Kustanto, Andi (2025): Socioeconomic Determinants and Tuberculosis Burden: A Panel Data Analysis of Indonesian Provinces.
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Abstract
The threat of tuberculosis (TB) persists globally, with 10 million individuals affected by the disease in 2018, resulting in 1.5 million deaths. According to the World Health Organization (WHO), Indonesia ranks third in the world for TB cases. It is estimated that 845,000 individuals in Indonesia were afflicted with TB, yet only 68 percent of these cases were identified and treated in 2018. This study evaluated the impact of socioeconomic factors on the prevalence of TB in 34 Indonesian provinces from to 2005-2018 period. The findings indicate that demographic factors, such as population size, population density, and number of impoverished individuals, are positively and significantly correlated with the incidence of TB. Conversely, GRDP per capita, the number of healthcare workers, and literacy rates were negatively and significantly correlated with the incidence of TB. From the findings of this study, it can be concluded that population factors have influenced the increasing number of TB cases in Indonesia. Therefore, controlling population growth, high population density, and poverty must be the government’s focus to reduce new TB cases through family planning programs, transmigration programs to areas with low population density, and increased social assistance for the poor and vulnerable to improve their standard of living. Furthermore, the health infrastructure budget must be increased, the economy must remain competitive and secure, and investment in human capital must be continuously increased.
| Item Type: | MPRA Paper |
|---|---|
| Original Title: | Socioeconomic Determinants and Tuberculosis Burden: A Panel Data Analysis of Indonesian Provinces |
| English Title: | Socioeconomic Determinants and Tuberculosis Burden: A Panel Data Analysis of Indonesian Provinces |
| Language: | English |
| Keywords: | Tuberculosis, Socioeconomic, Population. Poverty, Health |
| Subjects: | I - Health, Education, and Welfare > I1 - Health > I14 - Health and Inequality I - Health, Education, and Welfare > I1 - Health > I15 - Health and Economic Development I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health |
| Item ID: | 126466 |
| Depositing User: | Andi Kustanto |
| Date Deposited: | 27 Oct 2025 08:52 |
| Last Modified: | 27 Oct 2025 08:52 |
| References: | Aini, W. (2020). Sesak Nafas TBC, Sesak Pula Beban Ekonomi dan Sosial. Harian Kompas. Apolinário, D., Ribeiro, A. I., Krainski, E., Sousa, P., Abranches, M., & Duarte, R. (2017). Tuberculosis inequalities and socio-economic deprivation in Portugal. The International Journal of Tuberculosis and Lung Disease, 21(7), 784–789. https://doi.org/10.5588/ijtld.16.0907 Austin, K. F., DeScisciolo, C., & Samuelsen, L. (2016). The Failures of Privatization: A Comparative Investigation of Tuberculosis Rates and the Structure of Healthcare in Less-Developed Nations, 1995-2010. World Development, 78, 450–460. https://doi.org/10.1016/j.worlddev.2015.10.027 Baltagi, B. H. (2015). Econometric Analysis of Panel Data (5th Ed.). John Wiley & Sons Ltd. Bhunu, C. P., Mushayabasa, S., & Smith, R. J. (2012). Assessing the effects of poverty in tuberculosis transmission dynamics. Applied Mathematical Modelling, 36(9), 4173–4185. https://doi.org/10.1016/j.apm.2011.11.046 Boyacioğlu, E. Z. (2012). The Importance of Health Expenditure on Sustainable Development. International Journal of Social Sciences and Humanity Studies, 4(2), 147–158. Caminero, J. A. (2008a). An ecological analysis