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Coverage of tuberculosis and diabetes mellitus screening among household contacts of tuberculosis patients: a household-based cross-sectional survey from Southern Thailand

BMC public health, 2020-06, Vol.20 (1), p.1-957, Article 957 [Peer Reviewed Journal]

COPYRIGHT 2020 BioMed Central Ltd. ;2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2020 ;ISSN: 1471-2458 ;EISSN: 1471-2458 ;DOI: 10.1186/s12889-020-09090-w ;PMID: 32552712

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  • Title:
    Coverage of tuberculosis and diabetes mellitus screening among household contacts of tuberculosis patients: a household-based cross-sectional survey from Southern Thailand
  • Author: Oo, Myo Minn ; Tassanakijpanich, Nattaporn ; Phyu, Moe Hnin ; Safira, Nanda ; Kandel, Shashi ; Chumchuen, Kemmapon ; Zhang, Li Mei ; Kyu, Hnin Aye ; Sriwannawit, Porraporn ; Bilmumad, Bintinee ; Cao, Li ; Guo, Yingwu ; Sukmanee, Jarawee ; Cuong, Vu Manh ; Chongsuvivatwong, Virasakdi ; McNeil, Edward B
  • Subjects: Caregivers ; Collaboration ; Comorbidity ; Confidence intervals ; Coverage of diabetes ; Coverage of tuberculosis ; Data collection ; Diabetes ; Diabetes mellitus ; Diabetes screening ; Disease ; Health aspects ; Health risks ; Health screening ; Hospitals ; Household contact investigation ; Households ; Polls & surveys ; Predictors ; Public health ; Questionnaires ; Regression analysis ; Regression models ; Researchers ; Statistical analysis ; Studies ; Surveys ; Tuberculosis ; Tuberculosis screening
  • Is Part Of: BMC public health, 2020-06, Vol.20 (1), p.1-957, Article 957
  • Description: Abstract Background The comorbid presence of tuberculosis and diabetes mellitus has become an increasingly important public health threat to the prevention and control of both diseases. Thus, household contact investigation may serve a dual purpose of screening for both tuberculosis and diabetes mellitus among household contacts. We therefore aimed to evaluate the coverage of screening for tuberculosis and diabetes mellitus among household contacts of tuberculosis index cases and to determine predictors of tuberculosis screening. Methods A household-based survey was conducted in February 2019 in Muang district of Phatthalung Province, Thailand where 95 index tuberculosis patients were newly diagnosed with pulmonary or pleural tuberculosis between October 2017 and September 2018. Household contacts of the index patients were interviewed using a structured questionnaire to ascertain their past-year history of tuberculosis screening and, if appropriate, diabetes mellitus screening. For children, the household head or an adult household member was interviewed as a proxy. Coverage of tuberculosis screening at the household level was regarded as households having all contacts screened for tuberculosis. Logistic regression and mixed-effects logistic regression models were used to determine predictors of tuberculosis screening at the household and individual levels, respectively, with the strengths of association presented as adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results Of 61 responding households (64%), complete coverage of tuberculosis screening at the household level was 34.4% and among the 174 household contacts was 46.6%. About 20% of contacts did not receive any recommendation for tuberculosis screening. Households were more likely to have all members screened for tuberculosis if they were advised to be screened by a healthcare professional rather than someone else. At the individual level, contacts aged ≥35 years (AOR: 30.6, 95% CI: 2.0–466.0), being an employee (AOR: 0.1, 95% CI: 0.0–0.8) and those who had lived more than 5 years in the same household (AOR: 0.1, 95% CI: 0.0–0.8) were independent predictors for tuberculosis screening. Coverage of diabetes mellitus screening was 80.6% with lack of awareness being the main reason for not being screened. Conclusions Compared to diabetes screening, the coverage of tuberculosis screening was low. A better strategy to improve coverage of tuberculosis contact screening is needed.
  • Publisher: London: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1471-2458
    EISSN: 1471-2458
    DOI: 10.1186/s12889-020-09090-w
    PMID: 32552712
  • Source: GFMER Free Medical Journals
    PubMed Central
    Springer Nature OA/Free Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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