Diabetes Is a Risk Factor for Pulmonary Tuberculosis: A Case-Control Study from Mwanza, Tanzania
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{"title"=>"Diabetes is a risk factor for pulmonary tuberculosis: A Case-Control study from Mwanza, Tanzania", "type"=>"journal", "authors"=>[{"first_name"=>"Daniel", "last_name"=>"Faurholt-Jepsen", "scopus_author_id"=>"36080300500"}, {"first_name"=>"Nyagosya", "last_name"=>"Range", "scopus_author_id"=>"8982432000"}, {"first_name"=>"George", "last_name"=>"PrayGod", "scopus_author_id"=>"25632886400"}, {"first_name"=>"Kidola", "last_name"=>"Jeremiah", "scopus_author_id"=>"26431447000"}, {"first_name"=>"Maria", "last_name"=>"Faurholt-Jepsen", "scopus_author_id"=>"36704581800"}, {"first_name"=>"Martine Grosos", "last_name"=>"Aabye", "scopus_author_id"=>"26431205800"}, {"first_name"=>"John", "last_name"=>"Changalucha", "scopus_author_id"=>"6701736397"}, {"first_name"=>"Dirk Lund", "last_name"=>"Christensen", "scopus_author_id"=>"7201640738"}, {"first_name"=>"Christian Bressen", "last_name"=>"Pipper", "scopus_author_id"=>"22735054000"}, {"first_name"=>"Henrik", "last_name"=>"Krarup", "scopus_author_id"=>"7003874080"}, {"first_name"=>"Daniel Rinse", "last_name"=>"Witte", "scopus_author_id"=>"57197805045"}, {"first_name"=>"Aase Bengaard", "last_name"=>"Andersen", "scopus_author_id"=>"55109179000"}, {"first_name"=>"Henrik", "last_name"=>"Friis", "scopus_author_id"=>"7005496406"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"21912626", "doi"=>"10.1371/journal.pone.0024215", "sgr"=>"80052302585", "isbn"=>"1932-6203 (Electronic)\\n1932-6203 (Linking)", "scopus"=>"2-s2.0-80052302585", "issn"=>"19326203", "pui"=>"362461772"}, "id"=>"24da8963-5ce8-3eee-8fdc-b7f5606e0c84", "abstract"=>"BACKGROUND: Diabetes and TB are associated, and diabetes is increasingly common in low-income countries where tuberculosis (TB) is highly endemic. However, the role of diabetes for TB has not been assessed in populations where HIV is prevalent. METHODS: A case-control study was conducted in an urban population in Tanzania among culture-confirmed pulmonary TB patients and non-TB neighbourhood controls. Participants were tested for diabetes according to WHO guidelines and serum concentrations of acute phase reactants were measured. The association between diabetes and TB, and the role of HIV as an effect modifier, were examined using logistic regression. Since blood glucose levels increase during the acute phase response, we adjusted for elevated serum acute phase reactants. RESULTS: Among 803 cases and 350 controls the mean (SD) age was 34.8 (11.9) and 33.8 (12.0) years, and the prevalence of diabetes was 16.7% (95% CI: 14.2; 19.4) and 9.4% (6.6; 13.0), respectively. Diabetes was associated with TB (OR 2.2, 95% CI: 1.5; 3.4, p<0.001). However, the association depended on HIV status (interaction, p = 0.01) due to a stronger association among HIV uninfected (OR 4.2, 95% CI: 1.5; 11.6, p = 0.01) compared to HIV infected (OR 0.1, 95% CI: 0.01; 1.8, p = 0.13) after adjusting for age, sex, demographic factors and elevated serum acute phase reactants. CONCLUSION: Diabetes is a risk factor for TB in HIV uninfected, whereas the association in HIV infected patients needs further study. The increasing diabetes prevalence may be a threat to TB control.", "link"=>"http://www.mendeley.com/research/diabetes-risk-factor-pulmonary-tuberculosis-casecontrol-study-mwanza-tanzania", "reader_count"=>114, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Researcher"=>19, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>14, "Other"=>5, "Student > Master"=>29, "Student > Bachelor"=>19, "Lecturer"=>3, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Researcher"=>19, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>14, "Other"=>5, "Student > Master"=>29, "Student > Bachelor"=>19, "Lecturer"=>3, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Nursing and Health Professions"=>9, "Biochemistry, Genetics and Molecular Biology"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>68, "Agricultural and Biological Sciences"=>12, "Arts and Humanities"=>1, "Business, Management and Accounting"=>1, "Social Sciences"=>7, "Computer Science"=>1, "Immunology and Microbiology"=>4, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>68}, "Social Sciences"=>{"Social Sciences"=>7}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>4}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>12}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>9}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>7}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"United States"=>2, "Norway"=>1, "Japan"=>1, "Brazil"=>1, "Mexico"=>1, "Australia"=>1, "Portugal"=>1}, "group_count"=>4}

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PMC Usage Stats | Further Information

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Relative Metric

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