Аннотация

Цель
To examine the gender, age, and regional characteristics of pediatric hospitalizations for tuberculosis at the specialized Children’s Tuberculosis Hospital in Dushanbe from 2020 to 2022.
Материал и методы
A retrospective study was conducted using archival medical records of children hospitalized at the Children’s Tuberculosis Hospital in Dushanbe between 2020 and 2022. Descriptive statistics methods, including frequency analysis, calculation of means, percentage differences (PD), and prevalence ratios (PR), were employed to characterize hospitalization rates by sex, age group, region, and year.
Результаты
The cohort of older adolescents (15-18 years) was predominantly female: in 2020 (girls: 38.5%, PR = 0.72), 2021 (girls: 39.2%, boys: 8.9%; PR = 0.29), and 2022 (girls: 39.2%, PR = 0.51). In 2021, the proportion of boys aged 5–9 years was nearly double that of girls (PR = 2.13). A significant majority of patients were from Dushanbe, the Districts of Republican Subordination (DRS), and Khatlon region. Boys were primarily hospitalized from Khatlon, accounting for 31.3–53.8% of all annual male admissions, whereas girls were mainly hospitalized from Khatlon, Dushanbe, and the DRS. Children from Sughd and the Gorno-Badakhshan Autonomous Region (GBAO) constituted the smallest demographic segment (less than 8%), likely due to the travel distance. The average length of hospitalization ranged from 26.5 to 92.5 days, depending on the year, sex, age group, and geographic region. In both 2020 and 2022, girls, particularly those from Dushanbe and the DRS, tended to have longer hospital stays, while the pattern was more ambiguous in 2021.
Заключение
Investigating the causes of structural barriers in healthcare provision and developing strategies to mitigate them could serve as a focus for further research.

Ключевые слова

tuberculosis children Tajikistan age and sex structure hospitalization epidemiology.

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