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Association between Socioeconomic Position and Tuberculosis in a Large Population-Based Study in Rural Malawi

Author

Listed:
  • Anna Odone
  • Amelia C Crampin
  • Venance Mwinuka
  • Simon Malema
  • J Nimrod Mwaungulu
  • Lumbani Munthali
  • Judith R Glynn

Abstract

Setting: There is increasing interest in social structural interventions for tuberculosis. The association between poverty and tuberculosis is well established in many settings, but less clear in rural Africa. In Karonga District, Malawi, we found an association between higher socioeconomic status and tuberculosis from 1986-1996, independent of HIV status and other factors. Objective: To investigate the relationship in the same area in 1997-2010. Design: All adults in the district with new laboratory-confirmed tuberculosis were included. They were compared with community controls, selected concurrently and frequency-matched for age, sex and area. Results: 1707 cases and 2678 controls were interviewed (response rates >95%). The odds of TB were increased in those working in the cash compared to subsistence economy (p

Suggested Citation

  • Anna Odone & Amelia C Crampin & Venance Mwinuka & Simon Malema & J Nimrod Mwaungulu & Lumbani Munthali & Judith R Glynn, 2013. "Association between Socioeconomic Position and Tuberculosis in a Large Population-Based Study in Rural Malawi," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-1, October.
    • Handle: RePEc:plo:pone00:0077740
    DOI: 10.1371/journal.pone.0077740
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    References listed on IDEAS

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    1. Lönnroth, Knut & Jaramillo, Ernesto & Williams, Brian G. & Dye, Christopher & Raviglione, Mario, 2009. "Drivers of tuberculosis epidemics: The role of risk factors and social determinants," Social Science & Medicine, Elsevier, vol. 68(12), pages 2240-2246, June.
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    1. Anna Odone & Roger Calderon & Mercedes C Becerra & Zibiao Zhang & Carmen C Contreras & Rosa Yataco & Jerome Galea & Leonid Lecca & Matthew H Bonds & Carole D Mitnick & Megan B Murray, 2016. "Acquired and Transmitted Multidrug Resistant Tuberculosis: The Role of Social Determinants," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-7, January.

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