Characteristics of individuals with tuberculosis in an urban, poor population in Osaka City, Japan — a case-control study
10.5365/wpsar.2018.9.1.005
- Author:
Akira Shimouchi
1
;
Yuko Tsuda
2
;
Jun Komukai
2
;
Kenji Matsumoto
2
;
Hideki Yoshida
2
;
Akihiro Ohkado
3
Author Information
1. Nishinari District Public Health Office, Osaka City, Japan
2. Osaka City Public Health Office, Japan
3. The Research Institute of Tuberculosis, Japan Anti-tuberculosis Association, Tokyo, Japan
- Publication Type:Journal Article
- Keywords:
tuberculosis;
body mass index;
alcohol use;
poverty scheme
- From:
Western Pacific Surveillance and Response
2020;11(1):22-28
- CountryWHO-WPRO
- Language:English
-
Abstract:
Objective:To identify individual characteristics related to the development of pulmonary tuberculosis (PTB) among
residents in the Airin area (Airin), Osaka City, Japan.
Methods:We conducted a retrospective case-control study of individual characteristics potentially related to the
development of PTB by comparing PTB patients and residents without tuberculosis (TB) in Airin. The following
binominal data of characteristics were compared: age (<65 or >65); body mass index (BMI) (<18.5 or >18.5);
diabetes mellitus (diagnosed or not diagnosed); smoking (currently smoking any amount or not smoking); and alcohol
use (currently drinking any amount or not drinking).
Results:We compared the individual characteristics of 192 PTB patients notified from January 2015 to December
2018 and 190 residents of supportive houses who attended a health education programme from April 2016 to March
2018.
Univariable analysis showed that the following characteristics were significantly related with PTB: BMI <18.5 (odds
ratio [OR]: 6.54, 95% confidence interval [CI]: 3.58–11.97, P < 0.001) and current alcohol use (OR: 1.88; 95% CI:
1.24–2.85, P = 0.003). Multivariable analysis showed similar results: BMI <18.5 (adjusted odds ratio [aOR]: 6.90,
95% CI: 3.72–12.79, P < 0.001) and current alcohol use (aOR: 2.15, 95% CI: 1.36–3.42, P = 0.001).
Discussion:Undernutrition and alcohol use are individual characteristics associated with PTB among residents in Airin,
Osaka City. To strengthen the TB control programme further, it is suggested to develop new programmes for primary
prevention.
- Full text:wpsar.2018.9.1.005 (Shimouchi) 22-28.pdf
