Associations Between Socio-Environmental Determinants and the Risk of Pulmonary Tuberculosis in Guilan, Iran (original) (raw)

Association between Environmental Factors and Pulmonary Tuberculosis: A Case Control Study

National Journal of Community Medicine, 2018

Background: Association between environmental factors and tuberculosis infection assists in understanding the risk for tuberculosis infection in the community and planning appropriate preventive actions based on this risk. The study conducted to evaluate association between environmental factors & pulmonary tuberculosis. Materials & method: This was case control study carried out in tertiary care hospital & urban field practice area from July 2010 to November 2012. Total 150 cases, 150 hospital control & 150 com- munity controls were included in the study according to predefined inclusion and exclusion criteria. The study participants were interviewed and examined according to the preformed and pre- tested proforma in the respective OPDs. Results: On univariate analysis, H/O contact with case of tuberculosis H/O not having BCG scar, overcrowding, use of wood, coal and kerosene oil as cooking fuel and kutcha house were found to have significant association with pulmonary TB and odds ratio & p value for this were statistically significant (<0.05). Conclusion: H/O contact with case of tuberculosis H/O not having BCG scar, overcrowding, use of wood, coal and kerosene oil as cooking fuel and kutcha house were found to have significant association with pulmonary TB.

Environmental Risk Factors and Social Determinants of Pulmonary Tuberculosis in Pakistan

Objective: To evaluate the role of potential environmental risk factors and social determinants associated with pulmonary tuberculosis in Pakistan. Methods: Newly diagnosed pulmonary TB patients from August 2011-August 2014 from Gulab Devi Chest Hospital, Lahore, were recruited for this study. Two types of controls, house hold and community healthy controls (n=800 each) were selected. Multivariate analysis was performed to calculate odd ratios (OR) and observe the association of these factors with the disease. Results: For host-related factors, TB was found to be significantly associated with male gender, married individuals, smoking, drinking, personal and family history of TB, asthma and diabetes (OR: 1.08, 1.96, 1.21, 4.26, 2.07, 3.16, 3.43 and 3.67) respectively with P-value <0.001. For environmental and socio economic factors TB was found to be associated with adult crowding, increased family size, poor ventilation and use of biofuels (OR: 4.60, 1.75, 3.29 and 3.90) illiteracy, unawareness of the disease, migration and presence of animals in the house (OR: 1.74, 0.07, 1.83 and 1.60) respectively with p-values of <0.005. Conclusion: Information related to environmental and host related risk factors are very important to control the spread of infection and disease. Smoking, exposure to TB infected individuals, crowding ventilation and use of biofuels can be controlled by proper planning which are the risk factors of high potential found in this study. Proper health care facilities and education of people is also very important to control the disease.

Physical Environment Factors With Events Of Home Lung Tuberculosis In Public Health Bonto Bahari

Comprehensive Health Care, 2020

Tuberculosis is a contagious disease caused by the bacteria Mycobacterium Tuberculosis which is spread through droplets of people who have been infected with tuberculosis bacilli. Pulmonary tuberculosis is still a challenge in public health problems both regionally, nationally, and globally. According to the World Health Organization (WHO) in 2015, there were 10.4 million new TB cases and nearly 75% of pulmonary tuberculosis patients were economically productive age groups. . The purpose of this study was to determine the physical environmental factors of the house with the incidence of pulmonary tuberculosis at the Bonto Bahari Health Center in 2020. The research method used was using analytical research methods with a case-control approach (case-control) where subjects, namely cases and controls were known and selected based on the output ( out came), then looked back (backward) about the history of the research exposure status experienced by the subject. The population in this st...

