Year : 2012 | Volume
: 1 | Issue : 1 | Page : 76--84
Risk factors of childhood tuberculosis: a case control study from rural Bangladesh
Mohamed R Karim1, Mohamed A Rahman1, Shaikh AA Mamun2, Mohamed A Alam1, Shahnaz Akhter3
1 National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
2 Private Medical Practitioners Association, Dhaka, Bangladesh
3 Army Medical Core, Combined Military Hospital, Dhaka, Bangladesh
Background: Childhood tuberculosis (TB) is one of the major causes of childhood morbidity and mortality; however, it is relatively a neglected disease. Hence, we explored the risk factors for childhood TB.
Methods: Ninty-five cases and 94 controls were selected during January to May 2011 from DOTS centres located in four sub-districts of Bangladesh. The exposure status of recently diagnosed childhood TB patients (<18-year-olds), who were sputum-positive, were compared with children who were sent to the laboratory with suspected tuberculosis but were found to be sputum-negative. Data were collected by a structured questionnaire. Crude odds ratios (OR), adjusted odds ratio (AOR) and 95% confidence intervals (CI) were estimated. Stepwise logistic regression model was used to identify independent predictors.
Results: Children under 14 years of age (AOR: 0.25; 95% CI: 0.10-0.66), having completed primary education (AOR: 0.28; 95% CI: 0.10-0.74), whose fathers’ were in business or service (AOR: 0.24; 95% CI: 0.08-0.72), and who slept in a less crowded room (AOR: 0.32; 95% CI: 0.14-0.76), lived in a house with a separate kitchen (AOR: 0.39; 95% CI: 0.16-0.96) had less chance of having TB. Those who had contact with cases of TB among relatives or neighbours were less likely to have TB (AOR: 0.28; 95% CI: 0.16-0.70) compared to those who had contact with a TB case in the family.
Conclusion: Age, education, father’s occupation, crowding, kitchen location and intimate contact with a TB case were significantly associated with smear-positive childhood TB.
Mohamed R Karim
National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
|How to cite this article:|
Karim MR, Rahman MA, Mamun SA, Alam MA, Akhter S. Risk factors of childhood tuberculosis: a case control study from rural Bangladesh.WHO South-East Asia J Public Health 2012;1:76-84
|How to cite this URL:|
Karim MR, Rahman MA, Mamun SA, Alam MA, Akhter S. Risk factors of childhood tuberculosis: a case control study from rural Bangladesh. WHO South-East Asia J Public Health [serial online] 2012 [cited 2020 Jan 28 ];1:76-84
Available from: http://www.who-seajph.org/article.asp?issn=2224-3151;year=2012;volume=1;issue=1;spage=76;epage=84;aulast=Karim;type=0