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Mobility patterns of persons at risk for drug-resistant tuberculosis in Mumbai, India.

  • Author(s): Conners, E
  • Garfein, RS
  • Rodwell, TC
  • Udwadia, ZF
  • Catanzaro, DG
  • et al.

Published Web Location

https://www.ingentaconnect.com/content/iuatld/ijtld/2016/00000020/00000012/art00013
No data is associated with this publication.
Abstract

SETTING:Tuberculosis (TB) hospital in Mumbai, India. OBJECTIVE:To describe the mobility patterns of persons with suspected drug-resistant tuberculosis (DR-TB) and to assess whether there were significant differences in demographic or risk characteristics based on mobility. DESIGN:Observational cohort study of TB clinic patients at risk for DR-TB. RESULTS:Among 602 participants, 37% had ever moved from their place of birth; 14% were local movers (within state), and 23% were distant movers, between states or countries. Univariate multinomial logistic regression models showed that distant movers were more likely than non-movers to have lower income, less education, a greater number of previous TB episodes, and to have ever smoked. Compared to non-movers, local movers were more likely to have lower income and were more likely to have seen a doctor in the past 2 years. Clinical outcomes, including DR-TB, diabetes, and human immunodeficiency virus (HIV), did not differ between the three mobility groups. CONCLUSION:Mobility was common among patients at risk for DR-TB in Mumbai. TB programs should consider the implications of mobility on the protracted treatment for DR-TB in India.

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