A role of social factors for risk of pulmonary tuberculosis
https://doi.org/10.18093/0869-0189-2015-25-4-5-6
Abstract
The aim of this study was to identify social risk factors of pulmonary tuberculosis.
Methods. We used a questionnaire to evaluate living conditions, number of subjects living together, including children; dwelling space, and family income.
Results. The study involved 342 patients with newly diagnosed pulmonary tuberculosis (56.4±5.26% were men) and 386 healthy individuals (54.7±4.97% were women). Poor living conditions (OR = 8.4 (5.25; 13.44); p < 0.001) and extremely low income (OR = 2.5 (2.17; 2.97); p < 0.001) were associated with the highest risk for pulmonary tuberculosis morbidity followed by living in an individual household, small dwelling space, low family income and less living rooms in a house. A relatively small proportion of TB foci involving children was found.
Conclusion. The results can facilitate targeted measures for active diagnosis of pulmonary tuberculosis in high risk cohorts. This could increase efficacy of preventive measures and reduce diagnostic costs per a patient.
About the Authors
A. N. NarkevichRussian Federation
PhD student at Department of Medical Cybernetics, V.F.VoynoYasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2200389
N. M. Koretskaya
Russian Federation
MD, Professor, Head of Department of Tuberculosis with Postgraduate Physician Training Course, V.F.VoynoYase netskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2617682
K. A. Vinogradov
Russian Federation
MD, Professor, Head of Department of Medical Cybernetics, V.F.VoynoYasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2200389
A. A. Narkevich
Russian Federation
Assistant Lecturer at Department of Tuberculosis with Postgraduate Physician Training Course, V.F.Voyno Yasenetskiy Krasnoyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2617682
K. V. Shadrin
Russian Federation
Lecturer at Department of Tuberculosis with Postgraduate Physician Training Course, V.F.VoynoYasenetskiy Kras noyarsk State Medical University, Healthcare Ministry of Russia; tel.: (391) 2200389
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Review
For citations:
Narkevich A.N., Koretskaya N.M., Vinogradov K.A., Narkevich A.A., Shadrin K.V. A role of social factors for risk of pulmonary tuberculosis. PULMONOLOGIYA. 2015;25(4):465-468. (In Russ.) https://doi.org/10.18093/0869-0189-2015-25-4-5-6