Tobacco smoking clusters in households affected by tuberculosis in an individual participant data meta-analysis of national tuberculosis prevalence surveys: Time for household-wide interventions?

Hamada, Yohhei and Quartagno, Matteo and Law, Irwin and Malik, Farihah and Bonsu, Frank Adae and Adetifa, Ifedayo M.O. and Adusi-Poku, Yaw and D’Alessandro, Umberto and Bashorun, Adedapo Olufemi and Begum, Vikarunnessa and Lolong, Dina Bisara and Boldoo, Tsolmon and Dlamini, Themba and Donkor, Simon and Dwihardiani, Bintari and Egwaga, Saidi and Farid, Muhammad N. and Garfin, Anna Marie Celina G. and Gaviola, Donna Mae G. and Husain, Mohammad Mushtuq and Ismail, Farzana and Kaggwa, Mugagga and Kamara, Deus V. and Kasozi, Samuel and Kaswaswa, Kruger and Kirenga, Bruce and Klinkenberg, Eveline and Kondo, Zuweina and Lawanson, Adebola and Macheque, David and Manhiça, Ivan and Maama-Maime, Llang Bridget and Mfinanga, Sayoki and Moyo, Sizulu and Mpunga, James and Mthiyane, Thuli and Mustikawati, Dyah Erti and Mvusi, Lindiwe and Nguyen, Hoa Binh and Nguyen, Hai Viet and Pangaribuan, Lamria and Patrobas, Philip and Rahman, Mahmudur and Rahman, Mahbubur and Rahman, Mohammed Sayeedur and Raleting, Thato and Riono, Pandu and Ruswa, Nunurai and Rutebemberwa, Elizeus and Rwabinumi, Mugabe Frank and Senkoro, Mbazi and Sharif, Ahmad Raihan and Sikhondze, Welile and Sismanidis, Charalambos and Sovd, Tugsdelger and Stavia, Turyahabwe and Sultana, Sabera and Suriani, Oster and Thomas, Albertina Martha and Tobing, Kristina and Van der Walt, Martie and Walusimbi, Simon and Zaman, Mohammad Mostafa and Floyd, Katherine and Copas, Andrew and Abubakar, Ibrahim and Rangaka, Molebogeng X. (2024) Tobacco smoking clusters in households affected by tuberculosis in an individual participant data meta-analysis of national tuberculosis prevalence surveys: Time for household-wide interventions? PLOS Global Public Health, 4 (2). pp. 1-15. ISSN 27673375

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Abstract

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. 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.

Item Type: Article
Additional Information: Cited by: 4
Uncontrolled Keywords: tobacco, smoking cluster, tuberculosis
Subjects: R Medicine > RN Non Surgical Divisions
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine, Public Health and Nursing > Non Surgical Divisions
Depositing User: Ngesti Gandini
Date Deposited: 17 Jun 2025 07:33
Last Modified: 17 Jun 2025 07:33
URI: https://ir.lib.ugm.ac.id/id/eprint/18916

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