of incidence of tuberculosis and per capita gross domestic product. European Respiratory Journal, 32(5), 1413–1415. https://doi.org/10.1183/09031936.00094708 Caminero, J. A. (2008b). Extensively drug-resistant tuberculosis: is its definition correct?: Table 1—. European Respiratory Journal, 32(5), 1413.2-1415. https://doi.org/10.1183/09031936.00094708 Chandra, S., Sharma, N., Joshi, K., Aggarwal, N., & Kannan, A. T. (2014). Resurrecting social infrastructure as a determinant of urban tuberculosis control in delhi, india. Health Research Policy and Systems, 12(1), 1–13. https://doi.org/10.1186/1478-4505-12-3 Datiko, D. G., Yassin, M. A., Theobald, S. J., Blok, L., Suvanand, S., Creswell, J., & Cuevas, L. E. (2017). Health extension workers improve tuberculosis case finding and treatment outcome in Ethiopia: A large-scale implementation study. BMJ Global Health, 2(4), 1–9. https://doi.org/10.1136/bmjgh-2017-000390 De Castro, D. B., De Seixas Maciel, E. M. G., Sadahiro, M., Pinto, R. C., De Albuquerque, B. C., & Braga, J. U. (2018). Tuberculosis incidence inequalities and its social determinants in Manaus from 2007 to 2016. International Journal for Equity in Health, 17(1), 1–10. https://doi.org/10.1186/s12939-018-0900-3 Dotulong, J. F. J., Sapulete, M. R., & Kandou, G. D. (2015). Hubungan Faktor Risiko Umur, Jenis Kelamin Dan Kepadatan Hunian Dengan Kejadian Penyakit Tb Paru Di Desa Wori Kecamatan Wori. Jurnal Kedokteran Komunitas Dan Tropik, 3(2), 57–65. Duarte, R., Lönnroth, K., Carvalho, C., Lima, F., Carvalho, A. C. C., Muñoz-Torrico, M., & Centis, R. (2018). Tuberculosis, social determinants and co-morbidities (including HIV). Pulmonology, 24(2), 115–119. https://doi.org/10.1016/j.rppnen.2017.11.003 Hargreaves, J. R., Boccia, D., Evans, C. A., Adato, M., Petticrew, M., & Porter, J. D. H. (2011). The social determinants of tuberculosis: from evidence to action. American Journal of Public Health, 101(4), 654–662. https://doi.org/10.2105/AJPH.2010.199505 Hariadi, E., Iswanto, I., & Ahmad Riris Andono. (2009). Hubungan Faktor Petugas Puskesmas dengan Cakupan Penderita Tuberculosis Paru BTA Positif. Berita Kedokteran Masyarakat, 25(4), 189–194. Jackson, S., Sleigh, A. C., Wang, G. J., & Liu, X. L. (2006). Poverty and the economic effects of TB in rural China. International Journal of Tuberculosis and Lung Disease, 10(10), 1104–1110. Janssens, J.-P., & Rieder, H. L. (2008). An ecological analysis of incidence of tuberculosis and capita gross domestic product. European Respiratory Journal, 32(5), 1415–1416. https://doi.org/10.1183/09031936.00078708 Ministry of Health. (2018). Indonesian Health Profile Data and Information 2018. Ministry of Health. Kustanto, A. (2020). The role of socioeconomic and environmental factors on the number of tuberculosis cases in Indonesia. Jurnal Ekonomi Pembangunan, 18(2), 129–146. https://doi.org/10.29259/jep.v18i2.12553 Kustanto, A. (2021). The Effect of Sociodemographic and Environmental Factors on Food Consumption Expenditure of the Urban Poor in Indonesia. Sriwijaya International Journal of Dynamic Economics and Business, 4(5), 325–340. https://doi.org/10.29259/sijdeb.v5i4.325-340 Kustanto, A. (2024a). Bridging the Digital Gap: Analysing the Impact of ICT Diffusion on Income Inequality in Indonesia. Economic Thought Journal, 69(3), 323–352. https://doi.org/10.56497/etj2469303 Kustanto, A. (2024b). Can ICT Diffusion Reduce Income Inequality for a Better Life? Evidence from Indonesian Provinces. Asian Journal of Applied Economics, 31(1), 1–36. Kustanto, A., Rachmat, O., & Setyadi, S. (2024). The Prevalence of Stunting in Indonesia: An Examination of the Health, Socioeconomic