayesian framework to predict the prevalence of undernutrition and TB. Spatial overlap of undernutrition and TB prevalence was detected in the Afar and Somali regions. Population density was associated with the spatial distribution of TB [β: 0.008; 95% CrI: 0.001, 0.014], wasting [β: −0.017; 95% CrI: −0.032, −0.004], underweight [β: −0.02; 95% CrI: −0.031, −0.011], stunting [β: −0.012; 95% CrI: −0.017, −0.006], and adult undernutrition [β: −0.007; 95% CrI: −0.01, −0.005]. Distance to a health facility was associated with the spatial distribution of stunting [β: 0.269; 95% CrI: 0.08, 0.46] and adult undernutrition [β: 0.176; 95% CrI: 0.044, 0.308]. Healthcare access and demographic factors were associated with the spatial distribution of TB and undernutrition. Therefore, geographically targeted service integration may be more effective than nationwide service integration. © 2023 by the authors.
Authors & Co-Authors
Wagnew, Fasil Shiferaw
Australia, Canberra
The Australian National University
Ethiopia, Debra Marcos
Debre Markos University
Australia, Perth
Telethon Kids Institute
Alene, Kefyalew Addis
Australia, Perth
Telethon Kids Institute
Australia, Perth
Curtin University
Kelly, Matthew James
Australia, Canberra
The Australian National University
Gray, Darren J.
Australia, Brisbane
Qimr Berghofer Medical Research Institute
Statistics
Authors: 4
Affiliations: 5
Identifiers
Doi:
10.3390/ijerph20217000
ISSN:
16617827
Research Areas
Environmental
Food Security
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Ethiopia