Conditions Contributing to Chronic Co-Morbidity of Tuberculosis: Evidence from Indonesian Family Life Survey 5 Year 2014


Muvida1), Vitri Widyaningsih2)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: Tuberculosis (TB) and HIV/AIDS persist as global emergencies. Noncommunicable diseases interact adversely with TB by increasing both individual vulnerabilities to disease and the likelihood that the epidemic will be sustained within a population. Individual vulnerability is affected by the number and severity of comorbid disorders. This study aimed to estimate the likelihood of some conditions to contribute to the chronic co-morbidity of TB.

Subjects and Method: This was a cross sectional study. A sample of 31,185 study subjects aged ≥18 years old with TB was selected for this study. The dependent variable was chronic co-morbidity. The independent variables were chronic pulmonary disease, asthma, diabetes, and hypertension. The data were obtained from Indonesian family life survey 5 (IFLS 5) year 2014. The data were analyzed by a multiple logistic regression run on Stata 13.

Results: The three highest contributors of chronic co-morbidity in TB patients were: (1) hypertension (19.1%), (2) chronic pulmonary disease (14.9%), and (3) asthma (13.7%). The lowest contributors of chronic co-morbidity were: (1) stroke (1.0%) and (2) hyperlipidemia (6.0%). The risk of chronic co-morbidity in TB patient increased with chronic pulmonary disease (OR= 8.21; 95% CI= 5.52 to 12.21; p<0.001), asthma (OR= 5.64; 95% CI= 3.86 to 8.25; p<0.001), diabetes (OR= 5.49; 95% CI= 2.27 to 13.26; p<0.001), and hypertension (OR= 2.12; 95% CI= 1.11 to 4.04; p= 0.023).

Conclusion: The three highest contributors of chronic co-morbidity in TB patients are: (1) hypertension, (2) chronic pulmonary disease, and (3) asthma. The lowest contributors of chronic co-morbidity were: (1) stroke and (2) hyperlipidemia. The risk of chronic co-morbidity in TB patient increases with chronic pulmonary disease, asthma, diabetes, and hypertension.

Keywords: tuberculosis, co-morbidity, chronic pulmonary disease, asthma, diabetes

Correspondence: Muvida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central java, Indonesia. Email: muvidamd@gmail.com. Mobile: +6289651450435.

DOI: https://doi.org/10.26911/the6thicph.01.38

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