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
References
Sep 7, 2002·Psychological Medicine·R C KesslerA M Zaslavsky
Sep 24, 2004·Health and Quality of Life Outcomes·Martin FortinDanielle Maltais
Dec 8, 2009·BMC Public Health·Jürgen RehmSvetlana Popova
Dec 22, 2009·AIDS Care·G SpiesS Seedat
Jun 15, 2011·Lancet·Robert BeagleholeUNKNOWN Lancet NCD Action Group
Dec 4, 2012·International Journal of Environmental Research and Public Health·Karl PeltzerBomkazi Tutshana
Dec 19, 2012·Lancet·Rafael LozanoZiad A Memish
Dec 19, 2012·Lancet·Stephen S LimZiad A Memish
Mar 28, 2013·The Lancet Infectious Diseases·Ben J MaraisAlimuddin Zumla
Aug 22, 2013·International Journal for Equity in Health·Bárbara Reis-SantosEthel L Maciel
Sep 24, 2013·Global Health Action·Nancy Phaswana-MafuyaShandir Ramlagan
Jan 30, 2014·Journal of Clinical Epidemiology·Alexandra Prados-TorresMarjan van den Akker
Jul 23, 2014·PloS One·Concepció ViolanJose M Valderas
Aug 15, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·K M Venkat NarayanSten H Vermund
Jan 18, 2015·BMC Infectious Diseases·Tolu OniNaomi S Levitt
Feb 11, 2015·Cold Spring Harbor Perspectives in Medicine·Matthew BatesAlimuddin Zumla
Aug 5, 2015·BMC Medicine·Perianayagam ArokiasamyPaul Kowal
Aug 6, 2015·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Hoosain Lalkhen, Robert Mash
Oct 10, 2015·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Naomi FolbLara R Fairall
Nov 4, 2015·International Journal of Integrated Care·Ozayr Haroon Mahomed, Shaidah Asmall
Apr 22, 2017·PloS One·Mahteme Haile WorknehSolomon Abebe Yimer
Aug 9, 2017·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·A C SweetlandM L Wainberg
Nov 9, 2017·African Journal of Primary Health Care & Family Medicine·Paul RheederDillon Woods
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
Jul 16, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·C Andrew BashamJames C Johnston
Jun 18, 2020·Risk Management and Healthcare Policy·Mainul HaqueSameer Dhingra
Sep 7, 2020·BMC Public Health·Indra Prasad PoudyalBipin Adhikari
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