ArticlePloS one2013
Association between socioeconomic position and tuberculosis in a large population-based study in rural Malawi.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Sociological variety and the transmission efficiency ofBMJ open · 2021Trial
- Delay in seeking care for tuberculosis symptoms among adults newly diagnosed with HIV in rural Malawi.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2018Trial
- Article
- Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries.BMC infectious diseases · 2024Article
- Lower socioeconomic status associated with higher tuberculosis rate in South Korea.BMC pulmonary medicine · 2023Article
- The impact of time at home on potential yield of home-based TB contact investigation.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023Article
- Tuberculosis Infection in Women of Reproductive Age: A Cross-sectional Study at Antenatal Care Clinics in an Ethiopian City.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- Extensively drug-resistant tuberculosis 'hotspots' and sociodemographic associations in Durban, South Africa.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2019Article
- Household socio-economic position and individual infectious disease risk in rural Kenya.Scientific reports · 2019Article
- Socio-economic gradients in prevalent tuberculosis in Zambia and the Western Cape of South Africa.Tropical medicine & international health : TM & IH · 2018Article
- Drivers of Tuberculosis Transmission.The Journal of infectious diseases · 2017Review
- Risk factors for Mycobacterium tuberculosis infection in 2-4 year olds in a rural HIV-prevalent setting.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2016Article
- Acquired and Transmitted Multidrug Resistant Tuberculosis: The Role of Social Determinants.PloS one · 2016Article
- 'At the hospital I learnt the truth': diagnosing male infertility in rural Malawi.Anthropology & medicine · 2014Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
settingThere is increasing interest in social structural interventions for tuberculosis. The association between poverty and tuberculosis is well established in many settings, but less clear in rural Africa. In Karonga District, Malawi, we found an association between higher socioeconomic status and tuberculosis from 1986-1996, independent of HIV status and other factors.
objectiveTo investigate the relationship in the same area in 1997-2010.
designAll adults in the district with new laboratory-confirmed tuberculosis were included. They were compared with community controls, selected concurrently and frequency-matched for age, sex and area.
results1707 cases and 2678 controls were interviewed (response rates >95%). The odds of TB were increased in those working in the cash compared to subsistence economy (p<0.001), and with better housing (p-trend=0.006), but decreased with increased asset ownership (p-trend=0.003). The associations with occupation and housing were partly mediated by HIV status, but remained significant.
conclusionDifferent socioeconomic measures capture different pathways of the association between socioeconomic status and tuberculosis. Subsistence farmers may be relatively unexposed whereas those in the cash economy travel more, and may be more likely to come forward for diagnosis. In this setting "better houses" may be less well ventilated and residents may spend more time indoors.
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