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Acquired and Transmitted Multidrug Resistant Tuberculosis: The Role of Social Determinants

Author

Listed:
  • 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

Abstract

Although risk factors for multi-drug resistant tuberculosis are known, few studies have differentiated between acquired and transmitted resistance. It is important to identify factors associated with these different mechanisms to optimize control measures. We conducted a prospective cohort study of index TB patients and their household contacts in Lima, Peru to identify risk factors associated with acquired and transmitted resistance, respectively. Patients with higher socioeconomic status (SES) had a 3-fold increased risk of transmitted resistance compared to those with lower SES when acquired resistance served as the baseline. Quality of housing mediated most of the impact of SES.

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0146642
    DOI: 10.1371/journal.pone.0146642
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    References listed on IDEAS

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    1. Anna Odone & Silvia Amadasi & Richard G White & Theodore Cohen & Alison D Grant & Rein M G J Houben, 2014. "The Impact of Antiretroviral Therapy on Mortality in HIV Positive People during Tuberculosis Treatment: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-12, November.
    2. 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.
    3. Olivia Oxlade & Megan Murray, 2012. "Tuberculosis and Poverty: Why Are the Poor at Greater Risk in India?," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-8, November.
    4. Hargreaves, J.R. & Boccia, D. & Evans, C.A. & Adato, M. & Petticrew, M. & Porter, J.D., 2011. "The social determinants of tuberculosis: from evidence to action," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 654-662.
    5. 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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