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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 publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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