ArticleInternational journal for equity in health2013
Prevalence and patterns of multimorbidity among tuberculosis patients in Brazil: a cross-sectional study.
Article in International journal for equity in health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Multimorbidity and the risk of post-tuberculosis lung disease: a systematic review and meta-analysis.BMJ global health · 2026Pooled it
- The burden of multimorbidity in patients with TB-HIV: a retrospective cohort analysis.IJTLD open · 2026Article
- Reframing TB Care: A Perspective on Multimorbidity-Centered Care for People with TB.Tropical medicine and infectious disease · 2026Article
- Tuberculosis comorbidities, multimorbidity and mortality amongst adults in South Africa: A prospective cohort study nested in a trial.PLOS global public health · 2026Article
- Multimorbid life expectancy across race, socio-economic status, and sex in South Africa.Population studies · 2025Article
- Multimorbidity in tuberculosis (TB) and its impact on patient care (MITICare): a cross-sectional study nested within a prospective cohort study protocol.Wellcome open research · 2025Article
- Comorbidity profiles among sputum-positive tuberculosis patients in Cameroon.Frontiers in tuberculosis · 2024Article
- Landscaping tuberculosis multimorbidity: findings from a cross-sectional study in India.BMC public health · 2024Article
- High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study.BMC research notes · 2023Article
- Multimorbidity prevalence and chronic disease patterns among tuberculosis survivors in a high-income setting.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Article
- Predictors of Tuberculosis and Non-Communicable Disease Comorbidities Among Newly Enrolled Tuberculosis Patients, Southern Ethiopia.Integrated blood pressure control · 2023Article
- Tuberculosis and Non-Communicable Disease Multimorbidity: An Analysis of the World Health Survey in 48 Low- and Middle-Income Countries.International journal of environmental research and public health · 2021Article
- Impact of Multimorbidity Subgroups on the Health Care Use and Clinical Outcomes of Patients With Tuberculosis: A Population-Based Cohort Analysis.Frontiers in public health · 2021Observational
- Tuberculosis non-communicable disease comorbidity and multimorbidity in public primary care patients in South Africa.African journal of primary health care & family medicine · 2018Article
- Looking forward to the next 15 years: innovation and new pathways for research in health equity.International journal for equity in health · 2017Article
- Patterns of HIV, TB, and non-communicable disease multi-morbidity in peri-urban South Africa- a cross sectional study.BMC infectious diseases · 2015Article
- Multimorbidity and equity in health.International journal for equity in health · 2013Article
- Temporal analysis of reported cases of tuberculosis and of tuberculosis-HIV co-infection in Brazil between 2002 and 2012.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaObservational
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6 authors.
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Abstract
introductionThe number of subjects with tuberculosis (TB) presenting with co-occurrence of multiple chronic medical conditions, or multimorbidity (MM) is increasing in Brazil. This manuscript aimed to characterize subjects with TB, according to their MM status and to analyse factors associated with TB treatment outcomes.
methodsThis is a cross-sectional study that included 39,881 TB subjects reported in Brazil, in 2011. MM were defined as any (two or more) occurrence of chronic medical conditions in a TB patient (TB-MM). Data analysis was performed by hierarchical logistic regression models comparing TBMM with those with only TB.
resultsOf the reported TB cases in 2011, 454 (1.14%) had MM. The subjects in the age group 40-59 years (OR: 17.89; 95% CI, 5.71-56.03) and those ≥ 60 years (OR: 44.11; 95% CI, 14.09-138.06) were more likely to develop TB-MM. The TB-MM subjects were less likely to be male (OR: 0.63; 95% CI, 0.52-0.76), institutionalized (OR: 0.59; 95% CI, 0.23-0.80) and live in rural areas (OR: 0.63; 95% CI, 0.42-0.95). Death from causes other than TB was higher among TB-MM subjects (OR: 1.76; 95% CI, 1.36-2.28). Of 454 TB-MM subjects 302 (66.5%) were cured and 152 (33.5%) were not cured. The odds of not being cured was 1.55 (95% CI, 1.04-2.32) among males, 2.85 (95% CI, 1.12-7.28) among institutionalized subjects, and 3.93 (IC 95%, 1.86-8.30) among those who were infected with HIV. TB retreatment after previous abandonment (OR: 7.53; 95% CI, 2.58-21.97) and transfer from a treatment site (OR: 2.76; 95% CI, 1.20-6.38) were higher for subjects not cured compared to those who were cured.
conclusionsWhile TB is well recognized to be a disease engendered by social inequity, we found that even among TB patients, those who have MM have greater inequity in terms of socioeconomic status and adverse clinical outcomes. Addressing the problem of TB and TB-MM requires a multisectorial approach that includes health and social service organizations.
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