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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study
BMC Research Notes, Volume 16, No. 1, Article 337, Year 2023
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Description
Objective: Tuberculosis (TB) is a leading cause of death globally, with approximately 1.5 million deaths in 2020. TB often coexists with chronic communicable and non-communicable diseases, but data to determine the extent of comorbid diseases are limited. In this study, we aimed to assess the prevalence of TB multimorbidity and its risk factors in a tertiary hospital in Sierra Leone. This is a cross-sectional study of 240 adults with microbiologically-confirmed TB at Connaught Hospital in Freetown, between March and May 2022. Logistic regression analysis was used to identify factors associated with TB multimorbidity. Results: The mean age of the patients was 37 years. More than two-thirds were males and about the same number had two or more chronic diseases. The most common were hypertension (47.9%) and diabetes (24.2%). Patients under 35 years of age were less likely to have TB multimorbidity (< 25 years: adjusted OR 0.07, 95%CI 0.01–0.6; 25–34 years: adjusted OR 0.2, 95%CI 0.01–0.9). We report a high prevalence of comorbid diseases among TB patients in the largest treatment center in Sierra Leone, with hypertension and diabetes being the most common. These findings support the current call for addressing comorbid non-communicable diseases in TB patients through integrated care. © 2023, The Author(s).
Authors & Co-Authors
Lakoh, Sulaiman
Sierra Leone, Freetown
University of Sierra Leone
Sierra Leone, Freetown
Ministry of Health and Sanitation
Sierra Leone, Freetown
Sustainable Health Systems
Ouédraogo, Alphonse Risgou
Unknown Affiliation
Adekanmbi, Olukemi A.
Nigeria, Ibadan
University of Ibadan
Nigeria, Ibadan
University College Hospital, Ibadan
Deen, Gibrilla Fadlu
Sierra Leone, Freetown
University of Sierra Leone
Sierra Leone, Freetown
Ministry of Health and Sanitation
Russell, James Baligeh Walter
Sierra Leone, Freetown
University of Sierra Leone
Sierra Leone, Freetown
Ministry of Health and Sanitation
Sankoh-Hughes, Ahmed
Sierra Leone, Freetown
University of Sierra Leone
Kamara, Joseph Baio
Sierra Leone, Freetown
Ministry of Health and Sanitation
Kanu, Joseph Sam
Sierra Leone, Freetown
University of Sierra Leone
Yendewa, George A.
United States, Cleveland
Case School of Medicine
United States, Cleveland
University Hospitals Case Medical Center
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Firima, Emmanuel
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Switzerland, Basel
Universitat Basel
Lesotho, Maseru
Solidarmed
Nigeria, Abuja
Centre for Multidisciplinary Research and Innovation
Amaral, André F.S.
United Kingdom, London
Imperial College London
Statistics
Authors: 11
Affiliations: 13
Identifiers
Doi:
10.1186/s13104-023-06476-y
ISSN:
17560500
Research Areas
Health System And Policy
Infectious Diseases
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Sierra Leone