Evidence map›Paper›PMID 25879423›Full record

ArticleBMC infectious diseases2015

Prevalence of latent tuberculosis infection and associated risk factors in an urban African setting.

Florence N Kizza, Justin List, Allan K Nkwata, Alphonse Okwera, Amara E Ezeamama, Christopher C Whalen, Juliet N Sekandi

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Tissue-specific T cell profiles inFrontiers in tuberculosis · 2025
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  7. Diverse interactions ofFrontiers in tuberculosis · 2024
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  12. Review
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  14. Article
  15. Latent Tuberculosis Infection and Subclinical Coronary Atherosclerosis in Peru and Uganda.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  16. Excess Risk of Tuberculosis Infection Among Extra-household Contacts of Tuberculosis Cases in an African City.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  17. Article
  18. Article
  19. 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 · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Florence N KizzaDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA. flokizza2@gmail.com.
Justin ListDepartment of Internal Medicine University of Michigan, Ann Arbor, MI, USA. Justin.list@gmail.com.
Allan K NkwataDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA. kizzalan@uga.edu.
Alphonse OkweraNational TB Treatment Center, School of Medicine, Makerere University, Mulago, Uganda. A_Okwera@mucwru.or.ug.
Amara E EzeamamaDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA. aezeamam@uga.edu.
Christopher C WhalenDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA. ccwhalen@uga.edu.
Juliet N SekandiDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA. juliet.sekandi5@gmail.com.
University of Georgia · USMakerere University · UGUniversity of Michigan–Ann Arbor · US

Funding

Community Transmission of Tuberculosis Urban AfricaR01AI093856 · NIAID · UNIVERSITY OF GEORGIA · PI WHALEN, CHRISTOPHER C. · 2012 to 2021
$5.7M
NIAID NIH HHS R01 AI093856
6 · The paper itself

Abstract

backgroundNearly one third of the world is infected with latent tuberculosis infection (LTBI) and a vast pool of individuals with LTBI persists in developing countries, posing a major barrier to global TB control. The aim of the present study was to determine the prevalence of LTBI and the associated risk factors among adults in Kampala, Uganda.

methodsWe performed a secondary analysis from a door-to-door cross-sectional survey of chronic cough conducted from January 2008 to June 2009. Urban residents of Rubaga community in Kampala aged 15 years and older who had received Tuberculin skin testing (TST) were included in the analysis. The primary outcome was LTBI defined as a TST with induration 10 mm or greater. Multivariable logistic regression analyses were used to assess the risk factors associated with LTBI.

resultsA total of 290 participants were tested with TST, 283 had their tests read and 7 didn't have the TST read because of failure to trace them within 48-72 hours. Of the participants with TST results, 68% were female, 75% were 15-34 years, 83% had attained at least 13 years of education, 12% were smokers, 50% were currently married, 57% left home for school or employment, 21% were HIV positive and 65% reported chronic cough of 2 weeks or longer. The overall prevalence of LTBI was 49% [95% CI 44-55] with some age-and sex-specific differences. On multivariable analysis, leaving home for school or employment, aOR = 1.72; [95%CI: 1.05, 2.81] and age 25-34, aOR = 1.94; [95%CI: 1.12, 3.38]; 35 years and older, aOR = 3.12; [95%CI: 1.65, 5.88] were significant risk factors of LTBI.

conclusionThe prevalence of LTBI was high in this urban African setting. Leaving home for school or employment and older age were factors significantly associated with LTBI in this setting. This suggests a potential role of expansion of one's social network outside the home and cumulative risk of exposure to TB with age in the acquisition of LTBI. Our results provide support for LTBI screening and preventive treatment programs of these sub-groups in order to enhance TB control.

Indexed as

Developing CountriesAdolescentAdultAge FactorsCoinfectionCoughCross-Sectional StudiesEmigration and ImmigrationFemaleHIV InfectionsHumansLatent TuberculosisMaleMass ScreeningPrevalenceRisk Factors

Identifiers

PMID25879423
PMCPMC4392742
OpenAlexW2043330710

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.