Tuberculosis report among injection drug users and their partners in Kazakhstan

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dc.contributor.authorHermosilla, S.
dc.contributor.authorEl-Bassel, N.
dc.contributor.authorAifah, A.
dc.contributor.authorTerlikbayeva, A.
dc.contributor.authorZhumadilov, Z.
dc.contributor.authorBerikkhanova, K.
dc.contributor.authorDarisheva, M.
dc.contributor.authorGilbert, L.
dc.contributor.authorSchluger, N.
dc.contributor.authorGalea, S.
dc.creatorS., Hermosilla
dc.date.accessioned2017-12-15T05:44:31Z
dc.date.available2017-12-15T05:44:31Z
dc.date.issued2015-05-01
dc.description.abstractAbstract ObjectivesTuberculosis (TB) is a major threat to global public health. Kazakhstan has the second highest percentage of multidrug-resistant tuberculosis (MDR-TB) cases among incident tuberculosis cases in the world (WHO 2013). A high burden of MDR-TB suggests TB prevention, control, and treatment programs are failing. This study provides an epidemiologic profile of TB among injection drug users (IDUs), a high-risk and chronically underserved population, in Kazakhstan. Study designCross-sectional study. MethodsThe authors studied the characteristics and risk environment of IDUs with self-reported previous active TB and their primary sexual partners in Almaty, Kazakhstan. 728 individuals (364 couples) participated in a couple-based study in 2009. Results16.75% of participants reported at least one positive TB test (x-ray) in their lifetime. In a multivariable logistic regression adjusting for couple-based sampling, persons with positive TB test were significantly more likely to be older (odds ratio (OR) 7.26, 95% confidence interval (CI): 1.73, 30.43), male (OR 5.53, 95% CI: 2.74, 11.16), have a shorter duration of injection drug use (OR 0.17, 95% CI: 0.04, 0.65), have received high social support from their significant other (OR 2.13, 95% CI: 1.03, 4.40) and more likely (non-significantly) to have been incarcerated (OR 7.03, 95% CI: 0.64, 77.30). ConclusionsOlder men with a history of incarceration and recent injection drug use were more likely to have positive TB test in Kazakhstan. Social network support, while potentially positive for many aspects of population health, may increase risk of TB among IDUs in this context. Public health policies that target high-risk populations and their at-risk networks may be necessary to stem the rise of MDR-TB in Central Asia.en_US
dc.identifierDOI:10.1016/j.puhe.2015.01.022
dc.identifier.citationS. Hermosilla, N. El-Bassel, A. Aifah, A. Terlikbayeva, Z. Zhumadilov, K. Berikkhanova, M. Darisheva, L. Gilbert, N. Schluger, S. Galea, Tuberculosis report among injection drug users and their partners in Kazakhstan, In Public Health, Volume 129, Issue 5, 2015, Pages 569-575en_US
dc.identifier.issn00333506
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0033350615000414
dc.identifier.urihttp://nur.nu.edu.kz/handle/123456789/2935
dc.language.isoenen_US
dc.publisherPublic Healthen_US
dc.relation.ispartofPublic Health
dc.rights.licenseCopyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
dc.subjectTuberculosisen_US
dc.subjectInjection drug usersen_US
dc.subjectCentral Asiaen_US
dc.subjectSocial supporten_US
dc.subjectKazakhstanen_US
dc.subjectIncarcerationen_US
dc.titleTuberculosis report among injection drug users and their partners in Kazakhstanen_US
dc.typeArticleen_US
elsevier.aggregationtypeJournal
elsevier.coverdate2015-05-01
elsevier.coverdisplaydateMay 2015
elsevier.endingpage575
elsevier.identifier.doi10.1016/j.puhe.2015.01.022
elsevier.identifier.eid1-s2.0-S0033350615000414
elsevier.identifier.piiS0033-3506(15)00041-4
elsevier.identifier.pubmedid25795015
elsevier.identifier.scopusid84930277832
elsevier.issue.identifier5
elsevier.openaccess0
elsevier.openaccessarticlefalse
elsevier.openarchivearticlefalse
elsevier.startingpage569
elsevier.teaserTuberculosis (TB) is a major threat to global public health. Kazakhstan has the second highest percentage of multidrug-resistant tuberculosis (MDR-TB) cases among incident tuberculosis cases in the...
elsevier.volume129
workflow.import.sourcescience

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