Association of high-speed rail and tuberculosis transmission in newly integrated regions: quasi-experimental evidence from China

Yahong Liu; Chengxiang Tang; Tao Bu; Daisheng Tang

doi:10.3389/ijph.2021.1604090

Association of high-speed rail and tuberculosis transmission in newly integrated regions: quasi-experimental evidence from China

Yahong Liu, Chengxiang Tang, Tao Bu, Daisheng Tang

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

15 Downloads (Pure)

Abstract

Objectives: The spread of tuberculosis (TB) is related to changes in the social network among the population and people's social interactions. High-speed railway (HSR) fundamentally changed the integrated market across cities in China. This paper aims to examine the impact of HSR on TB transmission in newly integrated areas.

Methods: By exploiting the opening and operation of the first HSR in Sichuan province as a quasi-natural experiment, we have collected and used the economic, social, and demographic data of 183 counties in Sichuan province from 2013 to 2016.

Results: The new HSR line is associated with a 4.790 increase in newly diagnosed smear-positive TB cases per 100,000 people among newly integrated areas. On average, an additional increase of 34.178 newly diagnosed smear-positive TB cases occur every year in counties (or districts) covered by the new HSR.

Conclusion: HSR development has significantly contributed to the transmission of TB. The public health system in China needs to pay more attention to the influences of new, mass public transportation.

Original language	English
Article number	1604090
Pages (from-to)	1-10
Number of pages	10
Journal	International Journal of Public Health
Volume	66
DOIs	https://doi.org/10.3389/ijph.2021.1604090
Publication status	Published - 11 Nov 2021
Externally published	Yes

Bibliographical note

Copyright © 2021 Liu, Tang, Bu and Tang. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

public health
China
high-speed railway
tuberculosis
public transportation
the tiered-network healthcare policy

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10.3389/ijph.2021.1604090Licence: CC BY

Publisher version (open access)Final published version, 1.23 MBLicence: CC BY

Cite this

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title = "Association of high-speed rail and tuberculosis transmission in newly integrated regions: quasi-experimental evidence from China",

abstract = "Objectives: The spread of tuberculosis (TB) is related to changes in the social network among the population and people's social interactions. High-speed railway (HSR) fundamentally changed the integrated market across cities in China. This paper aims to examine the impact of HSR on TB transmission in newly integrated areas.Methods: By exploiting the opening and operation of the first HSR in Sichuan province as a quasi-natural experiment, we have collected and used the economic, social, and demographic data of 183 counties in Sichuan province from 2013 to 2016.Results: The new HSR line is associated with a 4.790 increase in newly diagnosed smear-positive TB cases per 100,000 people among newly integrated areas. On average, an additional increase of 34.178 newly diagnosed smear-positive TB cases occur every year in counties (or districts) covered by the new HSR.Conclusion: HSR development has significantly contributed to the transmission of TB. The public health system in China needs to pay more attention to the influences of new, mass public transportation.",

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author = "Yahong Liu and Chengxiang Tang and Tao Bu and Daisheng Tang",

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doi = "10.3389/ijph.2021.1604090",

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AU - Bu, Tao

AU - Tang, Daisheng

N1 - Copyright © 2021 Liu, Tang, Bu and Tang. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2021/11/11

Y1 - 2021/11/11

N2 - Objectives: The spread of tuberculosis (TB) is related to changes in the social network among the population and people's social interactions. High-speed railway (HSR) fundamentally changed the integrated market across cities in China. This paper aims to examine the impact of HSR on TB transmission in newly integrated areas.Methods: By exploiting the opening and operation of the first HSR in Sichuan province as a quasi-natural experiment, we have collected and used the economic, social, and demographic data of 183 counties in Sichuan province from 2013 to 2016.Results: The new HSR line is associated with a 4.790 increase in newly diagnosed smear-positive TB cases per 100,000 people among newly integrated areas. On average, an additional increase of 34.178 newly diagnosed smear-positive TB cases occur every year in counties (or districts) covered by the new HSR.Conclusion: HSR development has significantly contributed to the transmission of TB. The public health system in China needs to pay more attention to the influences of new, mass public transportation.

AB - Objectives: The spread of tuberculosis (TB) is related to changes in the social network among the population and people's social interactions. High-speed railway (HSR) fundamentally changed the integrated market across cities in China. This paper aims to examine the impact of HSR on TB transmission in newly integrated areas.Methods: By exploiting the opening and operation of the first HSR in Sichuan province as a quasi-natural experiment, we have collected and used the economic, social, and demographic data of 183 counties in Sichuan province from 2013 to 2016.Results: The new HSR line is associated with a 4.790 increase in newly diagnosed smear-positive TB cases per 100,000 people among newly integrated areas. On average, an additional increase of 34.178 newly diagnosed smear-positive TB cases occur every year in counties (or districts) covered by the new HSR.Conclusion: HSR development has significantly contributed to the transmission of TB. The public health system in China needs to pay more attention to the influences of new, mass public transportation.

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KW - China

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KW - public transportation

KW - the tiered-network healthcare policy

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Association of high-speed rail and tuberculosis transmission in newly integrated regions: quasi-experimental evidence from China

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