Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022

Background: Tuberculosis (TB) remains a critical public health challenge in China, particularly amid rapid urbanization and internal migration. This retrospective study analyzed the epidemiology and transmission dynamics of TB among internal migrants (IMTB) versus local residents (LRTB) in Hangzhou,...

Full description

Saved in:
Bibliographic Details
Main Authors: Qingchun Li, Zike Cheng, Qinglin Cheng, Ruoqi Dai, Yifei Wu, Liyun Ai, Yinyan Huang, Qingjun Jia, Nan jiang, Xuexin Bai, Zijian Fang, Xu Song, Xin Lv
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Travel Medicine and Infectious Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S147789392500081X
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849317568301498368
author Qingchun Li
Zike Cheng
Qinglin Cheng
Ruoqi Dai
Yifei Wu
Liyun Ai
Yinyan Huang
Qingjun Jia
Nan jiang
Xuexin Bai
Zijian Fang
Xu Song
Xin Lv
author_facet Qingchun Li
Zike Cheng
Qinglin Cheng
Ruoqi Dai
Yifei Wu
Liyun Ai
Yinyan Huang
Qingjun Jia
Nan jiang
Xuexin Bai
Zijian Fang
Xu Song
Xin Lv
author_sort Qingchun Li
collection DOAJ
description Background: Tuberculosis (TB) remains a critical public health challenge in China, particularly amid rapid urbanization and internal migration. This retrospective study analyzed the epidemiology and transmission dynamics of TB among internal migrants (IMTB) versus local residents (LRTB) in Hangzhou, China, from 2013 to 2022. Methods: Data from 47,659 pulmonary TB cases were extracted from the national Tuberculosis Information Management System. Results: IMTB accounted for 21.88 % of cases, with patients significantly younger (mean age 33.45 vs. 51.50 years, P < 0.0001) and fewer bacteriologically confirmed diagnoses (34.9 % vs. 41.8 %, P < 0.0001) compared to LRTB. Treatment success rates were higher among IMTB (95.0 % vs. 89.7 %, P < 0.0001). Spatial clustering of IMTB occurred in industrial districts, primarily originating from Anhui, Guizhou, and Jiangxi provinces. Conclusion: Migration-driven TB transmission highlights the need for adaptive control strategies in urbanizing settings.
format Article
id doaj-art-3bbc731317b84ebcbbc551acb8b32c46
institution Kabale University
issn 1873-0442
language English
publishDate 2025-09-01
publisher Elsevier
record_format Article
series Travel Medicine and Infectious Disease
spelling doaj-art-3bbc731317b84ebcbbc551acb8b32c462025-08-20T03:51:09ZengElsevierTravel Medicine and Infectious Disease1873-04422025-09-016710287510.1016/j.tmaid.2025.102875Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022Qingchun Li0Zike Cheng1Qinglin Cheng2Ruoqi Dai3Yifei Wu4Liyun Ai5Yinyan Huang6Qingjun Jia7Nan jiang8Xuexin Bai9Zijian Fang10Xu Song11Xin Lv12Department for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaOffice, Binzhou Center for Disease Control and Prevention, No.413, Huanghe’2 Road, Bincheng District, Binzhou, Shandong Province, 256600, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaDepartment for tuberculosis control and prevention, Hangzhou Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.568, Mingshi Road, Shangcheng District, Hangzhou, Zhejiang Province, 310021, ChinaHangzhou Gongshu Center for Disease Control and Prevention(Hangzhou Gongshu Health Supervision Institution), No.51, Yuanhe Road, Gongshu District, Hangzhou, Zhejiang Province, 310021, China; Corresponding author. Hangzhou Gongshu Center for Disease Control and Prevention(Hangzhou Health Supervision Institution), No.51, Yuanhe Road, Gongshu District, Hangzhou, Zhejiang Province, 310021, China.Background: Tuberculosis (TB) remains a critical public health challenge in China, particularly amid rapid urbanization and internal migration. This retrospective study analyzed the epidemiology and transmission dynamics of TB among internal migrants (IMTB) versus local residents (LRTB) in Hangzhou, China, from 2013 to 2022. Methods: Data from 47,659 pulmonary TB cases were extracted from the national Tuberculosis Information Management System. Results: IMTB accounted for 21.88 % of cases, with patients significantly younger (mean age 33.45 vs. 51.50 years, P < 0.0001) and fewer bacteriologically confirmed diagnoses (34.9 % vs. 41.8 %, P < 0.0001) compared to LRTB. Treatment success rates were higher among IMTB (95.0 % vs. 89.7 %, P < 0.0001). Spatial clustering of IMTB occurred in industrial districts, primarily originating from Anhui, Guizhou, and Jiangxi provinces. Conclusion: Migration-driven TB transmission highlights the need for adaptive control strategies in urbanizing settings.http://www.sciencedirect.com/science/article/pii/S147789392500081XTuberculosisInternal migrationEpidemiologyChina
spellingShingle Qingchun Li
Zike Cheng
Qinglin Cheng
Ruoqi Dai
Yifei Wu
Liyun Ai
Yinyan Huang
Qingjun Jia
Nan jiang
Xuexin Bai
Zijian Fang
Xu Song
Xin Lv
Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022
Travel Medicine and Infectious Disease
Tuberculosis
Internal migration
Epidemiology
China
title Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022
title_full Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022
title_fullStr Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022
title_full_unstemmed Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022
title_short Epidemiology and transmission dynamics of tuberculosis among internal migrants in Hangzhou: A retrospective analysis from 2013 to 2022
title_sort epidemiology and transmission dynamics of tuberculosis among internal migrants in hangzhou a retrospective analysis from 2013 to 2022
topic Tuberculosis
Internal migration
Epidemiology
China
url http://www.sciencedirect.com/science/article/pii/S147789392500081X
work_keys_str_mv AT qingchunli epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT zikecheng epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT qinglincheng epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT ruoqidai epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT yifeiwu epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT liyunai epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT yinyanhuang epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT qingjunjia epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT nanjiang epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT xuexinbai epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT zijianfang epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT xusong epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022
AT xinlv epidemiologyandtransmissiondynamicsoftuberculosisamonginternalmigrantsinhangzhouaretrospectiveanalysisfrom2013to2022