Evidence map›Paper›PMID 32114470›Full record

ArticleBMJ open2020

Household food insecurity among patients with pulmonary tuberculosis and its associated factors in South India: a cross-sectional analysis.

Reshma Ayiraveetil, Sonali Sarkar, Palanivel Chinnakali, Kathiresan Jeyashree, Mathavaswami Vijayageetha, Pruthu Thekkur, Subitha Lakshminarayanan, Selby Knudsen, Natasha S Hochberg, C Robert Horsburgh and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Risk Factors for Tuberculosis in Elderly: Prevalence and Population-attributable Risk.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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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

12 authors.

Reshma AyiraveetilDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.ORCID 0000-0002-2417-6639
Sonali SarkarDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India sarkarsonaligh@gmail.com.
Palanivel ChinnakaliDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Kathiresan JeyashreeDepartment of Community Medicine, Velammal Medical College, Madurai, Tamilnadu, India.
Mathavaswami VijayageethaDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Pruthu ThekkurCentre for Operational Research, International Union Against Tuberculosis and Lung Disease, Paris, France.
Subitha LakshminarayananDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Selby KnudsenSection of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Massachusetts, United States.
Natasha S HochbergSection of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Massachusetts, United States.
C Robert HorsburghSection of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Massachusetts, United States.
Jerrold EllnerDepartment of Medicine, Rutgers University, New Jersey, United States.
Gautam RoyDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFood insecurity is 'the limited or uncertain availability of nutritionally adequate, safe foods or inability to acquire foods in socially acceptable ways'. Majority of tuberculosis (TB) cases of resource-poor settings experience food insecurity, which impacts treatment adherence and outcomes. We aimed to determine level of household food insecurity (HFI) and its associated factors in patients with pulmonary TB.

designThis is a cross-sectional analysis of data from an ongoing cohort study.

settingNational Tuberculosis Programme (NTP) in three districts of South India.

participantsAll newly diagnosed pulmonary TB cases of the cohort enrolled in the NTP at the Designated Microscopy Centres (DMCs) and Primary Health Centres (PHCs) from October 2015 to October 2018. PRIMARY OUTCOME MEASURES: The proportion of baseline HFI assessed using a validated HFI Access Scale was summarised as percentage with 95% CI. Possible association of sociodemographic, morbidity and behavioural characteristics with HFI was assessed using χ

resultOf a total of 765 patients, 261 had HFI and the proportion was 34.1% (95% CI 30.8% to 37.6%). Mild, moderate and severe food insecurity was found in 17 (2.2%), 67 (8.8%) and 177 (23.1%) TB cases, respectively. Patients with TB who had monthly family income less than rupees 3000 (aPR 2.0; 95% CI 1.3 to 3.0), Karnofsky Score of 60 or less (aPR 1.5; 95% CI 1.1 to 1.9) and those who were employed (aPR 1.4; 95% CI 1.0 to 2.0) were independently associated with HFI.

conclusionsA high level of food insecurity was seen in households with TB cases. Additional food or cash assistance for this subgroup might improve food insecurity and thereby nutritional status.

Indexed as

Food InsecurityTuberculosis, PulmonaryAdolescentAdultCohort StudiesCross-Sectional StudiesFemaleHumansIndiaMaleMiddle AgedYoung Adultfood assistanceHFIA scalekarnofsky scoresort itundernutrition

Identifiers

PMID32114470
PMCPMC7050349

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LicenceCC BY-NC
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Registered trials

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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.