In a study in Aceh, Indonesia, researchers conducted a case-control study to identify risk factors contributing to tuberculosis (TB) prevalence and inform public health policy. Univariate analysis revealed that environmental factors such as insufficient light exposure (OR: 34.6), insufficient housing humidity (OR: 6.65), and high housing density (OR: 3.92) increased TB risk. Behavioral and social factors, including close contact with TB patients (OR: 18.52) and smoking (daily smokers OR: 6.04, previous smokers OR: 1.66), were also significant contributors. Additionally, comorbidities nearly tripled TB risk (OR: 2.99).
Multivariate analysis identified major TB risk factors, including insufficient light exposure (AOR: 77.69), close contact with TB patients (AOR: 25.39), poor TB knowledge (AOR: 24.2), comorbidities (AOR: 4.49), and negative preventive behaviors (AOR: 3.39). Protective factors included employment, higher income, and good nutrition. The model accounted for 76.7% of the variance in TB prevalence, demonstrating strong predictive power.
The study concluded that both individual (education, comorbidities, smoking, preventive behavior) and environmental (housing conditions, food security, TB exposure) factors significantly contribute to TB prevalence.
References:
1. Fahdhienie, F., Mudatsir, M., Abidin, T.F. and Nurjannah, N., 2024. Risk factors of pulmonary tuberculosis in Indonesia: a case-control study in a high disease prevalence region. Narra J, 4(2), p.e943.
No comments:
Post a Comment