The effect of household poverty on tuberculosis

A. Siroka, I. Law, J. Macinko, K. Floyd, R. P. Banda, N. B. Hoa, B. Tsolmon, P. Chanda-Kapata, M. Gasana, T. Lwinn, M. Senkoro, T. Tupasi, N. A. Ponce

Research output: Contribution to journalArticle

Abstract

SETTING: Households in Malawi, Mongolia, Myanmar, the Philippines, Rwanda, Tanzania, Viet Nam and Zambia. OBJECTIVE : To assess the relationship between household socio-economic level, both relative and absolute, and individual tuberculosis (TB) disease. DESIGN: We analysed national TB prevalence surveys from eight countries individually and in pooled multicountry models. Socio-economic level (SEL) was measured in terms of both relative household position and absolute wealth. The outcome of interest was whether or not an individual had TB disease. Logistic regression models were used to control for putative risk factors for TB disease such as age, sex and previous treatment history. RESULT S : Overall, a strong and consistent association between household SEL and individual TB disease was not found. Significant results were found in four individual country models, with the lowest socioeconomic quintile being associated with higher TB risk in Mongolia, Myanmar, Tanzania and Viet Nam. CONCLUS IONS : TB prevalence surveys are designed to assess prevalence of disease and, due to the small numbers of cases usually detected, may not be the most efficient means of investigating TB risk factors. Different designs are needed, including measuring the SEL of individuals in nested case-control studies within TB prevalence surveys or among TB patients seeking treatment in health care facilities.

Original languageEnglish (US)
Pages (from-to)1603-1608
Number of pages6
JournalInternational Journal of Tuberculosis and Lung Disease
Volume20
Issue number12
DOIs
StatePublished - Dec 1 2016

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Poverty
Tuberculosis
Economics
Mongolia
Myanmar
Tanzania
Vietnam
Logistic Models
Rwanda
Zambia
Malawi
Philippines
Health Facilities
Case-Control Studies
History
Delivery of Health Care
Therapeutics

Keywords

  • Asset score
  • Prevalence survey
  • Socio-economic level
  • Wealth

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Siroka, A., Law, I., Macinko, J., Floyd, K., Banda, R. P., Hoa, N. B., ... Ponce, N. A. (2016). The effect of household poverty on tuberculosis. International Journal of Tuberculosis and Lung Disease, 20(12), 1603-1608. https://doi.org/10.5588/ijtld.16.0386

The effect of household poverty on tuberculosis. / Siroka, A.; Law, I.; Macinko, J.; Floyd, K.; Banda, R. P.; Hoa, N. B.; Tsolmon, B.; Chanda-Kapata, P.; Gasana, M.; Lwinn, T.; Senkoro, M.; Tupasi, T.; Ponce, N. A.

In: International Journal of Tuberculosis and Lung Disease, Vol. 20, No. 12, 01.12.2016, p. 1603-1608.

Research output: Contribution to journalArticle

Siroka, A, Law, I, Macinko, J, Floyd, K, Banda, RP, Hoa, NB, Tsolmon, B, Chanda-Kapata, P, Gasana, M, Lwinn, T, Senkoro, M, Tupasi, T & Ponce, NA 2016, 'The effect of household poverty on tuberculosis', International Journal of Tuberculosis and Lung Disease, vol. 20, no. 12, pp. 1603-1608. https://doi.org/10.5588/ijtld.16.0386
Siroka A, Law I, Macinko J, Floyd K, Banda RP, Hoa NB et al. The effect of household poverty on tuberculosis. International Journal of Tuberculosis and Lung Disease. 2016 Dec 1;20(12):1603-1608. https://doi.org/10.5588/ijtld.16.0386
Siroka, A. ; Law, I. ; Macinko, J. ; Floyd, K. ; Banda, R. P. ; Hoa, N. B. ; Tsolmon, B. ; Chanda-Kapata, P. ; Gasana, M. ; Lwinn, T. ; Senkoro, M. ; Tupasi, T. ; Ponce, N. A. / The effect of household poverty on tuberculosis. In: International Journal of Tuberculosis and Lung Disease. 2016 ; Vol. 20, No. 12. pp. 1603-1608.
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