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Free Content Mobility patterns of persons at risk for drug-resistant tuberculosis in Mumbai, India

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SETTING: Tuberculosis (TB) hospital in Mumbai, India.

OBJECTIVE: To describe the mobility patterns of persons with suspected drug-resistant tuberculosis (DR-TB) and to assess whether there were significant differences in demographic or risk characteristics based on mobility.

DESIGN: Observational cohort study of TB clinic patients at risk for DR-TB.

RESULTS: Among 602 participants, 37% had ever moved from their place of birth; 14% were local movers (within state), and 23% were distant movers, between states or countries. Univariate multinomial logistic regression models showed that distant movers were more likely than non-movers to have lower income, less education, a greater number of previous TB episodes, and to have ever smoked. Compared to non-movers, local movers were more likely to have lower income and were more likely to have seen a doctor in the past 2 years. Clinical outcomes, including DR-TB, diabetes, and human immunodeficiency virus (HIV), did not differ between the three mobility groups.

CONCLUSION: Mobility was common among patients at risk for DR-TB in Mumbai. TB programs should consider the implications of mobility on the protracted treatment for DR-TB in India.
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Keywords: Maharashtra; epidemiology; migration; multidrug-resistant TB

Document Type: Research Article

Affiliations: 1: Department of Medicine, University of California, San Diego, USA; San Diego State University, San Diego, California, USA 2: Department of Medicine, University of California, San Diego, USA 3: Hinduja National Hospital, Mumbai, India 4: University of Arkansas, Department of Biological Sciences, Fayetteville, Arkansas, USA

Publication date: December 1, 2016

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  • The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as COVID-19, asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details.

    The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health. To allow us to share scientific research as rapidly as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.

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