biostudies-literatureUnknownHu ZZhejiang Provincial Medical and Health ProjectNational-Zhejiang Health Commission Major S&T Project<h4>Background</h4>Mass tuberculosis screening has been recommended in certain high-risk populations. However, population-based screening interventions have rarely been implemented. Whether mass screening improves health equity is unknown.<h4>Methods</h4>We implemented a mass tuberculosis screening intervention among elderly persons (>60 years old) in Lanxi county, China. Standardized questionnaires, physical examinations, and X-rays were administered to all participants. Systematic testing with computed tomography, smear, culture, or Xpert was performed among persons with an abnormal X-ray. We assessed tuberculosis prevalence per 100,000 persons and constructed multivariable regression models among subgroups that were and were not screened. Medical insurance was categorized as participatiClinical infectious diseases : an official publication of the Infectious Diseases Society of Americaciad438https://www.ebi.ac.uk/biostudies/studies/S-EPMC10654880biostudies-literatureMass tuberculosis screening among the elderly: A population-based study in a well-confined rural county in eastern China.PMC10654880Zhou MZhou LLiu KHu ZWu QFeng YChen BLi YHu CMartinez LHorsburgh CRZhang YJiang XWang WYu ZChen SfalseMass tuberculosis screening among the elderly: A population-based study in a well-confined rural county in eastern China.<h4>Background</h4>Mass tuberculosis screening has been recommended in certain high-risk populations. However, population-based screening interventions have rarely been implemented. Whether mass screening improves health equity is unknown.<h4>Methods</h4>We implemented a mass tuberculosis screening intervention among elderly persons (>60 years old) in Lanxi county, China. Standardized questionnaires, physical examinations, and X-rays were administered to all participants. Systematic testing with computed tomography, smear, culture, or Xpert was performed among persons with an abnormal X-ray. We assessed tuberculosis prevalence per 100,000 persons and constructed multivariable regression models among subgroups that were and were not screened. Medical insurance was categorized as participati2023-01-01T00:00:00Z2023 Jul2025-06-01T02:56:33.638Z2025-06-01T02:56:33.638ZS-EPMC106548803750625810.1093/cid/ciad438