Prevalence of non‐communicable diseases among household contacts of people with tuberculosis: A systematic review and individual participant data meta‐analysis

Author:

Hamada Yohhei1,Quartagno Matteo2,Malik Farihah3,Ntshamane Keolebogile4,Tisler Anna15,Gaikwad Sanjay6,Acuna‐Villaorduna Carlos7,Bhavani Perumal Kannabiran8,Alisjahbana Bachti910,Ronacher Katharina111213,Apriani Lika914,Becerra Mercedes1516,Chu Alexander L.17,Creswell Jacob18,Diaz Gustavo1920,Ferro Beatriz E.21,Galea Jerome T.1622,Grandjean Louis3,Grewal Harleen M. S.23,Gupta Amita24,Jones‐López Edward C.25,Kleynhans Léanie1112,Lecca Leonid1516,MacPherson Peter2627,Murray Megan16,Marín Diana28,Restrepo Blanca I.293031,Shivakumar Shri Vijay Bala Yogendra32,Shu Eileen33,Sivakumaran Dhanasekaran23,Vo Luan Nguyen Quang3435,Webb Emily L.36,Copas Andrew12,Abubakar Ibrahim1,Rangaka Molebogeng X.137

Affiliation:

1. Institute for Global Health, University College London London UK

2. MRC Clinical Trials Unit Institute of Clinical Trials and Methodology, University College London London UK

3. UCL Great Ormond Street Institute of Child Health, University College London London UK

4. The Aurum Institute Johannesburg South Africa

5. Institute of Family Medicine and Public Health, University of Tartu Tartu Estonia

6. BJ Government Medical College and Sassoon General Hospitals Pune India

7. Boston University Medical Center, Section of Infectious Diseases Boston Massachusetts USA

8. ICMR‐National Institute for Research in Tuberculosis Chennai India

9. Research Center for Care and Control of Infectious Diseases (RC3ID) Universitas Padjadjaran Bandung Indonesia

10. Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran/Hasan Sadikin Hospital Bandung Indonesia

11. DSI‐NRF Centre of Excellence for Biomedical Tuberculosis Research, SA MRC Centre for TB Research, Division of Molecular Biology and Human Genetics, Department of Molecular Biology, Faculty of Medicine and Health Sciences Stellenbosch University Cape Town South Africa

12. Mater Research Institute, Translational Research Institute The University of Queensland Brisbane Australia

13. Australian Infectious Diseases Research Centre The University of Queensland Brisbane Australia

14. Department of Public Health, Faculty of Medicine Universitas Padjadjaran Bandung Indonesia

15. Socios En Salud Lima Peru

16. Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA

17. Department of Medical Education Dell Medical School at the University of Texas at Austin Austin Texas USA

18. Stop TB Partnership, Innovations and Grants Geneva Switzerland

19. Centro Internacional de Entrenamiento e Investigaciones Médicas‐CIDEIM Cali Valle del Cauca Colombia

20. Universidad Icesi Cali Valle del Cauca Colombia

21. Departamento de Ciencias Básicas Médicas, Facultad de Ciencias de la Salud Universidad Icesi Cali Colombia

22. School of Social Work University of South Florida Tampa Florida USA

23. Department of Clinical Science, Bergen Integrated Diagnostic Stewardship Cluster, Faculty of Medicine University of Bergen Bergen Norway

24. Division of Infectious Diseases, Department of Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA

25. Division of Infectious Diseases, Department of Medicine, Keck School of Medicine of USC University of Southern California Los Angeles California USA

26. School of Health & Wellbeing University of Glasgow Glasgow UK

27. Clinical Research Department London School of Hygiene & Tropical Medicine London UK

28. Facultad de Medicina Universidad Pontificia Bolivariana Medellín Colombia

29. School of Public Health University of Texas Health Houston Brownsville Texas USA

30. South Texas Diabetes and Obesity Institute University of Texas Rio Grande Valley Edinburg Texas USA

31. Texas Biomedical Research Institute San Antonio Texas USA

32. Johns Hopkins Center for Infectious Diseases in India Pune India

33. Columbia University, College of Physicians and Surgeons New York New York USA

34. Friends for International TB Relief Ha Noi Vietnam

35. WHO Collaborating Centre for Social Medicine and Tuberculosis, Department of Global Public Health Sciences Karolinska Institute Stockholm Sweden

36. MRC International Statistics and Epidemiology Group London School of Hygiene and Tropical Medicine London UK

37. Division of Epidemiology and Biostatistics & CIDRI‐AFRICA University of Cape Town Cape Town South Africa

Abstract

AbstractObjectiveTo investigate the prevalence of non‐communicable diseases among household contacts of people with tuberculosis.MethodsWe conducted a systematic review and individual participant data meta‐analysis. We searched Medline, Embase and the Global Index Medicus from inception to 16 May 2023. We included studies that assessed for at least one non‐communicable disease among household contacts of people with clinical tuberculosis. We estimated the non‐communicable disease prevalence through mixed effects logistic regression for studies providing individual participant data, and compared it with estimates from aggregated data meta‐analyses. Furthermore, we compared age and sex‐standardised non‐communicable disease prevalence with national‐level estimates standardised for age and sex.ResultsWe identified 39 eligible studies, of which 14 provided individual participant data (29,194 contacts). Of the remaining 25 studies, 18 studies reported aggregated data suitable for aggregated data meta‐analysis. In individual participant data analysis, the pooled prevalence of diabetes in studies that undertook biochemical testing was 8.8% (95% confidence interval [CI], 5.1%–14.9%, four studies). Age‐and sex‐standardised prevalence was higher in two studies (10.4% vs. 6.9% and 11.5% vs. 8.4%) than the corresponding national estimates and similar in two studies. Prevalence of diabetes mellitus based on self‐report or medical records was 3.4% (95% CI 2.6%–4.6%, 14 studies). Prevalence did not significantly differ compared to estimates from aggregated data meta‐analysis. There were limited data for other non‐communicable diseases.ConclusionThe prevalence of diabetes mellitus among household contacts was high while that of known diabetes was substantially lower, suggesting the underdiagnosis. tuberculosis household contact investigation offers opportunities to deliver multifaceted interventions to identify tuberculosis infection and disease, screen for non‐communicable diseases and address shared risk factors.

Funder

Department of Biotechnology, Ministry of Science and Technology, India

Indian Council of Medical Research

Norges Idrettshøgskole

National Institute of Allergy and Infectious Diseases

Office for the Advancement of Research, John Jay College of Criminal Justice

CRDF Global

Publisher

Wiley

Reference71 articles.

1. World Health Organization.Noncommunicable diseases.https://www.who.int/news‐room/fact‐sheets/detail/noncommunicable‐diseases. [Accessed 22 August 2023]

2. Tuberculosis and noncommunicable diseases: neglected links and missed opportunities

3. Association between diabetes mellitus and active tuberculosis: A systematic review and meta-analysis

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