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. 2020 Sep 9;17(9):e1003218. doi: 10.1371/journal.pmed.1003218

Table 6. Comparative ITS analysis model parametersa of population-standardized quarterly notification rates of all forms and bacteriologically confirmed TB cases for intervention versus control areas.

Intervention Versus Control
IRRb 95% CI p-valuec
All Forms TB
Baseline rated (β0) 11.380 [10.933, 11.844] <0.001
Pre-intervention trend, control (β1) 0.998 [0.993, 1.004] 0.526
Postintervention step change, control (β2) 1.040 [0.949, 1.139] 0.403
Postintervention trend, control (β3) 0.881 [0.836, 0.928] <0.001
Difference in baseline (β4) 2.105 [2.010, 2.205] <0.001
Difference in pre-intervention trends (β5) 1.006 [1.000, 1.013] 0.041
Difference in postintervention step change (β6) 1.078 [0.971, 1.195] 0.159
Difference in postintervention trends (β7) 1.136 [1.072, 1.204] <0.001
Bacteriologically confirmed TB
Baseline rated (β0) 6.438 [6.074, 6.824] <0.001
Pre-intervention trend, control (β1) 1.016 [1.009, 1.024] <0.001
Postintervention step change, control (β2) 1.078 [0.949, 1.225] 0.247
Postintervention trend, control (β3) 0.881 [0.824, 0.941] <0.001
Difference in baseline (β4) 1.486 [1.385, 1.595] <0.001
Difference in pre-intervention trends (β5) 1.013 [1.004, 1.022] 0.005
Difference in postintervention step change (β6) 1.250 [1.078, 1.450] 0.003
Difference in postintervention trends (β7) 1.141 [1.058, 1.229] 0.001

aThe parameters were obtained for a segmented regression model with the following structure: Yt=β0+β1Tt+β2Xt+β3XtTt+β4Z+β5ZTt+β6ZXt+β6ZXtTt+ϵt. Here, Yt is the outcome measure along time t; Tt is the quarterly time counter; Xt indicates pre- and postintervention periods, Z denotes the intervention cohort, and ZTt, ZXt, and ZXtTt are interaction terms. β0 to β3 relate to the control group as follows: β0, intercept; β1, pre-intervention trend; β2, postintervention step change; β3, postintervention trend. β4 to β7 represent differences between the control and intervention districts: β4, difference in baseline intercepts; β5, difference in pre-intervention trends; β6, difference in postintervention step changes; β7, difference in postintervention trend.

bIRR based on log-linear GEE Poisson regression with correlation structures determined by the Cumby–Huizinga test and quasi-information criteria.

cWald test.

dThe baseline rate denotes case notification rates per quarter.

GEE, generalized estimating equation; IRR, incidence rate ratio; ITS, interrupted time series; TB, tuberculosis.