Risk factors for pulmonary tuberculosis in Samara, Russia: a case-control study.

Coker, R; McKee, M; Atun, R; Dimitrova, B; Dodonova, E; Kuznetsov, S; Drobniewski, F; (2006) Risk factors for pulmonary tuberculosis in Samara, Russia: a case-control study. BMJ, 332 (7533). pp. 85-7. ISSN 1468-5833 DOI: https://doi.org/10.1136/bmj.38684.687940.80

Text - Published Version
License: Creative Commons Attribution Non-commercial

Download (80kB) | Preview


OBJECTIVES: To determine risk factors for pulmonary tuberculosis in Russia. DESIGN: Case-control study of exposure to a variety of risk factors before and during the development of pulmonary tuberculosis. SETTING: Large city in Russia. PARTICIPANTS: Cases were 334 consecutive adults diagnosed as having culture confirmed pulmonary tuberculosis between 1 January 2003 and 31 December 2003. Controls were 334 individuals sampled from a validated population registry, matched for age and sex to the patients with tuberculosis. A questionnaire collected information on potential risk factors. MAIN OUTCOME MEASURES: Risk factors associated with the development of tuberculosis. RESULTS: The main risk factors for tuberculosis were low accumulated wealth (univariate odds ratio 16.70), financial insecurity (5.67), consumption of unpasteurised milk (3.58), diabetes (2.66), living with a relative with tuberculosis (2.94), being unemployed (6.10), living in overcrowded conditions (2.99), illicit drug use (8.74), and a history of incarceration in both pretrial detention centres (5.70) and prison (12.50). CONCLUSIONS: When prevalence of exposure is taken into account the most important factors in the development of pulmonary tuberculosis in Russia are exposure to raw milk and unemployment.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 16339219
Web of Science ID: 234777000019
URI: http://researchonline.lshtm.ac.uk/id/eprint/12232


Download activity - last 12 months
Downloads since deposit
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item