Prevalence of tuberculosis among mentally ill patients in conflict-stricken Afghanistan: A cross-sectional study
| Autor: | G. Qader, S. Dryer, Muluken Melese, K.M. Rashidi, Pedro Suarez, Aleefia Somji, A. Hamim, Mohammad Khaled Seddiq, B. Ahmad, M.H. Akhgar |
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| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine Microbiology (medical) Pediatrics medicine.medical_specialty Tuberculosis Adolescent Cross-sectional study 030106 microbiology lcsh:Infectious and parasitic diseases Young Adult 03 medical and health sciences 0302 clinical medicine Health facility Mentally Ill Persons Prevalence medicine Humans lcsh:RC109-216 030212 general & internal medicine Young adult Poverty GeneXpert MTB/RIF business.industry Mental Disorders Malnutrition Afghanistan General Medicine Middle Aged medicine.disease Mental illness Mental health Cross-Sectional Studies Infectious Diseases Female business Delivery of Health Care |
| Zdroj: | International Journal of Infectious Diseases, Vol 89, Iss, Pp 45-50 (2019) |
| ISSN: | 1201-9712 |
| DOI: | 10.1016/j.ijid.2019.08.020 |
| Popis: | Objectives: Tuberculosis (TB) and mental illness share underlying factors such as poverty, malnutrition, and stress. This study’s objective was to determine the prevalence of TB among mentally ill patients in Afghanistan. Methods: A cross-sectional study was conducted in five public and one private health facility. All patients in those centers were screened for TB, and the diagnosis of TB was made with GeneXpert or made clinically by a physician. Results: Out of 8598 patients registered, 8324 (96.8%) were reached and 8073 (93.9%) were screened for TB, of whom 1703 (21.1%) were found to be presumptive TB patients. A total of 275 (16.7%) were diagnosed with all forms of TB, of whom 90.5% were women. Eighty-eight (32%) of them were bacteriologically confirmed and 187 (68%) were clinically diagnosed. The number needed to screen (NNS) was 29.3 and the number needed to test (NNT) was 6.1. The overall prevalence of TB among mentally ill patients was 3,567/100,000—20 times higher than the national incidence rate. TB was independently associated with married and widowed adults, young adults, females, and oral sleep drug users. Conclusions: TB among mentally ill patients is very high, and we recommend that TB care and prevention services be integrated into mental health centers. Keywords: Afghanistan, TB services, Mental disorders, Disease susceptibility, Delivery of health care, Women |
| Databáze: | OpenAIRE |
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