Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study

Objectives: Tuberculosis (TB) is a significant public health concern in Afghanistan, with a high burden of disease in the western province of Herat. This study explored the risk factors of TB and TB’s impact on the quality of life of patients in Herat.Methods: A total of 422 TB patients and 514 cont...

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Main Authors: Nasar Ahmad Shayan, Ali Rahimi, Saverio Stranges, Amardeep Thind
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606554/full
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author Nasar Ahmad Shayan
Nasar Ahmad Shayan
Ali Rahimi
Ali Rahimi
Saverio Stranges
Saverio Stranges
Saverio Stranges
Saverio Stranges
Amardeep Thind
Amardeep Thind
author_facet Nasar Ahmad Shayan
Nasar Ahmad Shayan
Ali Rahimi
Ali Rahimi
Saverio Stranges
Saverio Stranges
Saverio Stranges
Saverio Stranges
Amardeep Thind
Amardeep Thind
author_sort Nasar Ahmad Shayan
collection DOAJ
description Objectives: Tuberculosis (TB) is a significant public health concern in Afghanistan, with a high burden of disease in the western province of Herat. This study explored the risk factors of TB and TB’s impact on the quality of life of patients in Herat.Methods: A total of 422 TB patients and 514 controls were recruited at Herat Regional Hospital and relevant TB laboratories between October 2020 and February 2021. Data was collected through interviews using a structured questionnaire and the SF-36 questionnaire. Descriptive statistics, chi-square tests, Multivariate General Linear Model, and logistic regression analysis were used to analyze the data.Results: The results showed that male sex (p = 0.023), chronic disease (p = 0.038), lower education levels (p < 0.001), and worse health status (p < 0.001) were significantly associated with higher odds of TB infection. The study also found that TB patients had significantly lower quality of life scores in almost all components (p < 0.05).Conclusion: This study provides important insights into the specific ways in which TB affects the wellbeing of patients in Afghanistan. The findings highlight the importance of addressing the psychological and social dimensions of TB.
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spelling doaj.art-0af87d5341be40a4b2a552236e834ce22024-04-22T08:17:32ZengFrontiers Media S.A.International Journal of Public Health1661-85642024-04-016910.3389/ijph.2024.16065541606554Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control StudyNasar Ahmad Shayan0Nasar Ahmad Shayan1Ali Rahimi2Ali Rahimi3Saverio Stranges4Saverio Stranges5Saverio Stranges6Saverio Stranges7Amardeep Thind8Amardeep Thind9Department of Public Health and Infectious Disease, Faculty of Medicine, Herat University, Herat, AfghanistanDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaDepartment of Public Health and Infectious Disease, Faculty of Medicine, Herat University, Herat, AfghanistanDepartment of Curative Medicine, Faculty of Medicine, Jami University, Herat, AfghanistanDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaDepartment of Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaDepartment of Clinical Medicine and Surgery, Federico II University, Naples, ItalyDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaObjectives: Tuberculosis (TB) is a significant public health concern in Afghanistan, with a high burden of disease in the western province of Herat. This study explored the risk factors of TB and TB’s impact on the quality of life of patients in Herat.Methods: A total of 422 TB patients and 514 controls were recruited at Herat Regional Hospital and relevant TB laboratories between October 2020 and February 2021. Data was collected through interviews using a structured questionnaire and the SF-36 questionnaire. Descriptive statistics, chi-square tests, Multivariate General Linear Model, and logistic regression analysis were used to analyze the data.Results: The results showed that male sex (p = 0.023), chronic disease (p = 0.038), lower education levels (p < 0.001), and worse health status (p < 0.001) were significantly associated with higher odds of TB infection. The study also found that TB patients had significantly lower quality of life scores in almost all components (p < 0.05).Conclusion: This study provides important insights into the specific ways in which TB affects the wellbeing of patients in Afghanistan. The findings highlight the importance of addressing the psychological and social dimensions of TB.https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606554/fulltuberculosisquality of lifeAfghanistancase-controlHeratrisk factors
spellingShingle Nasar Ahmad Shayan
Nasar Ahmad Shayan
Ali Rahimi
Ali Rahimi
Saverio Stranges
Saverio Stranges
Saverio Stranges
Saverio Stranges
Amardeep Thind
Amardeep Thind
Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study
International Journal of Public Health
tuberculosis
quality of life
Afghanistan
case-control
Herat
risk factors
title Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study
title_full Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study
title_fullStr Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study
title_full_unstemmed Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study
title_short Exploring Sex Differences in Risk Factors and Quality of Life Among Tuberculosis Patients in Herat, Afghanistan: A Case-Control Study
title_sort exploring sex differences in risk factors and quality of life among tuberculosis patients in herat afghanistan a case control study
topic tuberculosis
quality of life
Afghanistan
case-control
Herat
risk factors
url https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606554/full
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