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Tobacco Use or Body Mass – Do They Predict Tuberculosis Mortality in Mumbai, India? Results from a Population-Based Cohort Study

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  • Mangesh S Pednekar
  • Matti Hakama
  • Prakash C Gupta

Abstract

Tobacco use and under-nutrition are major public health concerns and tuberculosis is a major cause of morbidity and mortality in India. Using a cohort of 148,173 persons (recruited 1991–1997 and followed-up 1997–2003) the joint effects of tobacco use and BMI on tuberculosis mortality was studied. Tobacco use in any form and low-BMI had joint effect on tuberculosis mortality and the interaction effect was synergistic in men and antagonistic in women. Self-reported tuberculosis was associated with increased risk of tuberculosis mortality. In contrast, no such association was observed for self-reported diabetes persons. The risk pattern remained unchanged even after excluding tuberculosis deaths occurred within 1st two years of follow-up. This study highlights importance of age consideration of individual while excluding early deaths. Around 27% male tuberculosis deaths were attributable to their being underweight and smoker, while 22% male and 37% female deaths were attributable to their being underweight and smokeless tobacco user.

Suggested Citation

  • Mangesh S Pednekar & Matti Hakama & Prakash C Gupta, 2012. "Tobacco Use or Body Mass – Do They Predict Tuberculosis Mortality in Mumbai, India? Results from a Population-Based Cohort Study," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    • Handle: RePEc:plo:pone00:0039443
    DOI: 10.1371/journal.pone.0039443
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    References listed on IDEAS

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    1. Hsien-Ho Lin & Majid Ezzati & Megan Murray, 2007. "Tobacco Smoke, Indoor Air Pollution and Tuberculosis: A Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 4(1), pages 1-1, January.
    2. Sorensen, G. & Gupta, P.C. & Pednekar, M.S., 2005. "Social disparities in Tobacco use in Mumbai, India: The roles of occupation, education, and gender," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 1003-1008.
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