Role of Environmental factors in Transmission of Tuberculosis

2015

Tuberculosis (TB) is an airborne communicable disease plaguing human populations since antiquity. TB continues to be a major public health problem globally and India has one of the largest numbers of TB cases in the world. The risk of progression from exposure to tuberculosis bacilli to the development of active disease is a two-stage process governed by both exogenous and endogenous risk factors. Exogenous factors play a key role in accelerating the progression from exposure to infection, whereas endogenous factors lead in progression from infection to active TB disease. Socioeconomic factors are also shown to increase the susceptibility to infection. Along with emerging variants such as indoor air pollution and tobacco smoke, it plays a significant role at both the individual and population level. Environmental conditions playing a role in disease development were humidity and number of people living in the house. Overcrowded housing and poor ventilation increase both the likeliho...

The Relationship between Healthy Housing Conditions and Pulmonary Tuberculosis

2018

Housing conditions are a factor that determine the state of hygiene and environmental sanitation. Housing and environments that do not meet health requirements are risk factors regarding disease transmission, for example, pulmonary tuberculosis. This research was conducted to determine the relationship between healthy housing conditions and the incidence of tuberculosis in Palengaan, Pamekasan. This was an observational study, based on its time and was a case-control study. Data analysis was conducted using a Chi-square test with α = 0.05. This study assessed healthy housing conditions using the observation sheet from the technical guidelines of the assessment regarding healthy housing conditions by the Directorate General of Communicable Diseases Eradication and Environmental Health in 2002.The variables used, resulting from the housing health assessment include: (a) house components; (b) sanitary facilities; and (c) occupant behavior. Individual characteristics include: a) age; (b...

Relationship between Physical Condition of House Environment and the Incidence of Pulmonary Tuberculosis, Aceh, Indonesia

https://ijshr.com/IJSHR\_Vol.4\_Issue.1\_Jan2019/IJSHR\_Abstract.0030.html, 2019

Background: Tuberculosis (TB) is a direct infectious disease caused by Mycobacterium tuberculosis. Most of the TB germs attack the lungs, but they can also affect other organs. From the health profile data in Lhoong Community Health Center (CHC) in 2015 there were 5 pulmonary tuberculosis cases, while in 2016 there were 13 pulmonary TB cases. Aim: This study aims to determine the correlation between ventilation, lighting, humidity, occupancy density, type of floor and house temperature with the incidence of pulmonary tuberculosis in the work area of Lhoong CHC Aceh Besar District in 2018. Methods: This was an observational study with case control design. The total samples were 39 people including 13 case samples plus 26 control samples during 2018. Data for the independent variables were obtained by questionnaire, observation and measurement. Data analysis used chi square. Results: Bivariate analysis resulted that ventilation, lighting, occupancy density, humidity, and type of floor were related to the incidence of pulmonary TB in the work Area of ​​Lhoong CHC, Aceh Besar District. The multivariate analysis resulted that occupancy density (OR= 30.8; 95%CI= 2.8-336.4) and ventilation (OR= 17.2; 95%CI= 1.6-178.9) were the most risk factors of pulmonary TB. Conclusions: Occupancy density and ventilation were the most risk factors of pulmonary TB in the work area of Lhoong CHC Aceh Besar District in 2018. Keywords: Pulmonary TB, occupancy density, ventilation, Aceh.

Environmental factors determine the occurrence of pulmonary tuberculosis

JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)

Background: Environment consisting of residential density, house ventilation, room humidity, and lighting, is regarded as one of the factors causing the transmission of pulmonary tuberculosis (TB). The current research aimed to figure out the environmental factors determining the occurrence of pulmonary TB in Surabaya City. Objectives: the purpose of the current study was to figure out the environmental factor determining the incidents of pulmonary tuberculosis (TB) in Surabaya CityMethods : This was observational research carried out by a cross-sectional approach. People with pulmonary TB registered for treatment at the Perak Timur Community Health Center and Jagir Community Health Center in Surabaya City were recruited as the research population. Meanwhile, the research samples were patients with pulmonary TB in both Community Health Centers. Simple random sampling was utilized to collect 130 patients as respondents. The data obtained were then analyzed using univariate and bivar...