Status, and Environmental Determinants. Journal of Iranian Medical Council, 8(1), 67–79. https://doi.org/10.18502/jimc.v8i1.17062 Kustanto, A., & Ul-haq, J. (2025). Ecological Factors Influencing Tuberculosis in Indonesia: Exploring the Interplay of Health Resources, Socioeconomic Status, Climatic Factors, and Consumption Patterns. Journal of Population and Social Studies, 33, 822–843. https://doi.org/10.25133/JPSSv332025.044 Lönnroth, K., Castro, K. G., Chakaya, J. M., Chauhan, L. S., Floyd, K., Glaziou, P., & Raviglione, M. C. (2010). Tuberculosis control and elimination 2010-50: cure, care, and social development. The Lancet, 375(9728), 1814–1829. https://doi.org/10.1016/S0140-6736(10)60483-7 World Health Organization. (2019). Global Tuberculosis Report 2019. World Health Organization. Oxlade, O., & Murray, M. (2012). Tuberculosis and Poverty: Why Are the Poor at Greater Risk in India? PLoS ONE, 7(11), 1–8. https://doi.org/10.1371/journal.pone.0047533 Pedrazzoli, D., Boccia, D., Dodd, P. J., Lönnroth, K., Dowdy, D. W., Siroka, A., Kimerling, M. E., White, R. G., & Houben, R. M. G. J. (2017). Modelling the social and structural determinants of tuberculosis: Opportunities and challenges. International Journal of Tuberculosis and Lung Disease, 21(9), 957–964. https://doi.org/10.5588/ijtld.16.0906 Pratama, W., & Wulandari, S. P. (2015). Pemetaan dan Pemodelan Jumlah Kasus Penyakit Tuberculosis (TBC) di Provinsi Jawa Barat dengan Pendekatan Geographically Weighted Negative Binomial Regression. Jurnal Sains Dan Seni ITS, 4(1), 37–42. Rachmat, O., Setyadi, S., & Kustanto, A. (2022). Sociodemographic factors, environmental, community mobility and health indicators associated with the spread of COVID-19 and case fatality rate in Indonesia: an ecological study. Journal of Public Health and Development, 20(2). https://doi.org/10.55131/jphd/2022/200202 Rocha, C., Montoya, R., Zevallos, K., Curatola, A., Ynga, W., Franco, J., Fernandez, F., Becerra, N., Sabaduche, M., Tovar, M. A., Ramos, E., Tapley, A., Allen, N. R., Onifade, D. A., Acosta, C. D., Maritz, M., Concha, D. F., Schumacher, S. G., & Evans, C. A. (2011). The Innovative Socio-economic Interventions Against Tuberculosis (ISIAT) project: An operational assessment. International Journal of Tuberculosis and Lung Disease, 15(SUPPL. 2), 50–57. https://doi.org/10.5588/ijtld.10.0447 Setyadi, S., Kustanto, A., & Widiastuti, A. (2023). Life Expectancy in Indonesia: The Role of Health Infrastructure, Political, and Socioeconomic Status. Iranian Economic Review, 27(3), 965–1005. Speybroeck, N., Kinfu, Y., Poz, M. R. D., & Evans, D. B. (2006). Reassessing the relationship between human resources for health, intervention coverage and health outcomes. World Health Organization. Statistics Indonesia. (2024). Statistical Yearbook of Indonesia 2024. Suk, J. E., Manissero, D., Büscher, G., & Semenza, J. C. (2009). Wealth inequality and tuberculosis elimination in Europe. Emerging Infectious Diseases, 15(11), 1812–1814. https://doi.org/10.3201/eid1511.090916 Villa ML, Sarol JN, Solon M, Radhakrishna S, Sarmiento A, Mangubat NV, Mantala MJ, Pascual ML, Beltran G, Solon FS, Quelapio MI, Co VM, Reyes AC, Tupasi TE, Rivera AB, Legaspi JD, & Burton L. (1999). Tuberculosis in the urban poor settlements in the Philippines. International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union Against Tuberculosis and Lung Disease, 4(1). https://www.herdin.ph/index.php?view=research&cid=34612 World Bank. (2018). Piecing Together the Poverty Puzzle. World Bank. https://doi.org/10.1596/978-1-4648-1330-6 |
| URI: | https://mpra.ub.uni-muenchen.de/id/eprint/126466 |

