Premature NCD mortality vs. Tuberculosis incidence
Holds up after adjusting for income
Across 179 countries, Premature NCD mortality and Tuberculosis incidence rise and fall together at r = +0.57 (on a scale from −1 to +1, where 0 means no link). Comparing only countries with similar income (GDP per person) shrinks it to +0.35 (q = 0.0081, allowing for the many pairs tested). Much of the first figure is that both measures rise with national income, but a weak positive link remains. Caution: correlation moves sharply once outliers are trimmed.
Comparing countries across the middle half of tuberculosis incidence, 9.9 to 139 per 100,000 people, premature ncd mortality is worse by 3.57% probability, ages 30-70 at the top of that range than the bottom. Comparing only countries with similar national income, the gap is 1.93% probability, ages 30-70.
Link before adjusting (r)+0.568p = 1.1e-16 · 179 countries
After adjusting for national income+0.354p = 1.3e-6 · likely range [+0.22, +0.48]
p, allowing for regions0.037standard error 0.132 · 7 regions
Check for luck (q)0.008across 12,497 pairs
How to read these.r runs from −1 (one goes up as the other goes down) to +1 (they rise together), and 0 means no link. Adjusting for national income means comparing countries with the same GDP per person, so differences in wealth can’t explain the link. Income is used in percentage terms, since an extra $1,000 means more to a poor country than to a rich one. p is how likely a link this strong would be if there were really none. Below 0.05 means it is unlikely to be chance. Very small values are written in short form: 1.1e-32 means a decimal point followed by 31 zeros and then 11, so very close to zero. The likely range is where the true figure probably lies, and a range that crosses zero means the link could easily be chance. Countries in the same region tend to resemble each other, so the third figure allows for that, which gives a fairer p. The standard error is the typical size of the error in r. Finally, testing this many pairs means some will look strong by luck alone. A q below 0.05 means this link is unlikely to be one of those.
Premature NCD mortality · % probability, ages 30-70link with income -0.70 · high
Tuberculosis incidence · per 100,000 peoplelink with income -0.67 · high
Both of these rise and fall closely with national income, so a strong link between them before adjusting was close to certain. Read the adjusted figure, not the first one.
“Link with income” is how closely each measure tracks GDP per person across countries, from −1 to +1.
Every country as a dot
best-fit line line after adjusting
Four ways to measure the link
Method
r
p
Countries
Standard (Pearson), not adjusted
+0.568
1.1e-16
179
By rank (Spearman), not adjusted
+0.619
2.7e-20
179
Standard (Pearson), adjusted for national income
+0.354
1.3e-6
179
By rank (Spearman), adjusted for national income
+0.271
0.000
179
The rank version uses only each country’s place in line, from lowest to highest, so a few extreme countries count for less. The adjusted and unadjusted versions use the same 179 countries: those that report both measures and GDP per person. So the gap between them comes from the adjustment, not from a change in which countries are counted. Drop in the size of r after adjusting: +0.214 (a minus sign means it grew).
How solid is it?
Leaving out one country at a time, r ranges from +0.273 (without KIR) to +0.376 (without VUT). The bar above shows that range on a scale from −1 to +1, with the solid line at the full result. The single country that moves r most: KIR (-0.081).
Fragile: this link may not hold up.
correlation moves sharply once outliers are trimmed
Within each region
Countries are not separate, unrelated cases, and neighbors share a lot. A link that holds inside each region is far more believable than one that shows up only when comparing regions.
n
r
East Asia & Pacific
25
+0.05
Europe & Central Asia
48
+0.13
Latin America & Caribbean
30
+0.20
Middle East, North Africa, Afghanistan & Pakistan
22
+0.27
Sub-Saharan Africa
46
+0.54
By income third
If the link shows up only in the richest third of countries, it is a feature of rich countries, not a general pattern.
n
r
Poorest third
60
+0.40
Middle third
59
+0.40
Richest third
60
+0.48
By largest religious group
Countries grouped by a label they share, such as main religion, rather than by a number. Groups of fewer than twelve countries are not shown. These groups differ in income, region and history all at once. So a gap between them is a place to start asking questions, not an answer.
n
r
Christians
109
+0.33
Muslims
49
+0.28
By last european coloniser
Countries grouped by a label they share, such as main religion, rather than by a number. Groups of fewer than twelve countries are not shown. These groups differ in income, region and history all at once. So a gap between them is a place to start asking questions, not an answer.
n
r
France
25
+0.43
Never a European colony
21
+0.30
Spain
20
+0.66
United Kingdom
59
+0.39
Without outliers (countries far outside the middle half of countries on either measure, by more than one and a half times the width of that middle half): r = +0.172 after dropping 19 countries.
