Evidence map›Paper›PMID 29432669›Full record

ArticleTropical medicine & international health : TM & IH2018

Socio-economic gradients in prevalent tuberculosis in Zambia and the Western Cape of South Africa.

Tom A Yates, Helen Ayles, Finbarr P Leacy, A Schaap, Delia Boccia, Nulda Beyers, Peter Godfrey-Faussett, Sian Floyd

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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  3. The role of neighborhood factors in the cumulative number of episodes of recurrent tuberculosis in Cape Town.Journal of clinical tuberculosis and other mycobacterial diseases · 2026
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  11. Corrigendum.Tropical medicine & international health : TM & IH · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

Tom A YatesInstitute for Global Health, University College London, London, UK.
Helen AylesZAMBART, School of Medicine, University of Zambia, Lusaka, Zambia.
Finbarr P LeacyData Science Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
A SchaapZAMBART, School of Medicine, University of Zambia, Lusaka, Zambia.
Delia BocciaDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Nulda BeyersDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
Peter Godfrey-FaussettDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.
Sian FloydDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBUniversity of Zambia · ZMRoyal College of Surgeons in Ireland · IEStellenbosch University · ZAUniversity College London · GB

Funding

Medical Research Council MR/K012126/1Medical Research Council MR/K50077X/1
6 · The paper itself

Abstract

objectiveTo describe the associations between socio-economic position and prevalent tuberculosis in the 2010 ZAMSTAR Tuberculosis Prevalence Survey, one of the first large tuberculosis prevalence surveys in Southern Africa in the HIV era.

methodsThe main analyses used data on 34 446 individuals in Zambia and 30 017 individuals in South Africa with evaluable tuberculosis culture results. Logistic regression was used to estimate adjusted odds ratios for prevalent TB by two measures of socio-economic position: household wealth, derived from data on assets using principal components analysis, and individual educational attainment. Mediation analysis was used to evaluate potential mechanisms for the observed social gradients.

resultsThe quartile with highest household wealth index in Zambia and South Africa had, respectively, 0.55 (95% CI 0.33-0.92) times and 0.70 (95% CI 0.54-0.93) times the adjusted odds of prevalent TB of the bottom quartile. College or university-educated individuals in Zambia and South Africa had, respectively, 0.25 (95% CI 0.12-0.54) and 0.42 (95% CI 0.25-0.70) times the adjusted odds of prevalent TB of individuals who had received only primary education. We found little evidence that these associations were mediated via several key proximal risk factors for TB, including HIV status.

conclusionThese data suggest that social determinants of TB remain important even in the context of generalised HIV epidemics.

Indexed as

Educational StatusSocial ClassAdolescentAdultAgedAged, 80 and overFemaleHIV InfectionsHumansLogistic ModelsMaleMiddle AgedOdds RatioPrevalenceRisk FactorsSocial Determinants of HealthAfrique du Sudépidémiologie socialeHIVsocial epidemiologySouth AfricatuberculosetuberculosisVIHZambiaZambie

Identifiers

PMID29432669
PMCPMC6022780
OpenAlexW2789232100

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.