Project 1: TB or not TB: Historical differences in Tuberculosis prevalence between the sexes
Supervisors; Mark Spa, Susanna Ukonaho & Mirkka Lahdenperä
Tuberculosis
(TB) is a disease of the past in many western populations but still
remains one of the top infectious killers worldwide (1.25 million people
died in 2023, WHO) with the burden being largest in South Asia, Africa
and parts of Eastern Europe. It’s estimated that a quarter of the global
population is infected but of those only 5-10% will eventually get
symptoms. Tuberculosis has long been recognized as a disease with uneven
distribution across populations, and evidence suggests that sex plays
an important role in TB prevalence and outcomes. However, the
relationship is complex: some studies report higher prevalence in men,
others in women, and the patterns are likely to differ depending on age
group, biological susceptibility, and the risk of exposure.
How
these differences came to be and whether they were already present in
historical time periods however remains the question. These differences
might have shaped population structures in historical times but might
have similar effects in contemporary times.
To examine this, in this
project you’ll work with an outstanding Finnish historical data set from
1800-1850 containing ~1.4 million individuals with their cause of death
recorded. You’ll focus specifically on whether sex differences for
Tuberculosis were present but also can take into account the effects of
age for example.
You’ll learn to:
- Work with a large data set in R containing individual level information
- Apply statistical models that can help you examine this question (GLMM’s, most likely)
- Critically interpret results on sex effects and dive into the literature to find explanations
Are you a 2nd year master student and interested? Reach out!
Duration 4-6 months.
By email: marspa@utu.fi
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