Two series, one country
Both measures over the years for one country you pick. The two charts are stacked so they share only the years along the bottom.
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Over time, within countries
Everything above compares countries with each other at one moment. This section compares each country only with itself over 22years. So a link here can’t come from anything about a country that stays the same, such as its history, geography, institutions or culture.
Within countries over time, there is no link that is clearly more than chance (r = -0.092, comparing each country only with itself over the years, and each year only with the same year elsewhere). Whatever the cross-country picture shows, countries whose premature ncd mortality moved did not tend to see their tuberculosis incidence move with it.
Across countries (adjusted)+0.354for comparison
Within countries+0.179each country vs itself
…and vs the same year elsewhere-0.092q = 0.104 · 184 countries
Year-on-year changes+0.007q = 0.927
The direction flips. Comparing each country only with itself gives +0.18. Also taking out what happened to the whole world each year gives -0.09. So the first figure was picking up a trend both measures share with worldwide progress, not a link between them.
Read with care.
Almost all of the second indicator's variation is between countries, so the within-country estimate rests on a small part of the data.
4,025 country-years (one country in one year), 184 countries, 2000–2021, about 22 years each on average. Share of the variation that happens within countries over time: 14% for Premature NCD mortality, 9% for Tuberculosis incidence. The margins of error allow for each country appearing many times, and for each year’s value being close to the year before.
Year-to-year changes are a cautious test, not a final answer. Looking only at changes from one year to the next removes each country’s own trends. But it also makes measurement mistakes louder, which pulls the results toward zero. A near-zero result here is weak evidence of no link, not proof.
With one measure years behind the other
Same year (lag 0): -0.092. A peak away from zero does not show which comes first. These series change slowly — this year’s value is close to last year’s. That makes the curve smooth and nearly symmetric, whatever produced the data. Even a sharp peak at one lag (a gap of some years) would not prove that one measure changes the other.
This curve peaks at the edge of the window (lag +10), so it is still drifting where the search stops. That pattern usually reflects a slow trend left over in the data, not a link with real timing. The peak value should not be read as the “true” link at the right lag.
The data
% probability, ages 30-70
per 100,000 people
Years
Kiribati KIR
44.1%
945
2021, 2024
Solomon Islands SLB
40.6%
123
2021, 2024
Micronesia, Fed. Sts. FSM
40.5%
264
2021, 2024
Fiji FJI
37.9%
104
2021, 2024
Vanuatu VUT
36.8%
44
2021, 2024
Lesotho LSO
36.3%
548
2021, 2024
Afghanistan AFG
32.7%
203
2021, 2024
Samoa WSM
32.3%
5.5
2021, 2024
Eswatini SWZ
32.3%
319
2021, 2024
Philippines PHL
31.9%
625
2021, 2024
Haiti HTI
31.6%
175
2021, 2024
Zimbabwe ZWE
31.2%
203
2021, 2024
Central African Republic CAF
30.8%
419
2021, 2024
Papua New Guinea PNG
28.5%
664
2021, 2024
Somalia, Fed. Rep. SOM
27.6%
151
2021, 2024
World Bank, World Development Indicators World Bank, World Development Indicators
World Health Organization · CC BY 4.0 · updated quarterly
How this was computed
Data used: most recent value in 2010-2025; values come from 2021–2024. To adjust for income, each measure is first predicted from GDP per person (in percentage terms, on a log scale) with a straight-line fit. Only what is left over is then compared. This is called a partial correlation. The line is drawn the standard way (ordinary least squares), which picks the line that comes closest to all the countries at once. The error margins allow for countries in the same region resembling each other, using 7 World Bank regions. The q-value corrects for testing all 12,497 pairs at once, using the Benjamini–Hochberg method. Underlying data last updated DYB 2024. How the country data works · explore Premature NCD mortality and Tuberculosis incidence
This page shows that two measures go together. It does not show that Premature NCD mortality changes Tuberculosis incidence, or the reverse. These figures also describe countries, not individual people. See the ecological fallacy.
More links with Premature NCD mortality or Tuberculosis incidence