ArticlePloS one2015
The Prevalence and Incidence of Latent Tuberculosis Infection and Its Associated Factors among Village Doctors in China.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Prevalence of Latent Tuberculosis among Health Care Workers in High Burden Countries: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Morocco.PloS one · 2019Trial
- Comprehensive tuberculosis screening and preventive treatment in schools and congregate settings of India (2017-2024): a prospective study.The Lancet regional health. Southeast Asia · 2026Article
- Sex differences in tuberculosis infection and disease among people with HIV.AIDS (London, England) · 2025Article
- Tuberculosis screening characteristics amongst freshmen in Changping District, Beijing, China.BMC infectious diseases · 2023Article
- Sex and Gender Differences in Tuberculosis Pathogenesis and Treatment Outcomes.Current topics in microbiology and immunology · 2023Review
- Possible sex difference in latent tuberculosis infection risk among close tuberculosis contacts.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022Observational
- Incidence and Risk Factors Associated with Latent Tuberculosis Infection and Pulmonary Tuberculosis among People Deprived of Liberty in Colombian Prisons.The American journal of tropical medicine and hygiene · 2021Article
- Tuberculosis infection status and risk factors among health workers: an updated systematic review.Annals of occupational and environmental medicine · 2021Review
- RISK FACTORS OF LATENT TUBERCULOSIS INFECTION IN HEALTHCARE WORKERS AT HOSPITALS IN JEMBER CITY INDONESIA.African journal of infectious diseases · 2021Article
- Work-related Hazards Among Pathologists and Residents of Pathology:Results of a Cross-sectional Study in Iran.Iranian journal of pathology · 2021Article
- Mapping fear among doctors manning screening clinics for COVID19. Results from cloud based survey in Eastern parts of India.Journal of family medicine and primary care · 2020Article
- Prevalence of latent tuberculosis infection among coal workers' pneumoconiosis patients in China: a cross-sectional study.BMC public health · 2018Article
- Prevalence of and risk factors for tuberculosis among healthcare workers in Chinese tuberculosis facilities.Infectious diseases of poverty · 2018Article
- Correlation between MBL2/CD14/TNF-α gene polymorphisms and susceptibility to spinal tuberculosis in Chinese population.Bioscience reports · 2018Article
- Latent tuberculosis infection and associated risk indicators in pastoral communities in southern Ethiopia: a community based cross-sectional study.BMC public health · 2018Article
- Evaluating a framework for tuberculosis screening among healthcare workers in clinical settings, Inner Mongolia, China.Journal of occupational medicine and toxicology (London, England) · 2018Article
- Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique.BMC infectious diseases · 2017Article
- Maternal BCG scar is associated with increased infant proinflammatory immune responses.Vaccine · 2017Observational
Corrections and comments
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Authors and funding
32 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundChina is a high tuberculosis (TB) burden country. More than half of acute TB cases first seek medical care in village doctors' clinics or community health centers. Despite being responsible for patient referral and management, village doctors are not systematically evaluated for TB infection or disease. We assessed prevalence and incidence of latent TB infection (LTBI) among village doctors in China. METHODS AND
findingsA longitudinal study was conducted in Inner Mongolia Autonomous Region. We administered a questionnaire on demographics and risk factors for TB exposure and disease; Tuberculin skin testing (TST) and QuantiFERON-TB Gold in-tube assay (QFT-GIT) was conducted at baseline and repeated 12 months later. We used a logistic regression model to calculate adjusted odds ratios (ORs) for risk factors for TST and QFT-GIT prevalence and incidence. At the time of follow up, 19.5% of the 880 participating village doctors had a positive TST and 46.0% had a positive QFT-GIT result. Factors associated with TST prevalence included having a BCG scar (OR = 1.45, 95%CI 1.03-2.04) and smoking (OR = 1.69, 95%CI 1.17-2.44). Risk factors associated with QFT-GIT prevalence included being male (OR = 2.17, 95%CI 1.63-2.89), below college education (OR=1.42, 95%CI 1.01-1.97), and working for ≥25 years as a village doctor (OR = 1.64, 95%CI 1.12-2.39). The annual incidence of LTBI was 11.4% by TST and 19.1% by QFT-GIT. QFT-GIT conversion was associated with spending 15 minutes or more per patient on average (OR = 2.62, 95%CI 1.39-4.97) and having BCG scar (OR = 0.53, 95%CI 0.28-1.00).
conclusionsPrevalence and incidence of LTBI among Chinese village doctors is high. TB infection control measures should be strengthened among village doctors and at village healthcare settings.
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