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Sex disparities of the effect of the COVID-19 pandemic on mortality among patients living with tuberculosis in the United States.


ABSTRACT:

Background

We aimed to determine the trend of TB-related deaths during the COVID-19 pandemic.

Methods

TB-related mortality data of decedents aged ≥25 years from 2006 to 2021 were analyzed. Excess deaths were estimated by determining the difference between observed and projected mortality rates during the pandemic.

Results

A total of 18,628 TB-related deaths were documented from 2006 to 2021. TB-related age-standardized mortality rates (ASMRs) were 0.51 in 2020 and 0.52 in 2021, corresponding to an excess mortality of 10.22 and 9.19%, respectively. Female patients with TB demonstrated a higher relative increase in mortality (26.33 vs. 2.17% in 2020; 21.48 vs. 3.23% in 2021) when compared to male. Female aged 45-64 years old showed a surge in mortality, with an annual percent change (APC) of -2.2% pre-pandemic to 22.8% (95% CI: -1.7 to 68.7%) during the pandemic, corresponding to excess mortalities of 62.165 and 99.16% in 2020 and 2021, respectively; these excess mortality rates were higher than those observed in the overall female population ages 45-64 years in 2020 (17.53%) and 2021 (33.79%).

Conclusion

The steady decline in TB-related mortality in the United States has been reversed by COVID-19. Female with TB were disproportionately affected by the pandemic.

SUBMITTER: Deng H 

PROVIDER: S-EPMC11217309 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature

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Publications

Sex disparities of the effect of the COVID-19 pandemic on mortality among patients living with tuberculosis in the United States.

Deng Huan H   Liu Yishan Y   Lv Fan F   Li Xiaofeng X   Qi Mingyan M   Bo Yajing Y   Qiu Sikai S   He Xinyuan X   Ji Fanpu F   Zeng Qing-Lei QL   Gao Ning N  

Frontiers in public health 20240618


<h4>Background</h4>We aimed to determine the trend of TB-related deaths during the COVID-19 pandemic.<h4>Methods</h4>TB-related mortality data of decedents aged ≥25 years from 2006 to 2021 were analyzed. Excess deaths were estimated by determining the difference between observed and projected mortality rates during the pandemic.<h4>Results</h4>A total of 18,628 TB-related deaths were documented from 2006 to 2021. TB-related age-standardized mortality rates (ASMRs) were 0.51 in 2020 and 0.52 in 2  ...[more]

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