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

Bibliographic Data

ID19594450
AuthorsYohhei Hamada (0000-0002-9845-4267, University College London, corresponding author), Matteo Quartagno (0000-0003-4446-0730, MRC Clinical Trials Unit at UCL, corresponding author), Irwin Law (0000-0002-1194-677X, World Health Organization, corresponding author), Farihah Malik (0000-0003-2752-5926, University College London, corresponding author), Frank Bonsu (Ghana Health Service, corresponding author), Frank Adae Bonsu, Ifedayo Adetifa (0000-0003-2556-9407, London School of Hygiene & Tropical Medicine, corresponding author), Ifedayo M O Adetifa, Yaw Adusi-Poku (Ghana Health Service, corresponding author), Umberto D’alessandro (0000-0001-6341-5009, MRC Unit the Gambia, corresponding author), Adedapo Olufemi Bashorun (0000-0002-0532-3648, MRC Unit the Gambia, corresponding author), Vikarunnessa Begum (World University of Bangladesh, corresponding author), Dina Bisara Lolong (0009-0002-1766-9248, National Research and Innovation Agency, corresponding author), Tsolmon Boldoo (National Center for Communicable Diseases, corresponding author), Themba Dlamini (Ministry of Health, corresponding author), Simon Donkor (0000-0002-6334-5984, MRC Unit the Gambia, corresponding author), Bintari Dwihardiani (Universitas Gadjah Mada, corresponding author), Saidi Egwaga (Ministry of Health and Social Welfare, corresponding author), Muḥammad Farīd (0000-0001-6551-3358, corresponding author), Muhammad N Farid, Anna Marie Celina Garfin (0000-0003-3793-2429, Department of Health, corresponding author), Anna Marie Celina G Garfin, Donna Mae G Gaviola (0000-0003-2393-4343, Department of Health, corresponding author), Mohammad Mushtuq Husain (0009-0008-6608-5744, Institute of Epidemiology, Disease Control and Research, corresponding author), Farzana Ismail (0000-0003-3070-9806, National Health Laboratory Service, corresponding author), Mugagga Kaggwa (0000-0003-4058-8139, World Health Organization - Uganda, corresponding author), Deus V Kamara (0000-0002-2141-0696, Ministry of Health and Social Welfare, corresponding author), Samuel Kasozi (0000-0001-9467-3692, Ministry of Health, corresponding author), Kruger Kaswaswa (0000-0002-7025-4992, Ministry of Health, corresponding author), Bruce Kirenga (0000-0002-2023-2840, Makerere University, corresponding author), Eveline Klinkenberg (0000-0001-7179-3595, Amsterdam University Medical Centers, corresponding author), Zuweina Kondo (Ministry of Health and Social Welfare, corresponding author), Adebola Lawanson (Federal Ministry of Health, corresponding author), David Macheque (Ministry of Health, corresponding author), Ivan Manhiça (Ministry of Health, corresponding author), Llang Bridget Maama-Maime (Ministry of Health, corresponding author), Sayoki Mfinanga (0000-0001-9067-2684, Liverpool School of Tropical Medicine, corresponding author), Sizulu Moyo (0000-0002-5296-3242, Human Sciences Research Council, corresponding author), James Mpunga (Ministry of Health, corresponding author), Thuli Mthiyane (0000-0002-1782-5485, South African Medical Research Council, corresponding author), Dyah Erti Mustikawati (0009-0007-1521-9514, Kementerian Kesehatan Republik Indonesia, corresponding author), Lindiwe Mvusi (Department of Health, corresponding author), Hoa Binh Nguyen (0000-0002-1543-4907, corresponding author), Hai Viet Nguyen (0000-0002-1547-6541, corresponding author), Lamria Pangaribuan (Kementerian Kesehatan Republik Indonesia, corresponding author), Philip Patrobas (World Health Organization - Nigeria, corresponding author), Mahmudur Rahman (0000-0002-3698-4852, Institute of Epidemiology, Disease Control and Research, corresponding author), Mahbubur Rahman (0000-0003-0520-2683, Institute of Epidemiology, Disease Control and Research, corresponding author), Mohammed Sayeedur Rahman (0000-0002-0276-9986, Institute of Epidemiology, Disease Control and Research, corresponding author), Thato Raleting (Ministry of Health, corresponding author), Pandu Riono (University of Indonesia, corresponding author), Nunurai Ruswa (0000-0003-1764-3574, Ministry of Health and Social Services, corresponding author), Elizeus Rutebemberwa (0000-0001-8363-7928, Makerere University, corresponding author), Mugabe Frank Rwabinumi (Makerere University, corresponding author), Mbazi Senkoro (0000-0003-1391-4197, National Institute for Medical Research, corresponding author), Ahmad Raihan Sharif (Institute of Epidemiology, Disease Control and Research, corresponding author), Welile Sikhondze (Ministry of Health, corresponding author), Charalambos Sismanidis (0000-0002-5338-3952, World Health Organization, corresponding author), Tugsdelger Sovd (Ministry of Health, corresponding author), Stavia Turyahabwe (0000-0002-9537-4448, Ministry of Health, corresponding author), Turyahabwe Stavia, Sabera Sultana (0000-0003-3457-8938, World University of Bangladesh, corresponding author), Oster Suriani (Kementerian Kesehatan Republik Indonesia, corresponding author), Albertina Martha Thomas, Albertina Thomas (Ministry of Health and Social Services, corresponding author), Kristina Tobing (National Research and Innovation Agency, corresponding author), Martie van der Walt (0000-0001-9987-3167, South African Medical Research Council, corresponding author), Simon Walusimbi (Makerere University, corresponding author), Mohammad Mostafa Zaman (0000-0002-1736-1342, World University of Bangladesh, corresponding author), Katherine Floyd (0000-0001-8574-9480, World Health Organization, corresponding author), Andrew Copas (0000-0001-8968-5963, University College London, corresponding author), Ibrahim Abubakar (0000-0002-0370-1430, University College London, corresponding author), Molebogeng X Rangaka (0000-0001-9594-188X, University of Cape Town, corresponding author)
EditorsPalash Chandra Banik (0000-0003-2395-9049)
Year2024
Volume4
Issue2
Pagese0002596
Publication date2024-02-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0002596
PMID38422092
OpenAlexW4392283578
LanguageEN
Citations received3
References cited22

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

Environmental health · Logistic regression · Meta-analysis · Odds · Odds ratio · Psychological intervention · Tuberculosis · Chronic Obstructive Pulmonary Disease (COPD) Research · Demography · Medicine · Pneumonia and Respiratory Infections · Tuberculosis Research and Epidemiology