Potential effect of household environment on prevalence of tuberculosis in India: evidence from the recent round of a cross-sectional survey

BMC Pulmonary Medicine, 2018

Background: Tuberculosis (TB) has been a major health problem globally since ages, and even today, it is a major cause of morbidity in millions of people each year. In 2015 alone, TB accounted for about 1.4 million deaths globally, with India carrying the biggest burden of the disease. The physical environment of the household, an individual living in, has a significant influence on the incidence of TB. Thus, an understanding of the socioeconomic , demographic and environmental factors that individuals are exposed to is of importance. The objective of present study is to examine the association of household environment with the prevalence of Tuberculosis in India. Methods: The study utilizes data from the fourth round of National Family Health Survey (NFHS-4), 2015-16, which was collected from self-reported information pertaining to Tuberculosis in the household questionnaire. The specific question was, "Does any usual resident of your household suffer from tuberculosis?" the response to which helped in the detection of Tuberculosis. Binary Logistic regression was performed from which appropriate inferences are drawn on the association of household environment with Tuberculosis. Results: Prevalence of TB was found to be the highest among elderly people (0.9%), no education (0.4%) and people belonging to the poorest wealth quintile (0.53%). Family members who were regularly (daily) exposed to smoke (second-hand smoke) inside the house were more prone to getting tuberculosis (OR = 1.49; CI = 1.39-1.61) as compared with households where people do not smoke inside the house. Further, households having a finished wall (OR = 0.7; CI = 0.6-0.8) are less likely to get TB than the households with mud walls. Households that shared their toilets with other households are more likely to get hold of Tuberculosis (OR = 1.2; CI = 1.1-1.4). Conclusions: Results strongly suggest that a contaminated household environment increases the risk of tuberculosis in India. There are multiple risk factors that are strongly associated with Tuberculosis: smoke inside house, type of cooking fuel, separate kitchen, floor, roofing and wall material, number of persons sleeping in a room, sharing toilet and potable water with other households; and individual characteristics such as age, sex, educational attainment, marital status, place of residence and wealth index.

The Relationship between Physical Conditions of the House and the Incidence of Tuberculosis

International Journal of Public Health Excellence (IJPHE), 2022

Tuberculosis is an infectious disease caused by the bacteria cobacterium tuberculosis which mostly attacks the lungs. To find out the relationship between the physical condition of the house and the incidence of Tuberculosis in the community in Sorimanaon Village, Angkola Muaratais District. This type of research is a quantitative analytic observational study. Positive people with a total sample of 51 people. The sampling technique is by observation, direct measurement of the physical condition of the house, interviews, and other supporting data such as recording situation reports. The results of bivariate analysis on clean water facilities have a relationship with the incidence of tuberculosis, p value = 0.017, ventilation with p value = 0.016, house floor with p value = 0.002, residential density p = 0.001. There is a significant relationship between the variables of the physical condition of the house with the incidence of Tuberculosis Chi-Square test below 0.5%. Suggestions for ...

Level of Exposure to Childhood Tuberculosis in Household Contacts with Adult Pulmonary Tuberculosis

2017

Pulmonary tuberculosis (TB) in children is a neglected global health problem, with an increasing proportion of TB cases in Indonesia. Children with TB are most often impacted by TB transmission in the population at large, especially adult TB that exists in the child's household. This study aimed to find protective factors that can keep children healthy despite household adult TB contacts. This study reports on 132 respondents with a case-control study conducted at nine referred hospitals and several primary health care based on medical records in Special Region of Yogyakarta Province. The study lasted from January to December 2014, while the data analysis was used by both of bivariate (chi-square) and multivariate (multiple logistic regression) analysis. The study found that healthy houses, especially those with healthy bedrooms and fewer exposures to adult TB sufferer, influenced by confounder variables, protected children from TB even though they were exposed to adult TB in their environment. Longer periods of living together is not a risk factor for children to contract TB when living with adult TB patients at home. However, this risk increases with frequent exposure among children to adult TB patients at home.