Analysis - Around the world, men are more likely to get TB and to die from it than women.
The model showed that between 1990 and 2019, South African men developed TB and died at consistently higher rates than women.
We estimated that in 2019 there were 1.6 times more new TB cases and 1.7 times more TB deaths in men than in women.than men. The expectation would then be that women should have a higher TB incidence.contributing to the high TB epidemic among men included excessive alcohol use, smoking, diabetes and undernutrition.
We estimated that of the 801 per 100,000 adult men who developed TB in 2019, 51% were attributable to heavy alcohol use, 30% to smoking, and 16% to undernutrition. The numbers for women were much lower. Of the 478 per 100,000 adult women who developed TB in 2019, 30% were attributable to heavy alcohol use, 15% to smoking, and 11% to undernutrition.We showed that lower testing rates and delays in starting TB treatment among men contributed to 7% higher mortality.
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