Tuberculosis Death and Associated Risk Factors in Hulu Langat District
Introduction: Addressing the challenge of mortality among tuberculosis (TB) patients undergoing treatment is a significant concern in Malaysia. It is essential to identify the factors linked to TB mortality to evaluate national TB control programs and identify high-risk individuals. The objective of...
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| Format: | Article |
| Language: | English English |
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Universiti Putra Malaysia
2024
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| Online Access: | https://eprints.ums.edu.my/id/eprint/39250/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/39250/2/FULL%20TEXT.pdf |
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| author | Hemanath Sinnathamby Fredie Robinson Zailiza Suli Vanushya Alagasan Muhammad Hafiq Syazwan Abu Johan |
| author_facet | Hemanath Sinnathamby Fredie Robinson Zailiza Suli Vanushya Alagasan Muhammad Hafiq Syazwan Abu Johan |
| author_sort | Hemanath Sinnathamby |
| collection | UMS |
| description | Introduction: Addressing the challenge of mortality among tuberculosis (TB) patients undergoing treatment is a significant concern in Malaysia. It is essential to identify the factors linked to TB mortality to evaluate national TB control programs and identify high-risk individuals. The objective of this study was to assess the percentage of TB mortality among patients receiving treatment over a three-year duration and identify the associated factors in Hulu Langat District. Method: The study used secondary data collected from the national TB registry from 2019 to 2021, and all registered TB cases that met the inclusion and exclusion criteria were included. The data in the study were tested using regressions. Results: The results showed that 11.5% of total registered TB patients had died during their course of treatment, and multiple logistic regression identified several significant factors associated with TB mortality, including gender (aOR= 0.75, 95%CI: 0.58, 0.97; p=0.026), age (aOR= 16.94, 95%CI: 5.14, 55.81; p<0.001), household income level (aOR= 1.56, (95%CI: 1.22, 1.99; p<0.001), living area (aOR= 1.53, 95%CI: 1.00, 2.32; p=0.048) education level (aOR= 1.89, 95%CI: 1.06, 3.35; p=0.030), the severity of chest x-ray (aOR= 5.03, 95%CI: 2.95, 8.58; p<0.001), and HIV status (aOR= 3.72, 95%CI: 2.71, 5.19; p<0.001). Conclusion: TB mortality in the Hulu Langat district is a significant public health concern and interventions such as intensified case finding, home visits for elderly patients, and health promotion are needed to reduce TB mortality and achieve the WHO End TB strategy milestone. |
| first_indexed | 2024-09-24T00:50:33Z |
| format | Article |
| id | ums.eprints-39250 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-09-24T00:50:33Z |
| publishDate | 2024 |
| publisher | Universiti Putra Malaysia |
| record_format | dspace |
| spelling | ums.eprints-392502024-07-23T02:12:04Z https://eprints.ums.edu.my/id/eprint/39250/ Tuberculosis Death and Associated Risk Factors in Hulu Langat District Hemanath Sinnathamby Fredie Robinson Zailiza Suli Vanushya Alagasan Muhammad Hafiq Syazwan Abu Johan RC31-1245 Internal medicine RC799-869 Diseases of the digestive system. Gastroenterology Introduction: Addressing the challenge of mortality among tuberculosis (TB) patients undergoing treatment is a significant concern in Malaysia. It is essential to identify the factors linked to TB mortality to evaluate national TB control programs and identify high-risk individuals. The objective of this study was to assess the percentage of TB mortality among patients receiving treatment over a three-year duration and identify the associated factors in Hulu Langat District. Method: The study used secondary data collected from the national TB registry from 2019 to 2021, and all registered TB cases that met the inclusion and exclusion criteria were included. The data in the study were tested using regressions. Results: The results showed that 11.5% of total registered TB patients had died during their course of treatment, and multiple logistic regression identified several significant factors associated with TB mortality, including gender (aOR= 0.75, 95%CI: 0.58, 0.97; p=0.026), age (aOR= 16.94, 95%CI: 5.14, 55.81; p<0.001), household income level (aOR= 1.56, (95%CI: 1.22, 1.99; p<0.001), living area (aOR= 1.53, 95%CI: 1.00, 2.32; p=0.048) education level (aOR= 1.89, 95%CI: 1.06, 3.35; p=0.030), the severity of chest x-ray (aOR= 5.03, 95%CI: 2.95, 8.58; p<0.001), and HIV status (aOR= 3.72, 95%CI: 2.71, 5.19; p<0.001). Conclusion: TB mortality in the Hulu Langat district is a significant public health concern and interventions such as intensified case finding, home visits for elderly patients, and health promotion are needed to reduce TB mortality and achieve the WHO End TB strategy milestone. Universiti Putra Malaysia 2024 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/39250/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/39250/2/FULL%20TEXT.pdf Hemanath Sinnathamby and Fredie Robinson and Zailiza Suli and Vanushya Alagasan and Muhammad Hafiq Syazwan Abu Johan (2024) Tuberculosis Death and Associated Risk Factors in Hulu Langat District. Malaysian Journal of Medicine and Health Sciences, 20 (2). pp. 1-8. ISSN 2636-9346 https://doi.org/10.47836/mjmhs.20.2.13 |
| spellingShingle | RC31-1245 Internal medicine RC799-869 Diseases of the digestive system. Gastroenterology Hemanath Sinnathamby Fredie Robinson Zailiza Suli Vanushya Alagasan Muhammad Hafiq Syazwan Abu Johan Tuberculosis Death and Associated Risk Factors in Hulu Langat District |
| title | Tuberculosis Death and Associated Risk Factors in Hulu Langat District |
| title_full | Tuberculosis Death and Associated Risk Factors in Hulu Langat District |
| title_fullStr | Tuberculosis Death and Associated Risk Factors in Hulu Langat District |
| title_full_unstemmed | Tuberculosis Death and Associated Risk Factors in Hulu Langat District |
| title_short | Tuberculosis Death and Associated Risk Factors in Hulu Langat District |
| title_sort | tuberculosis death and associated risk factors in hulu langat district |
| topic | RC31-1245 Internal medicine RC799-869 Diseases of the digestive system. Gastroenterology |
| url | https://eprints.ums.edu.my/id/eprint/39250/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/39250/2/FULL%20TEXT.pdf |
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