Prevalence of pulmonary tuberculosis in homeless individuals in the Addis Ababa City, Ethiopia

Bibliographic Data

ID22083662
AuthorsTsegaye Shamebo (Addis Ababa University), Sindew Mekesha (Ethiopian Public Health Institute), Muluwork Getahun (0000-0003-3407-983X, Ethiopian Public Health Institute), Balako Gumi (0000-0002-2049-4955, Addis Ababa University), Beyene Petros (Addis Ababa University), Gobena Ameni (0000-0003-3987-0671, United Arab Emirates University, corresponding author)
Year2023
Volume11
Pages1128525-1128525
Publication date2023-04-06
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1128525
PMID37089500
OpenAlexW4362671317
LanguageEN
Citations received4
References cited40

Background Homeless individuals are at a high risk of infection with Mycobacterium tuberculosis (M. tuberculosis) as compared to the general population. The number of homeless individuals has been increasing in Addis Ababa City during the last three decades due to the migration of rural inhabitants to the City for better living conditions. The objective of this study was to estimate the prevalence of pulmonary tuberculosis (PTB) and evaluate associated risk factors in homeless individuals in Addis Ababa City. Methods A total of 5,600 homeless individuals were screened for PTB symptoms using WHO guideline between February 2019 and December 2020. Sputum samples were cultured from individuals with symptoms of PTB for mycobacterial isolation. Logistic regression analysis was used to identify factors associated with PTB. Results The prevalence of bacteriologically confirmed cases was 1.1% (59/5,600) or 10.54 per 1000 population. Multinomial logistic regression analysis showed that being homeless for more than 5 years, body mass index (BMI) < 18.5, smoking cigarette, living in a group of more than five individuals, close contact with chronic coughers, imprisonment and HIV infection were significantly associated with the prevalence of PTB in homeless individuals ( P < 0.05). Conclusion In conclusion, the result of this study indicated that the prevalence of PTB in homeless individuals was higher than the prevalence of PTB in the general population of Addis Ababa City requiring for the inclusion of the homeless individuals in the TB control program

Environmental health · Logistic regression · Pathology · Population · Sputum · Tuberculosis · Demography · Diagnosis and treatment of tuberculosis · Homelessness and Social Issues · Medicine · Tuberculosis Research and Epidemiology · Internal Medicine