Evidence map›Paper›PMID 30481273›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Prevalence and Determinants of QuantiFERON-Diagnosed Tuberculosis Infection in 9810 Mongolian Schoolchildren.

Davaasambuu Ganmaa, Polyna Khudyakov, Uyanga Buyanjargal, Badamtsetseg Jargalsaikhan, Delgerekh Baigal, Oyunsuren Munkhjargal, Narankhuu Yansan, Sunjidmaa Bolormaa, Enkhsaikhan Lkhagvasuren, Christopher T Sempos and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 40 citations in OpenAlex.

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  10. Association of Single-Nucleotide Polymorphisms in theInfection and drug resistance · 2023
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  15. Indoor Air Pollution and Susceptibility to Tuberculosis Infection in Urban Vietnamese Children.American journal of respiratory and critical care medicine · 2021
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  18. Consensus statement from 2Reviews in endocrine & metabolic disorders · 2020
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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

15 authors at 6 institutions in 4 countries.

Davaasambuu GanmaaHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Polyna KhudyakovHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Uyanga BuyanjargalOffice of Dietary Supplements, National Institutes of Health, Bethesda, Maryland.
Badamtsetseg JargalsaikhanMongolian Health Initiative, Ulaanbaatar.
Delgerekh BaigalMongolian Health Initiative, Ulaanbaatar.
Oyunsuren MunkhjargalMongolian Health Initiative, Ulaanbaatar.
Narankhuu YansanMongolian Health Initiative, Ulaanbaatar.
Sunjidmaa BolormaaMongolian Health Initiative, Ulaanbaatar.
Enkhsaikhan LkhagvasurenMongolian Health Initiative, Ulaanbaatar.
Christopher T SemposOffice of Dietary Supplements, National Institutes of Health, Bethesda, Maryland.
Sabri BromageMongolian Health Initiative, Ulaanbaatar.
Zhenqiang WuSchool of Population Health, University of Auckland, New Zealand.
Batbayar OchirbatMongolian Health Initiative, Ulaanbaatar.
Batbaatar GunchinMongolian Health Initiative, Ulaanbaatar.
Adrian R MartineauBlizard Institute, Barts and London School of Medicine and Dentistry, Queen Mary University of London, United Kingdom.
Harvard University · USMongolian National University · MNNational Institutes of Health · USOffice of Dietary Supplements · USQueen Mary University of London · GBUniversity of Auckland · NZ

Funding

Trial of Vitamin D Supplementation to Prevent TB Infection in SchoolchildrenR01HL122624 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI DAVAASAMBUU, GANMAA · 2014 to 2018
$3.5M
NHLBI NIH HHS R01 HL122624
6 · The paper itself

Abstract

backgroundThere is controversy regarding the potential influence of vitamin D deficiency, exposure to environmental tobacco smoke, BCG vaccination, season, and body habitus on susceptibility to Mycobacterium tuberculosis (MTB) infection.

methodsWe conducted a cross-sectional analysis to identify determinants of a positive QuantiFERON-TB Gold (QFT) assay result in children aged 6-13 years attending 18 schools in Ulaanbaatar, Mongolia. Data relating to potential risk factors for MTB infection were collected by questionnaire, physical examination, and determination of serum 25-hydroxyvitamin D (25[OH]D) concentrations. Risk ratios (RRs) were calculated with adjustment for potential confounders, and population attributable fractions (PAFs) were calculated for modifiable risk factors identified.

resultsNine hundred forty-six of 9810 (9.6%) participants had a positive QFT result. QFT positivity was independently associated with household exposure to pulmonary tuberculosis (adjusted RR [aRR], 4.75 [95% confidence interval {CI}, 4.13-5.46, P < .001]; PAF, 13.1% [95% CI, 11.1%-15.0%]), vitamin D deficiency (aRR, 1.23 [95% CI, 1.08-1.40], P = .002; PAF, 5.7% [95% CI, 1.9%-9.3%]), exposure to environmental tobacco smoke (1 indoor smoker, aRR, 1.19 [95% CI, 1.04-1.35]; ≥2 indoor smokers, aRR, 1.30 [95% CI, 1.02-1.64]; P for trend = .006; PAF, 7.2% [95% CI, 2.2%-12.0%]), and increasing age (aRR per additional year, 1.14 [95% CI, 1.10-1.19], P < .001). No statistically significant independent association was seen for presence of a BCG scar, season of sampling, or body mass index.

conclusionsVitamin D deficiency and exposure to environmental tobacco smoke are potentially modifiable risk factors for MTB infection.

Indexed as

AdolescentBCG VaccineChildClinical Laboratory TechniquesCross-Sectional StudiesDisease SusceptibilityFemaleHumansInterferon-gamma Release TestsLatent TuberculosisMaleMongoliaOdds RatioPopulationPrevalenceReagent Kits, Diagnostic25-hydroxyvitamin DBCG VaccineReagent Kits, DiagnosticTobacco Smoke PollutionVitamin DBCG vaccineenvironmental tobacco smokelatent tuberculosisVDSPvitamin D standardization program

Identifiers

PMID30481273
PMCPMC6695506
OpenAlexW2903060781

What OpenQuestion holds

Textmetadata
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.