PLOS Global Public Health (Jan 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?

  • Yohhei Hamada,
  • Matteo Quartagno,
  • Irwin Law,
  • Farihah Malik,
  • Frank Adae Bonsu,
  • Ifedayo M O Adetifa,
  • Yaw Adusi-Poku,
  • Umberto D'Alessandro,
  • Adedapo Olufemi Bashorun,
  • Vikarunnessa Begum,
  • Dina Bisara Lolong,
  • Tsolmon Boldoo,
  • Themba Dlamini,
  • Simon Donkor,
  • Bintari Dwihardiani,
  • Saidi Egwaga,
  • Muhammad N Farid,
  • Anna Marie Celina G Garfin,
  • Donna Mae G Gaviola,
  • Mohammad Mushtuq Husain,
  • Farzana Ismail,
  • Mugagga Kaggwa,
  • Deus V Kamara,
  • Samuel Kasozi,
  • Kruger Kaswaswa,
  • Bruce Kirenga,
  • Eveline Klinkenberg,
  • Zuweina Kondo,
  • Adebola Lawanson,
  • David Macheque,
  • Ivan Manhiça,
  • Llang Bridget Maama-Maime,
  • Sayoki Mfinanga,
  • Sizulu Moyo,
  • James Mpunga,
  • Thuli Mthiyane,
  • Dyah Erti Mustikawati,
  • Lindiwe Mvusi,
  • Hoa Binh Nguyen,
  • Hai Viet Nguyen,
  • Lamria Pangaribuan,
  • Philip Patrobas,
  • Mahmudur Rahman,
  • Mahbubur Rahman,
  • Mohammed Sayeedur Rahman,
  • Thato Raleting,
  • Pandu Riono,
  • Nunurai Ruswa,
  • Elizeus Rutebemberwa,
  • Mugabe Frank Rwabinumi,
  • Mbazi Senkoro,
  • Ahmad Raihan Sharif,
  • Welile Sikhondze,
  • Charalambos Sismanidis,
  • Tugsdelger Sovd,
  • Turyahabwe Stavia,
  • Sabera Sultana,
  • Oster Suriani,
  • Albertina Martha Thomas,
  • Kristina Tobing,
  • Martie Van der Walt,
  • Simon Walusimbi,
  • Mohammad Mostafa Zaman,
  • Katherine Floyd,
  • Andrew Copas,
  • Ibrahim Abubakar,
  • Molebogeng X Rangaka

DOI
https://doi.org/10.1371/journal.pgph.0002596
Journal volume & issue
Vol. 4, no. 2
p. e0002596

Abstract

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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.