Risk factors of childhood tuberculosis: a case control study from rural Bangladesh
Article
in English
| IMSEAR
| ID: sea-137221
ABSTRACT
Background:
Childhood tuberculosis (TB) is one of the major causes of childhood morbidity and mortality; however, it is relatively a neglected disease. Hence, we explored the risk factors for childhood TB.Methods:
Ninty-five cases and 94 controls were selected during January to May 2011 from DOTS centres located in four sub-districts of Bangladesh. The exposure status of recently diagnosed childhood TB patients (<18-year-olds), who were sputum-positive, were compared with children who were sent to the laboratory with suspected tuberculosis but were found to be sputum-negative. Data were collected by a structured questionnaire. Crude odds ratios (OR), adjusted odds ratio (AOR) and 95% confidence intervals (CI) were estimated. Stepwise logistic regression model was used to identify independent predictors.Results:
Children under 14 years of age (AOR 0.25; 95% CI 0.10-0.66), having completed primary education (AOR 0.28; 95% CI 0.10-0.74), whose fathers’ were in business or service(AOR 0.24; 95% CI 0.08-0.72), and who slept in a less crowded room (AOR 0.32; 95% CI0.14-0.76), lived in a house with a separate kitchen (AOR 0.39; 95% CI 0.16-0.96) had less chance of having TB. Those who had contact with cases of TB among relatives or neighbours were less likely to have TB (AOR 0.28; 95% CI 0.16-0.70) compared to those who had contact with a TB case in the family.Conclusion:
Age, education, father’s occupation, crowding, kitchen location and intimate contact with a TB case were significantly associated with smear-positive childhood TB.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Risk factors
Language:
English
Year:
2012
Type:
Article
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