Area-level socioeconomic variables associated with territorial disparities in tuberculosis notification rates in metropolitan France: a Bayesian ecological analysis.

ABSTRACT:

Background

Although France is considered a low tuberculosis (TB) incidence country, TB remains a significant public health issue in certain high-risk groups and geographic areas, potentially linked to socioeconomic determinants. This study aims to assess the associations between TB notification rates and area-level socioeconomic variables in metropolitan France.

Methods

We conducted an ecological spatial study using TB cases reported to the French national surveillance system from 2008 to 2019. Using Bayesian Poisson regression, we modeled TB case counts at the ZIP code level. Standardized notification rates were estimated through indirect standardization by age, sex, immigration status, and housing type. The model included ZIP code level socioeconomic variables and a spatia

SUBMITTER: Pelat C 

PROVIDER: S-EPMC12447623 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature