Evidence map›Paper›PMID 34580101›Full record

ArticleBMJ open2021

Cross-sectional assessment of tuberculosis and HIV prevalence in 13 correctional facilities in Zambia.

Mary Kagujje, Paul Somwe, Sisa Hatwiinda, Joel Bwalya, Tamala Zgambo, Moomba Thornicroft, Fiammetta Maria Bozzani, Clement Moonga, Monde Muyoyeta

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Active search for tuberculosis in three youth detention centers in Peru.Revista peruana de medicina experimental y salud publica · 2025
    Article
  5. Article
  6. Article
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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

9 authors at 2 institutions in 2 countries.

Mary KagujjeTuberculosis Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia mkagujje@gmail.com.ORCID 0000-0003-4818-6548
Paul SomweStrategic Information Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Sisa HatwiindaTuberculosis Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Joel BwalyaStrategic Information Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Tamala ZgamboHealth directorate, Zambia Correctional Service, Lusaka, Zambia.
Moomba ThornicroftTuberculosis Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Fiammetta Maria BozzaniFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Clement MoongaTuberculosis Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Monde MuyoyetaTuberculosis Department, Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Centre for Infectious Disease Research in Zambia · ZMLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of tuberculosis (TB) and HIV in 13 Zambian correctional facilities.

methodsCross-sectional study.

setting13 correctional facilities in seven of the 10 provinces in Zambia.

participantsAll incarcerated individuals were eligible for TB and HIV screening and testing. Of the total study population of 9695 individuals, which represent 46.2% of total correctional population at the beginning of the study, 8267 and 8160 were screened for TB and HIV, respectively.

interventionsTB and HIV screening and testing was done between July 2018 and February 2019. PRIMARY OUTCOME MEASURES: All forms of TB, bacteriologically confirmed TB, drug-resistant TB, HIV.

resultsPrevalence of all forms of TB and bacteriologically confirmed TB was 1599 (1340-1894) per 100 000 population and 1056 (847-1301) per 100 000 population, respectively. Among those with bacteriologically confirmed TB, 4.6% (1.3%-11.4%) had drug-resistant TB.There was no statistically significant difference in the prevalence of all forms of TB, bacteriologically confirmed TB and drug resistant TB between adults and juveniles: (p=0.82), (p=0.23), (p=0.68) respectively. Of the bacteriologically confirmed TB cases, 28.7% were asymptomatic. The prevalence of HIV was 14.3% (13.6%-15.1%). The prevalence of HIV among females was 1.8 times the prevalence of HIV among males (p=0.01).

conclusionCompared with the study in 2011 which screened inmates representing 30% of the country's inmate population, then the prevalence of all forms of TB and HIV in correctional facilities has reduced by about 75% and 37.6%, respectively. However, compared with the general population, the prevalence of all forms of TB and HIV was 3.5 and 1.3 times higher, respectively. TB/HIV programmes in correctional facilities need further strengthening to include aspects of juvenile-specific TB programming and gender responsive HIV programming.

Indexed as

HIV InfectionsTuberculosisAdultCorrectional FacilitiesCross-Sectional StudiesFemaleHumansMalePrevalenceZambiaepidemiologyHIV & AIDSpublic healthtuberculosis

Identifiers

PMID34580101
PMCPMC8477336
OpenAlexW3203198363

What OpenQuestion holds

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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.