Predictors of Tuberculosis and Non-Communicable Disease Comorbidities Among Newly Enrolled Tuberculosis Patients, Southern Ethiopia.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE
Integrated Blood Pressure Control Pub Date : 2023-11-22 eCollection Date: 2023-01-01 DOI:10.2147/IBPC.S432251
Mengistu Handiso Nunemo, Kassa Daka Gidebo, Eskinder Wolka Woticha, Yohannes Kebede Lemu
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Abstract

Introduction: Non-communicable diseases are comorbid with tuberculosis, however only a few record review based studies have been conducted, which are more concentrated on elevated glucose levels. This study aimed to assess non-communicable disease comorbidity and its predictors among tuberculosis patients.

Methods: A prospective cross-sectional study design was used and the data were collected by a previously validated tool from a sample of 443 tuberculosis patients using cluster random sampling methods. Multinomial logistic regression was interpreted by relative risk to predict the association of comorbidity status with independent variables.

Results: The majority (87.81%) of TB patients were not comorbid with NCDs. The prevalence of hypertension and diabetes mellitus among tuberculosis patients were 6.55%, and 5.64%, respectively. The people who had a risk score >8 were 6.47 times more likely to have tuberculosis comorbid with one non-communicable disease compared to those with a risk score ≤8. The relative risk of tuberculosis patients with BMI >25 is 3.33 times compared to those with a BMI <23 of being comorbid with one non-communicable disease vs tuberculosis patients without non-communicable diseases. Those tuberculosis patients with an awareness of non-communicable disease comorbidities are 9.33 times more likely to have tuberculosis with multi-comorbidities compared to those who are unaware.

Conclusion: The majority of TB patients were not comorbid with NCDs. The person's weight, family size of more than five, monthly income >3000 birr, risk score >8 and BMI >25 significantly predict comorbidity with one non-communicable disease compared to those without a comorbidity. The presence of non-communicable disease comorbidity, treatment awareness, and being aged 50+ years significantly predict the presence of multi-comorbidities compared to those without comorbidity. For early detection and management of both diseases, establishing bidirectional screening platforms in tuberculosis care programs is urgently required.

埃塞俄比亚南部新登记的结核病患者中结核病和非传染性疾病合并症的预测因素
简介:非传染性疾病与结核病合并症,但仅进行了一些基于记录审查的研究,这些研究更多地集中在血糖水平升高上。本研究旨在评估结核病患者的非传染性疾病合并症及其预测因素。方法:采用前瞻性横断面研究设计,采用整群随机抽样方法,通过先前验证的工具从443例结核病患者样本中收集数据。用相对危险度解释多项逻辑回归来预测合并症状态与自变量的关联。结果:绝大多数(87.81%)结核病患者未合并非传染性疾病。肺结核患者中高血压和糖尿病患病率分别为6.55%和5.64%。与风险评分≤8的人相比,风险评分>8的人患结核病合并一种非传染性疾病的可能性是后者的6.47倍。BMI >25的结核病患者的相对危险度是BMI >25的结核病患者的3.33倍。结论:大多数结核病患者未合并非传染性疾病。一个人的体重、超过5人的家庭规模、月收入>3000 birr、风险评分>8和BMI >25与没有共病的人相比,显著地预测了一种非传染性疾病的共病。非传染性疾病合并症的存在、治疗意识和年龄在50岁以上与无合并症的患者相比,可以显著预测多重合并症的存在。为了尽早发现和管理这两种疾病,迫切需要在结核病护理规划中建立双向筛查平台。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
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