Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China

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...

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Autores principales:	Yahong Liu, Chengxiang Tang, Tao Bu, Daisheng Tang
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	public health China high-speed railway tuberculosis public transportation the tiered-network healthcare policy Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/1f0c595bee0d4a4e997ffd7e1c9a851b
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spelling	oai:doaj.org-article:1f0c595bee0d4a4e997ffd7e1c9a851b2021-11-11T04:11:23ZAssociation of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China1661-856410.3389/ijph.2021.1604090https://doaj.org/article/1f0c595bee0d4a4e997ffd7e1c9a851b2021-11-01T00:00:00Zhttps://www.ssph-journal.org/articles/10.3389/ijph.2021.1604090/fullhttps://doaj.org/toc/1661-8564Objectives: 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.Yahong LiuChengxiang TangTao BuDaisheng TangFrontiers Media S.A.articlepublic healthChinahigh-speed railwaytuberculosispublic transportationthe tiered-network healthcare policyPublic aspects of medicineRA1-1270ENInternational Journal of Public Health, Vol 66 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	public health China high-speed railway tuberculosis public transportation the tiered-network healthcare policy Public aspects of medicine RA1-1270
spellingShingle	public health China high-speed railway tuberculosis public transportation the tiered-network healthcare policy Public aspects of medicine RA1-1270 Yahong Liu Chengxiang Tang Tao Bu Daisheng Tang Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China
description	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.
format	article
author	Yahong Liu Chengxiang Tang Tao Bu Daisheng Tang
author_facet	Yahong Liu Chengxiang Tang Tao Bu Daisheng Tang
author_sort	Yahong Liu
title	Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China
title_short	Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China
title_full	Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China
title_fullStr	Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China
title_full_unstemmed	Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China
title_sort	association of high-speed rail and tuberculosis transmission in newly integrated regions: quasi-experimental evidence from china
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/1f0c595bee0d4a4e997ffd7e1c9a851b
work_keys_str_mv	AT yahongliu associationofhighspeedrailandtuberculosistransmissioninnewlyintegratedregionsquasiexperimentalevidencefromchina AT chengxiangtang associationofhighspeedrailandtuberculosistransmissioninnewlyintegratedregionsquasiexperimentalevidencefromchina AT taobu associationofhighspeedrailandtuberculosistransmissioninnewlyintegratedregionsquasiexperimentalevidencefromchina AT daishengtang associationofhighspeedrailandtuberculosistransmissioninnewlyintegratedregionsquasiexperimentalevidencefromchina
_version_	1718439566616035328

Association of High-Speed Rail and Tuberculosis Transmission in Newly Integrated Regions: Quasi-Experimental Evidence from China

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