The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka
Introduction: More males than females are reported with tuberculosis (TB). Assessment of disparities between the two groups would permit adopting targeted interventions. Objectives: To describe the differences in notification rates, sputum investigations and treatment outcomes of male and female TB...
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| Format: | Article |
| Language: | English |
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College of Community Physicians of Sri Lanka
2023-10-01
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| Series: | Journal of the College of Community Physicians |
| Subjects: | |
| Online Access: | https://account.jccpsl.sljol.info/index.php/sljo-j-jccpsl/article/view/8614 |
| _version_ | 1827386430322638848 |
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| author | Chandima Hemachandra Sudath Samaraweera Arunasalam Pathmeswaran |
| author_facet | Chandima Hemachandra Sudath Samaraweera Arunasalam Pathmeswaran |
| author_sort | Chandima Hemachandra |
| collection | DOAJ |
| description |
Introduction: More males than females are reported with tuberculosis (TB). Assessment of disparities between the two groups would permit adopting targeted interventions.
Objectives: To describe the differences in notification rates, sputum investigations and treatment outcomes of male and female TB patients
Methods: A descriptive follow-up study was conducted among 2169 adult TB patients registered in the Colombo District Tuberculosis Register using registry data. Comparisons were made between males and females using Chi-squared test and risk ratio (RR).
Results: Males had a higher TB notification rate (161 per 100 000) than females (79 per 100 000) and the highest notification rates were observed in 65-74-year-old age category in both groups. A higher proportion of males than females had pulmonary TB (78.2% in males and 59.7% in females; p<0.05). More males than females had a positive (RR=1.09; 95% CI: 1.05, 1.13) or high-grade sputum smear result (RR=1.15; 95% CI: 1.01, 1.31). Both groups had similar sputum conversion rates at the end of acute phase (80.4% vs. 84.1%). More males were lost to follow up compared to females (10.7% vs. 3.1%, p<0.05).
Conclusions & Recommendations: The observed differences between males and females highlight the need to examine TB data disaggregated by sex and to have more sensitive diagnostics for females.
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| first_indexed | 2024-03-08T15:45:09Z |
| format | Article |
| id | doaj.art-befa7f5ff74b49599d33024bdc86c760 |
| institution | Directory Open Access Journal |
| issn | 1391-3174 2579-1451 |
| language | English |
| last_indexed | 2024-03-08T15:45:09Z |
| publishDate | 2023-10-01 |
| publisher | College of Community Physicians of Sri Lanka |
| record_format | Article |
| series | Journal of the College of Community Physicians |
| spelling | doaj.art-befa7f5ff74b49599d33024bdc86c7602024-01-09T12:13:38ZengCollege of Community Physicians of Sri LankaJournal of the College of Community Physicians1391-31742579-14512023-10-0129310.4038/jccpsl.v29i3.8614293The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri LankaChandima Hemachandra0Sudath Samaraweera1Arunasalam Pathmeswaran2Ministry of HealthMinistry of HealthUniversity of Kelaniya Introduction: More males than females are reported with tuberculosis (TB). Assessment of disparities between the two groups would permit adopting targeted interventions. Objectives: To describe the differences in notification rates, sputum investigations and treatment outcomes of male and female TB patients Methods: A descriptive follow-up study was conducted among 2169 adult TB patients registered in the Colombo District Tuberculosis Register using registry data. Comparisons were made between males and females using Chi-squared test and risk ratio (RR). Results: Males had a higher TB notification rate (161 per 100 000) than females (79 per 100 000) and the highest notification rates were observed in 65-74-year-old age category in both groups. A higher proportion of males than females had pulmonary TB (78.2% in males and 59.7% in females; p<0.05). More males than females had a positive (RR=1.09; 95% CI: 1.05, 1.13) or high-grade sputum smear result (RR=1.15; 95% CI: 1.01, 1.31). Both groups had similar sputum conversion rates at the end of acute phase (80.4% vs. 84.1%). More males were lost to follow up compared to females (10.7% vs. 3.1%, p<0.05). Conclusions & Recommendations: The observed differences between males and females highlight the need to examine TB data disaggregated by sex and to have more sensitive diagnostics for females. https://account.jccpsl.sljol.info/index.php/sljo-j-jccpsl/article/view/8614GenderNotification ratesSputum investigationsTreatment outcomesTuberculosis |
| spellingShingle | Chandima Hemachandra Sudath Samaraweera Arunasalam Pathmeswaran The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka Journal of the College of Community Physicians Gender Notification rates Sputum investigations Treatment outcomes Tuberculosis |
| title | The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka |
| title_full | The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka |
| title_fullStr | The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka |
| title_full_unstemmed | The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka |
| title_short | The differences in tuberculosis notifications and outcomes among males and females in Colombo, Sri Lanka |
| title_sort | differences in tuberculosis notifications and outcomes among males and females in colombo sri lanka |
| topic | Gender Notification rates Sputum investigations Treatment outcomes Tuberculosis |
| url | https://account.jccpsl.sljol.info/index.php/sljo-j-jccpsl/article/view/8614 |
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