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: . 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.