TY - JOUR
T1 - Tobacco smoking clusters in households affected by tuberculosis in an individual participant data meta-analysis of national tuberculosis prevalence surveys
T2 - Time for household-wide interventions?
AU - Hamada, Yohhei
AU - Quartagno, Matteo
AU - Law, Irwin
AU - Malik, Farihah
AU - Bonsu, Frank Adae
AU - Adetifa, Ifedayo M.O.
AU - Adusi-Poku, Yaw
AU - D’Alessandro, Umberto
AU - Bashorun, Adedapo Olufemi
AU - Begum, Vikarunnessa
AU - Lolong, Dina Bisara
AU - Boldoo, Tsolmon
AU - Dlamini, Themba
AU - Donkor, Simon
AU - Dwihardiani, Bintari
AU - Egwaga, Saidi
AU - Farid, Muhammad N.
AU - Garfin, Anna Marie Celina G.
AU - Gaviola, Donna Mae G.
AU - Husain, Mohammad Mushtuq
AU - Ismail, Farzana
AU - Kaggwa, Mugagga
AU - Kamara, Deus V.
AU - Kasozi, Samuel
AU - Kaswaswa, Kruger
AU - Kirenga, Bruce
AU - Klinkenberg, Eveline
AU - Kondo, Zuweina
AU - Lawanson, Adebola
AU - Macheque, David
AU - Manhiça, Ivan
AU - Maama-Maime, Llang Bridget
AU - Mfinanga, Sayoki
AU - Moyo, Sizulu
AU - Mpunga, James
AU - Mthiyane, Thuli
AU - Mustikawati, Dyah Erti
AU - Mvusi, Lindiwe
AU - Nguyen, Hoa Binh
AU - Nguyen, Hai Viet
AU - Pangaribuan, Lamria
AU - Patrobas, Philip
AU - Rahman, Mahmudur
AU - Rahman, Mahbubur
AU - Rahman, Mohammed Sayeedur
AU - Raleting, Thato
AU - Riono, Pandu
AU - Ruswa, Nunurai
AU - Rutebemberwa, Elizeus
AU - Rwabinumi, Mugabe Frank
AU - Senkoro, Mbazi
AU - Sharif, Ahmad Raihan
AU - Sikhondze, Welile
AU - Sismanidis, Charalambos
AU - Sovd, Tugsdelger
AU - Stavia, Turyahabwe
AU - Sultana, Sabera
AU - Suriani, Oster
AU - Thomas, Albertina Martha
AU - Tobing, Kristina
AU - Van der Walt, Martie
AU - Walusimbi, Simon
AU - Zaman, Mohammad Mostafa
AU - Floyd, Katherine
AU - Copas, Andrew
AU - Abubakar, Ibrahim
AU - Rangaka, Molebogeng X.
N1 - Publisher Copyright:
Copyright: © 2024 Hamada et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2024/2/29
Y1 - 2024/2/29
N2 - Tuberculosis (TB) and non-communicable diseases (NCD) share predisposing risk factors. TB-associated NCD might cluster within households affected with TB requiring shared prevention and care strategies. We conducted an individual participant data meta-analysis of national TB prevalence surveys to determine whether NCD cluster in members of households with TB. We identified eligible surveys that reported at least one NCD or NCD risk factor through the archive maintained by the World Health Organization and searching in Medline and Embase from 1 January 2000 to 10 August 2021, which was updated on 23 March 2023. We compared the prevalence of NCD and their risk factors between people who do not have TB living in households with at least one person with TB (members of households with TB), and members of households without TB. We included 16 surveys (n = 740,815) from Asia and Africa. In a multivariable model adjusted for age and gender, the odds of smoking was higher among members of households with TB (adjusted odds ratio (aOR) 1.23; 95% CI: 1.11–1.38), compared with members of households without TB. The analysis did not find a significant difference in the prevalence of alcohol drinking, diabetes, hypertension, or BMI between members of households with and without TB. Studies evaluating household-wide interventions for smoking to reduce its dual impact on TB and NCD may be warranted. Systematically screening for NCD using objective diagnostic methods is needed to understand the actual burden of NCD and inform comprehensive interventions.
AB - Tuberculosis (TB) and non-communicable diseases (NCD) share predisposing risk factors. TB-associated NCD might cluster within households affected with TB requiring shared prevention and care strategies. We conducted an individual participant data meta-analysis of national TB prevalence surveys to determine whether NCD cluster in members of households with TB. We identified eligible surveys that reported at least one NCD or NCD risk factor through the archive maintained by the World Health Organization and searching in Medline and Embase from 1 January 2000 to 10 August 2021, which was updated on 23 March 2023. We compared the prevalence of NCD and their risk factors between people who do not have TB living in households with at least one person with TB (members of households with TB), and members of households without TB. We included 16 surveys (n = 740,815) from Asia and Africa. In a multivariable model adjusted for age and gender, the odds of smoking was higher among members of households with TB (adjusted odds ratio (aOR) 1.23; 95% CI: 1.11–1.38), compared with members of households without TB. The analysis did not find a significant difference in the prevalence of alcohol drinking, diabetes, hypertension, or BMI between members of households with and without TB. Studies evaluating household-wide interventions for smoking to reduce its dual impact on TB and NCD may be warranted. Systematically screening for NCD using objective diagnostic methods is needed to understand the actual burden of NCD and inform comprehensive interventions.
UR - http://www.scopus.com/inward/record.url?scp=85194052042&partnerID=8YFLogxK
U2 - 10.1371/journal.pgph.0002596
DO - 10.1371/journal.pgph.0002596
M3 - Article
AN - SCOPUS:85194052042
SN - 2767-3375
VL - 4
JO - PLOS Global Public Health
JF - PLOS Global Public Health
IS - 2
M1 - e0002596
ER -