Tuberculosis non-communicable disease comorbidity and multimorbidity in public primary care patients in South Africa

African Journal of Primary Health Care & Family Medicine
K Peltzer

Abstract

Little is known about the prevalence of non-communicable disease (NCD) multimorbidity among tuberculosis (TB) patients in Africa.Aim and setting: The aim of this study was to assess the prevalence of NCD multimorbidity, its pattern and impact on adverse health outcomes among patients with TB in public primary care in three selected districts of South Africa. In a cross-sectional survey, new TB and TB retreatment patients were interviewed, and medical records assessed in consecutive sampling within 1 month of anti-TB treatment. The sample included 4207 (54.5% men and 45.5% women) TB patients from 42 primary care clinics in three districts. Multimorbidity was measured as the simultaneous presence of two or more of 10 chronic conditions, including myocardial infarction or angina pectoris, arthritis, asthma, chronic lung disease, diabetes mellitus, hypertension, dyslipidaemia, malignant neoplasms, tobacco and alcohol-use disorder. The prevalence of comorbidity (with one NCD) was 26.9% and multimorbidity (with two or more NCDs) was 25.3%. We identified three patterns of multimorbidity: (1) cardio-metabolic disorders; (2) respiratory disorders, arthritis and cancer; and (3) substance-use disorders. The likelihood of multimorbidity wa...Continue Reading

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Citations

Mar 10, 2020·ChemMedChem·Clinton G L Veale, Ronel Müller
Sep 28, 2018·The International Journal of Health Planning and Management·Randa HemadehLea Ammar
Nov 13, 2020·Journal of Multidisciplinary Healthcare·Ni Njoman JuliasihIlham Nur Alfian
Apr 4, 2021·International Journal of Environmental Research and Public Health·Brendon StubbsAi Koyanagi
Jul 23, 2021·Scientific Reports·Osman AbdullahiWilletts Annie

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Software Mentioned

Statistical Package for the Social Sciences ( SPSS )

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