Evidence map›Paper›PMID 34086684›Full record

ArticlePloS one2021

Prevalence of pulmonary tuberculosis among the tribal populations in India.

Beena E Thomas, Kannan Thiruvengadam, Chandrasekaran Vedhachalam, Srividya A, V G Rao, Paluru Vijayachari, Yadav Rajiv, Raghavi V, Avi Kumar Bansal, Anil Kumar Indira Krishna and 17 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  18. Health status ofThe Indian journal of medical research · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 13 institutions in 1 country.

Beena E ThomasDepartment of Social and Behavioral Research, ICMR - National Institute for Research in Tuberculosis, Chennai, India.ORCID 0000-0003-1973-2212
Kannan ThiruvengadamDepartment of Statistics, Epidemiology Unit, ICMR - National Institute for Research in Tuberculosis, Chennai, India.
Chandrasekaran VedhachalamDepartment of Statistics, Epidemiology Unit, ICMR - National Institute for Research in Tuberculosis, Chennai, India.
Srividya ADepartment of Biostatistics, ICMR - Vector Control Research Centre, Pondicherry, India.
V G RaoDivision of Communicable Diseases, ICMR - National Institute for Research in Tribal Health, Jabalpur, India.
Paluru VijayachariICMR - Regional Medical Research Centre, Port Blair, Andaman and Nicobar Islands.
Yadav RajivDivision of Communicable Diseases, ICMR - National Institute for Research in Tribal Health, Jabalpur, India.
Raghavi VDepartment of Social and Behavioral Research, ICMR - National Institute for Research in Tuberculosis, Chennai, India.
Avi Kumar BansalDepartment of Epidemiology, ICMR - National JALMA Institute for Leprosy & Other Mycobacterial Diseases, Agra, India.
Anil Kumar Indira KrishnaSchool of Public Health, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.
Alex JosephSchool of Public Health, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.ORCID 0000-0002-9053-4895
Anil Purty JDepartment of Community Medicine, Pondicherry Institute of Medical Sciences, Pondicherry, India.
Tahziba HussainICMR - Regional Medical Research Centre, Bhuvaneshwar, India.
Praveen AnandDepartment of Epidemiology, ICMR - Desert Medicine Research Centre, Jodhpur, India.
Pradeep DasRajendra Memorial Research Institute of Medical Sciences, Patna, India.
K R JohnDepartment of Community Medicine, Apollo Institute of Medical Sciences & Research, Chittoor, India.
Rekha Devi KICMR - Regional Medical Research Centre, Dibrugarh, India.
Sunish PICMR - Regional Medical Research Centre, Port Blair, Andaman and Nicobar Islands.
Azhagendran SDepartment of Social and Behavioral Research, ICMR - National Institute for Research in Tuberculosis, Chennai, India.
Azger DusthakeerDepartment of Bacteriology, ICMR - National Institute for Research in Tuberculosis, Chennai, India.
Bhat JDivision of Communicable Diseases, ICMR - National Institute for Research in Tribal Health, Jabalpur, India.
Vineet K ChadhaCentral Leprosy Teaching and Training Institute, Chengalpet, India.
Toteja G SDepartment of Epidemiology, ICMR - Desert Medicine Research Centre, Jodhpur, India.
Dasarathy RaghunathTribal Task Force, ICMR - Former Dean, Armed Forces Medical College, Pune, India.
Madhuchhanda DasDivision of Communicable Diseases (ECD), Indian Council of Medical Research, New Delhi, India.
A M KhanDivision of Communicable Diseases (ECD), Indian Council of Medical Research, New Delhi, India.
Hapreet KaurDivision of Communicable Diseases (ECD), Indian Council of Medical Research, New Delhi, India.
National Institute of Research in Tuberculosis · INRegional Medical Research Centre · INIndian Council of Medical Research · INNational Institute for Research in Tribal Health · INNational Institute for Implementation Research on Non-Communicable Diseases · INSRM Institute of Science and Technology · INApollo Institute of Medical Sciences & Research · INArmed Forces Medical College · INCentral Leprosy Teaching & Research Institute · INNational JALMA Institute for Leprosy & Other Mycobacterial Diseases · INPondicherry Institute of Medical Sciences · INRajendra Memorial Research Institute of Medical Sciences · INVector Control Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceThere is no concrete evidence on the burden of TB among the tribal populations across India except for few studies mainly conducted in Central India with a pooled estimation of 703/100,000 with a high degree of heterogeneity.

objectiveTo estimate the prevalence of TB among the tribal populations in India. DESIGN, PARTICIPANTS,

settingA survey using a multistage cluster sampling design was conducted between April 2015 and March 2020 covering 88 villages (clusters) from districts with over 70% tribal majority populations in 17 States across 6 zones of India. The sample populations included individuals ≥15 years old. MAIN OUTCOME AND MEASURES: Eligible participants who were screened through an interview for symptoms suggestive of pulmonary TB (PTB); Two sputum specimens were examined by smear and culture. Prevalence was estimated after multiple imputations for non-coverage and a correction factor of 1.31 was then applied to account for non-inclusion of X-ray screening.

resultsA total of 74532 (81.0%) of the 92038 eligible individuals were screened; 2675 (3.6%) were found to have TB symptoms or h/o ATT. The overall prevalence of PTB was 432 per 100,000 populations. The PTB prevalence per 100,000 populations was highest 625 [95% CI: 496-754] in the central zone and least 153 [95% CI: 24-281] in the west zone. Among the 17 states that were covered in this study, Odisha recorded the highest prevalence of 803 [95% CI: 504-1101] and Jammu and Kashmir the lowest 127 [95% CI: 0-310] per 100,000 populations. Findings from multiple logistic regression analysis reflected that those aged 35 years and above, with BMI <18.5 Kgs /m2, h/o ATT, smoking, and/or consuming alcohol had a higher risk of bacteriologically positive PTB. Weight loss was relatively more important symptom associated with tuberculosis among this tribal populations followed by night sweats, blood in sputum, and fever. CONCLUSION AND RELEVANCE: The overall prevalence of PTB among tribal groups is higher than the general populations with a wide variation of prevalence of PTB among the tribal groups at zone and state levels. These findings call for strengthening of the TB control efforts in tribal areas to reduce TB prevalence through tribal community/site-specific intervention programs.

Indexed as

AdolescentAdultFemaleHumansIndiaMaleMass ScreeningMycobacterium tuberculosisPopulation GroupsPrevalenceSputumTuberculosis, Pulmonary

Identifiers

PMID34086684
PMCPMC8177518
OpenAlexW3164562535

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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.