Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018
To assess sex disparities in tuberculosis in Vietnam, we conducted a nested, case–control study based on a 2017 tuberculosis prevalence survey. We defined the case group as all survey participants with laboratory–confirmed tuberculosis and the control group as a randomly selected group of participa...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Centers for Disease Control and Prevention
2023-05-01
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| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/29/5/22-1476_article |
| _version_ | 1797843416237735936 |
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| author | Hai Viet Nguyen Daniella Brals Edine Tiemersma Robert Gasior Nhung Viet Nguyen Hoa Binh Nguyen Hung Van Nguyen Ngoc Anh Le Thi Frank Cobelens |
| author_facet | Hai Viet Nguyen Daniella Brals Edine Tiemersma Robert Gasior Nhung Viet Nguyen Hoa Binh Nguyen Hung Van Nguyen Ngoc Anh Le Thi Frank Cobelens |
| author_sort | Hai Viet Nguyen |
| collection | DOAJ |
| description |
To assess sex disparities in tuberculosis in Vietnam, we conducted a nested, case–control study based on a 2017 tuberculosis prevalence survey. We defined the case group as all survey participants with laboratory–confirmed tuberculosis and the control group as a randomly selected group of participants with no tuberculosis. We used structural equation modeling to describe pathways from sex to tuberculosis according to an a priori conceptual framework. Our analysis included 1,319 participants, of whom 250 were case-patients. We found that sex was directly associated with tuberculosis prevalence (adjusted odds ratio for men compared with women 3.0 [95% CI 1.7–5.0]) and indirectly associated through other domains. The strong sex difference in tuberculosis prevalence is explained by a complex interplay of factors relating to behavioral and environmental risks, access to healthcare, and clinical manifestations. However, after controlling for all those factors, a direct sex effect remains that might be caused by biological factors.
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| first_indexed | 2024-04-09T17:05:58Z |
| format | Article |
| id | doaj.art-01124b4075df43afabc75da865628cfe |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-04-09T17:05:58Z |
| publishDate | 2023-05-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-01124b4075df43afabc75da865628cfe2023-04-20T14:27:40ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-05-0129596797610.3201/eid2905.221476Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018Hai Viet NguyenDaniella BralsEdine TiemersmaRobert GasiorNhung Viet NguyenHoa Binh NguyenHung Van NguyenNgoc Anh Le ThiFrank Cobelens To assess sex disparities in tuberculosis in Vietnam, we conducted a nested, case–control study based on a 2017 tuberculosis prevalence survey. We defined the case group as all survey participants with laboratory–confirmed tuberculosis and the control group as a randomly selected group of participants with no tuberculosis. We used structural equation modeling to describe pathways from sex to tuberculosis according to an a priori conceptual framework. Our analysis included 1,319 participants, of whom 250 were case-patients. We found that sex was directly associated with tuberculosis prevalence (adjusted odds ratio for men compared with women 3.0 [95% CI 1.7–5.0]) and indirectly associated through other domains. The strong sex difference in tuberculosis prevalence is explained by a complex interplay of factors relating to behavioral and environmental risks, access to healthcare, and clinical manifestations. However, after controlling for all those factors, a direct sex effect remains that might be caused by biological factors. https://wwwnc.cdc.gov/eid/article/29/5/22-1476_articletuberculosis and other mycobacteriabacteriaVietnamsex-based disparitiesnested case-control studyepidemiology |
| spellingShingle | Hai Viet Nguyen Daniella Brals Edine Tiemersma Robert Gasior Nhung Viet Nguyen Hoa Binh Nguyen Hung Van Nguyen Ngoc Anh Le Thi Frank Cobelens Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018 Emerging Infectious Diseases tuberculosis and other mycobacteria bacteria Vietnam sex-based disparities nested case-control study epidemiology |
| title | Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018 |
| title_full | Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018 |
| title_fullStr | Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018 |
| title_full_unstemmed | Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018 |
| title_short | Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018 |
| title_sort | influence of sex and sex based disparities on prevalent tuberculosis vietnam 2017 2018 |
| topic | tuberculosis and other mycobacteria bacteria Vietnam sex-based disparities nested case-control study epidemiology |
| url | https://wwwnc.cdc.gov/eid/article/29/5/22-1476_article |
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