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High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study

by Lakoh, Sulaiman , Deen, Gibrilla F. , Ouédraogo, Abdoul Risgou , Firima, Emmanuel , Adekanmbi, Olukemi , Russell, James B. W. , Yendewa, George A. , Vamboi, Patricia Lombeh , Amaral, André F. S. , Sankoh-Hughes, Ahmed , Kamara, Joseph B. , Kanu, Joseph Edwin

in Adults / Analysis / Biomedical and Life Sciences / Biomedicine / Blood pressure / Body mass index / Chronic diseases / Chronic illnesses / Communicable diseases / Comorbidity / Cross-sectional studies / Data analysis / Diabetes / Diabetes mellitus / Fasting / Glucose / HIV / HIV (Viruses) / Hospitals / Hypertension / Life Sciences / Medical research / Medicine, Experimental / Medicine/Public Health / Multimorbidity / Obesity / Observational studies / Overweight / Patients / Pharmacists / Plasma / Population / Prevalence studies (Epidemiology) / Research Note / Risk factors / Sociodemographics / TB multimorbidity / Tuberculosis

2023

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High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study

2023

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High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study

2023

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Journal Article

High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study

Lakoh, Sulaiman,

Deen, Gibrilla F.,

Ouédraogo, Abdoul Risgou,

Firima, Emmanuel,

Adekanmbi, Olukemi,

Russell, James B. W.,

Yendewa, George A.,

Vamboi, Patricia Lombeh,

Amaral, André F. S.,

Sankoh-Hughes, Ahmed,

Kamara, Joseph B.,

Kanu, Joseph Edwin

2023

Overview

Objective Tuberculosis (TB) is a leading cause of death globally, with approximately 1.5 million deaths in 2020. TB often coexists with chronic communicable and non-communicable diseases, but data to determine the extent of comorbid diseases are limited. In this study, we aimed to assess the prevalence of TB multimorbidity and its risk factors in a tertiary hospital in Sierra Leone. This is a cross-sectional study of 240 adults with microbiologically-confirmed TB at Connaught Hospital in Freetown, between March and May 2022. Logistic regression analysis was used to identify factors associated with TB multimorbidity. Results The mean age of the patients was 37 years. More than two-thirds were males and about the same number had two or more chronic diseases. The most common were hypertension (47.9%) and diabetes (24.2%). Patients under 35 years of age were less likely to have TB multimorbidity (< 25 years: adjusted OR 0.07, 95%CI 0.01–0.6; 25–34 years: adjusted OR 0.2, 95%CI 0.01–0.9). We report a high prevalence of comorbid diseases among TB patients in the largest treatment center in Sierra Leone, with hypertension and diabetes being the most common. These findings support the current call for addressing comorbid non-communicable diseases in TB patients through integrated care.

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Publisher

BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC

Subject

Adults

/ Analysis

/ Biomedical and Life Sciences