ORCID
- Wei, Yinghui: 0000-0002-7873-0009
Abstract
Background: People with pulmonary tuberculosis (TB) are at risk of developing chronic respiratory disorders due to residual lung damage. So far, the scope of the problem in high burden TB countries is relatively unknown. Methods: Chronic respiratory symptoms (cough and phlegm lasting >2 weeks) and radiological lung abnormalities were compared between adults with and without a history of TB among the general population of Uganda. Multivariable regression models were used to estimate odds ratios with adjustment for age, gender, smoking, education, setting and region. Random effects models accounted for village clustering effect. Results: Of 45,293 invited people from 70 villages, 41,154 (90.9%) participated in the survey. 798 had a history of TB and among them, 16% had respiratory symptoms and 41% x-ray abnormalities. Adjusted odds ratios showed strong evidence for individuals with a history of TB having increased risk of respiratory symptoms (OR=4·02, 95%CI: 3·25-4·96) and x-ray abnormalities (OR=17·52, 95%CI: 14·76-20·79); attributing 6% and 24% of the respective population risks. Conclusions: In Uganda, a history of TB was a strong predictor of respiratory symptoms and lung abnormalities, before older age and smoking. Eliminating TB disease could reduce the prevalence of chronic respiratory symptoms as much as eliminating smoking.
DOI
10.1093/cid/ciy795
Publication Date
2018-08-15
Publication Title
Clinical Infectious Diseases
ISSN
1058-4838
Embargo Period
2019-09-18
Organisational Unit
Peninsula Medical School
Recommended Citation
van, K. S., Jones, R., Kisembo, H., Houben, R., Wei, Y., Mugabe, F., Rutebemberwa, E., & Kirenga, B. (2018) 'Chronic respiratory symptoms and lung abnormalities among people with a history of tuberculosis in Uganda: a national survey.', Clinical Infectious Diseases, . Available at: https://doi.org/10.1093/cid/ciy795
