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BMC Public Health

, 13:991

Health behavior, health promotion and society

Abstract

BackgroundMycobacterium tuberculosis is a necessary, but not sufficient, cause of tuberculosis. A number of studies have addressed the issue of risk factors for tuberculosis development. Croatia is a European country with an incidence rate of 14-100 000 which is slowly decreasing. The aim of this study is to evaluate the potential demographic, socioeconomic, behavioural and biological risk factors for tuberculosis in Croatia in comparison to other high-income, low-incidence European countries.

MethodsA total of 300 tuberculosis patients were matched for age, sex and county of residence to 300 controls randomly selected from general practitioners’ registers. They were interviewed and their medical records were evaluated for variables broadly described as potential risk factors.

ResultsIn multiple logistic regression, the following factors were significant: parents born in a particular neighbouring county Bosnia and Herzegovina OR = 3.90, 95% CI 2.01-7.58, the lowest level of education OR = 3.44, 95% CI 1.39-8.50, poor household equipment OR = 4.72, 95% CI 1.51-14.76, unemployment OR = 2.69, 95% CI 1.18-6.16, contact with tuberculosis OR = 2.19, 95% CI 1.27-3.77, former OR = 2.27, 95% CI 1.19-4.33 and current smoking habits OR = 2.35, 95% CI 1.27-4.36, diabetes OR = 2.38, 95% CI 1.05-5.38, a malignant disease OR = 5.79, 95% CI 1.49-22.42, being underweight in the previous year OR = 13.57, 95% CI 1.21-152.38.

ConclusionIn our study, the identified risk groups for tuberculosis reflect a complex interaction between socioeconomic conditions, lifestyle and non-communicable diseases. Interventions focused on poverty will undoubtedly be useful, but not sufficient. Tuberculosis control would benefit from a combination of broad public health activities aimed at the prevention and control of risky lifestyles and non-communicable diseases, interventions outside the health sector, and efforts to constantly improve the Croatian national tuberculosis programme.

KeywordsTuberculosis Risk factors Poverty Diabetes Malignant disease Prevention Intervention Croatia Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-13-991 contains supplementary material, which is available to authorized users.

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Autor: Anamarija Jurcev-Savicevic - Rosanda Mulic - Bozica Ban - Karlo Kozul - Ljiljana Bacun-Ivcek - Jasna Valic - Gordana Popija

Fuente: https://link.springer.com/







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