SidaSubSaharaV1, Main, Exploration, bibRecord, 007A33

Tuberculosis in Bissau: incidence and risk factors in an urban community in sub-Saharan Africa

Identifieur interne : 007A33 ( Main/Exploration ); précédent : 007A32; suivant : 007A34

Tuberculosis in Bissau: incidence and risk factors in an urban community in sub-Saharan Africa

Auteurs : Per Gustafson [Guinée-Bissau, Suède] ; Victor F. Gomes [Guinée-Bissau] ; Cesaltina S. Vieira [Guinée-Bissau] ; Paulo Rabna [Guinée-Bissau] ; Re Monie Seng [Guinée-Bissau, France] ; Peter Johansson [Suède] ; Anita Sandstro M [Guinée-Bissau, Suède] ; Rene E Norberg [Suède] ; Ida Lisse [Guinée-Bissau] ; Badara Samb [France] ; Peter Aaby [Guinée-Bissau] ; Anders Naucle R [Guinée-Bissau, Suède]

Source :

International Journal of Epidemiology [ 0300-5771 ] ; 2004-02.

RBID : ISTEX:F5A39B24B8B6F217AFCDEAE69909499ACB709F7F

Descripteurs français

Pascal (Inist)
- Afrique subsaharienne, Epidémiologie, Facteur risque, Guinée Bissau, Homme, Incidence, Milieu urbain, Médecine tropicale, SIDA, Santé publique, Tuberculose.
Wicri :
- topic : Afrique, Homme, Santé publique, épidémiologie, Groupe ethnique, Santé publique, Condition socio-économique.

English descriptors

Abstract

Background Despite the long history of tuberculosis (TB) research, population-based studies from developing countries are rare. Methods In a prospective community study in Bissau, the capital of Guinea-Bissau, we assessed the impact of demographic, socioeconomic and cultural risk factors on active TB. A surveillance system in four districts of the capital identified 247 adult (≥15 years) cases of intrathoracic TB between May 1996 and June 1998. Risk factors were evaluated comparing cases with the 25 189 adults living in the area in May 1997. Results The incidence of intrathoracic TB in the adult population was 471 per 100 000 person-years. Significant risk factors in a multivariate analysis were increasing age (P < 0.0001), male sex (odds ratio [OR] = 2.58, 95% CI: 1.85, 3.60), ethnic group other than the largest group (Pepel) (OR = 1.64, 95% CI: 1.20, 2.22), adult crowding (OR = 1.68, 95% CI: 1.18, 2.39 for >2 adults in household), and poor quality of housing (OR = 1.66, 95% CI: 1.24, 2.22). Household type was important; adults living alone or with adults of their own sex only, had a higher risk of developing TB than households with husband and wife present, the adjusted OR being 1.76 (95% CI: 1.11, 2.78) for male households and 3.80 (95% CI: 1.69, 8.56) for female households. In a multivariate analysis excluding household type, child crowding was a protective factor, the OR being 0.68 (95% CI: 0.51, 0.90) for households with >2 children per household. Conclusions Bissau has a very high incidence of intrathoracic TB. Human immunodeficiency virus (HIV), increasing age, male sex, ethnicity, adult crowding, family structure, and poor housing conditions were independent risk factors for TB. Apart from HIV prevention, TB control programmes need to emphasize risk factors such as socioeconomic inequality, ethnic differences, crowding, and gender.

Url:

https://api.istex.fr/document/F5A39B24B8B6F217AFCDEAE69909499ACB709F7F/fulltext/pdf

DOI: 10.1093/ije/dyh026

Affiliations:

Le document en format XML

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<term>Positive bacteriological tests</term>
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<term>Reliable sputum</term>
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<term>Homme</term>
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<front><div type="abstract" xml:lang="en">Background Despite the long history of tuberculosis (TB) research, population-based studies from developing countries are rare. Methods In a prospective community study in Bissau, the capital of Guinea-Bissau, we assessed the impact of demographic, socioeconomic and cultural risk factors on active TB. A surveillance system in four districts of the capital identified 247 adult (≥15 years) cases of intrathoracic TB between May 1996 and June 1998. Risk factors were evaluated comparing cases with the 25 189 adults living in the area in May 1997. Results The incidence of intrathoracic TB in the adult population was 471 per 100 000 person-years. Significant risk factors in a multivariate analysis were increasing age (P < 0.0001), male sex (odds ratio [OR] = 2.58, 95% CI: 1.85, 3.60), ethnic group other than the largest group (Pepel) (OR = 1.64, 95% CI: 1.20, 2.22), adult crowding (OR = 1.68, 95% CI: 1.18, 2.39 for >2 adults in household), and poor quality of housing (OR = 1.66, 95% CI: 1.24, 2.22). Household type was important; adults living alone or with adults of their own sex only, had a higher risk of developing TB than households with husband and wife present, the adjusted OR being 1.76 (95% CI: 1.11, 2.78) for male households and 3.80 (95% CI: 1.69, 8.56) for female households. In a multivariate analysis excluding household type, child crowding was a protective factor, the OR being 0.68 (95% CI: 0.51, 0.90) for households with >2 children per household. Conclusions Bissau has a very high incidence of intrathoracic TB. Human immunodeficiency virus (HIV), increasing age, male sex, ethnicity, adult crowding, family structure, and poor housing conditions were independent risk factors for TB. Apart from HIV prevention, TB control programmes need to emphasize risk factors such as socioeconomic inequality, ethnic differences, crowding, and gender.</div>
</front>
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<affiliations><list><country><li>France</li>
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<li>Suède</li>
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<settlement><li>Stockholm</li>
</settlement>
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<name sortKey="Vieira, Cesaltina S" sort="Vieira, Cesaltina S" uniqKey="Vieira C" first="Cesaltina S" last="Vieira">Cesaltina S. Vieira</name>
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<name sortKey="Johansson, Peter" sort="Johansson, Peter" uniqKey="Johansson P" first="Peter" last="Johansson">Peter Johansson</name>
<name sortKey="Naucle R, Anders" sort="Naucle R, Anders" uniqKey="Naucle R A" first="Anders" last="Naucle R">Anders Naucle R</name>
<name sortKey="Norberg, Rene E" sort="Norberg, Rene E" uniqKey="Norberg R" first="Rene E" last="Norberg">Rene E Norberg</name>
<name sortKey="Sandstro M, Anita" sort="Sandstro M, Anita" uniqKey="Sandstro M A" first="Anita" last="Sandstro M">Anita Sandstro M</name>
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<country name="France"><noRegion><name sortKey="Seng, Re Monie" sort="Seng, Re Monie" uniqKey="Seng R" first="Re Monie" last="Seng">Re Monie Seng</name>
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<name sortKey="Samb, Badara" sort="Samb, Badara" uniqKey="Samb B" first="Badara" last="Samb">Badara Samb</name>
</country>
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{{Explor lien
   |wiki=    Wicri/Sante
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   |type=    RBID
   |clé=     ISTEX:F5A39B24B8B6F217AFCDEAE69909499ACB709F7F
   |texte=   Tuberculosis in Bissau: incidence and risk factors in an urban community in sub-Saharan Africa
}}

This area was generated with Dilib version V0.6.32.
Data generation: Mon Nov 13 19:31:10 2017. Site generation: Wed Mar 6 19:14:32 2024

Le SIDA en Afrique subsaharienne (serveur d'exploration)

Tuberculosis in Bissau: incidence and risk factors in an urban community in sub-Saharan Africa

Tuberculosis in Bissau: incidence and risk factors in an urban community in sub-Saharan Africa

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.