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. 2009 Jun 30;87(9):683–691. doi: 10.2471/BLT.08.058453

Table 2. Variables correlated with the annual change in TB incidence rate in 134 countries over 1997–2006, by country groupa,b.

Variable Sub-Saharan Africa Central and eastern Europe High-income countries Eastern Mediterranean Latin America and the Caribbean South-east Asia and the western Pacific All country groups
Composite development
Human development index –0.60 –0.20
Economy
Corruption perception index –0.52
GDP per capita –0.61 +0.34 –0.21c
Annual change in GDP
People with income < 1 PPP$
People with income < 2 PPP$ +0.43
Income inequality
Population
Population aged ≥ 15 years
Urban population
Percentage of foreign-born TB patients +0.47c
Behavioural and biological risk factors
Diabetes in people aged 20–79 years –0.47c
Undernourished people +0.36 +0.31
Adult male smokers
Adult female smokers –0.45
HIV prevalence +0.41
HIV prevalence in TB patients +0.26
People with improved water source –0.41c
People with improved sanitation –0.40c –0.43c –0.26
People using solid fuels +0.30
Health services
Total health expenditure per capita –0.66c
Government health expenditure per capita –0.63
Total health expenditure as % of GDP –0.23 –0.53c
Health workers per 1000 population +0.33
Under-5 mortality +0.36c
Annual change in under-5 mortality +0.39 +0.35 –0.29c +0.25c
TB control programmes
Expenditure on TB control per capitad +0.49c
Expenditure per TB control per patientd
New TB cases detectedd
New smear+ TB cases detectedd –0.32c
Treatment success in DOTS cohortsd
New TB cases successfully treatedd
New smear+ TB cases successfully treatedd

GDP, gross domestic product; PPP$, purchasing power parity dollar; TB, tuberculosis.
a The countries in each group are listed in Appendix B (available at: www.who.int/tb/publications/en/).
b The numbers are values of r² for associations that were significant in univariate linear regression (r² > 0.20; P < 0.05). Cells are blank where there was no significant association.
c Variables that yielded significance and were retained in a minimal multivariate model.
d This variable is a measure of the intensity of TB control.