Evidence map›Paper›PMID 39388437›Full record

ArticlePloS one2024

Burden of leprosy and associated risk factors for disabilities in Tanzania from 2017 to 2020.

George Mrema, Ally Hussein, Welema Magoge, Vida Mmbaga, Azma Simba, Robert Balama, Emmanuel Nkiligi, Paul Shunda, Deus Kamara, Riziki Kisonga and 1 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

11 authors.

George MremaDepartment of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0009-0004-2612-9125
Ally HusseinDepartment of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-6674-7487
Welema MagogeEpidemiology and Disease Control Section, Ministry of Health, Dodoma, Tanzania.
Vida MmbagaEpidemiology and Disease Control Section, Ministry of Health, Dodoma, Tanzania.
Azma SimbaEpidemiology and Disease Control Section, Ministry of Health, Dodoma, Tanzania.
Robert BalamaNational Tuberculosis and Leprosy Program, Ministry of Health, Dodoma, Tanzania.
Emmanuel NkiligiNational Tuberculosis and Leprosy Program, Ministry of Health, Dodoma, Tanzania.
Paul ShundaNational Tuberculosis and Leprosy Program, Ministry of Health, Dodoma, Tanzania.
Deus KamaraNational Tuberculosis and Leprosy Program, Ministry of Health, Dodoma, Tanzania.ORCID 0000-0002-2141-0696
Riziki KisongaNational Tuberculosis and Leprosy Program, Ministry of Health, Dodoma, Tanzania.
Gideon KwesigaboDepartment of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeprosy is caused by Mycobacterium leprae which affects skin, nerves, eyes, and nasal mucosa. Despite global elimination efforts, Tanzania remains among 13 countries reporting more than 1000 leprosy cases annually. In 2021, Tanzania identified 1,511 new cases, with 10% having grade II disability. Moreover, 14 councils recorded leprosy rates exceeding 10 cases per 100,000 population. This study aimed to assess the burden of leprosy and associated risk factors for disabilities in Tanzania from 2017 to 2020. METHODOLOGY: A retrospective cross-sectional study was conducted to investigate all registered treated leprosy patients from January 2017 to December 2020. The Leprosy Burden Score (LBS) was used to assess the disease burden, while binary logistic regression was employed to evaluate the risk factors for disability.

resultA total of 6,963 leprosy cases were identified from 2017 to 2020. During this period, the point prevalence of leprosy declined from 0.32 to 0.25 per 10,000 people, and the new case detection rate decreased from 3.1 to 2.4 per 100,000 people; however, these changes were not statistically significant (p > 0.05). Independent risk factors for leprosy-related disabilities included male sex (Adjusted Odds Ratio (AOR) = 1.38, 95% Confidence Interval (CI) 1.22-1.57), age 15 years and above (AOR = 2.42, 95% CI 1.60-3.67), previous treatment history (AOR = 2.18, 95% CI 1.69-2.82), and positive Human Immunodeficiency Virus (HIV) status (AOR = 1.60, 95% CI 1.11-2.30).

conclusionThis study identified male sex, older age, positive HIV status, and prior treatment history as independent risk factors for leprosy-related disabilities. Additionally, despite the observed decline in point prevalence and new case detection rates, these changes were not statistically significant. To address leprosy-related disabilities, it is crucial to implement specific prevention strategies that focus on high-risk groups. This can be accomplished by enhancing screening and contact tracing efforts for early patient identification to prevent delays in intervention. Further research is warranted to analyze the burden of leprosy over a more extended period and to explore additional risk factors not covered in this study.

Indexed as

LeprosyPersons with DisabilitiesAdolescentAdultAgedChildChild, PreschoolCost of IllnessCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedPrevalenceRetrospective Studies

Identifiers

PMID39388437
PMCPMC11466380

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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.