Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021)
Abstract Background Tuberculosis (TB) remains a significant health concern in India, especially among households with children and young adolescents aged 6–17 years. Despite ongoing research, there is a knowledge gap regarding specific risk factors for TB within this demographic. This study aims to...
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2025-01-01
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| author | Saurabh Singh Quazi Syed Zahiruddin Sorabh Lakhanpal Suhas Ballal Sanjay Kumar Mahakshit Bhat Shilpa Sharma M Ravi Kumar Yogesh Kumar Dhandh Sarvesh Rustagi Mohammed Alissa Muhammad A. Halwani Mohammed Garout Hayam A Alrasheed Maha F. Al-Subaie Nawal A. Al Kaabi Ali A. Rabaan Sanjit Sah Muhammed Shabil Mahalaqua Nazli Khatib Prakasini Satapathy |
| author_facet | Saurabh Singh Quazi Syed Zahiruddin Sorabh Lakhanpal Suhas Ballal Sanjay Kumar Mahakshit Bhat Shilpa Sharma M Ravi Kumar Yogesh Kumar Dhandh Sarvesh Rustagi Mohammed Alissa Muhammad A. Halwani Mohammed Garout Hayam A Alrasheed Maha F. Al-Subaie Nawal A. Al Kaabi Ali A. Rabaan Sanjit Sah Muhammed Shabil Mahalaqua Nazli Khatib Prakasini Satapathy |
| author_sort | Saurabh Singh |
| collection | DOAJ |
| description | Abstract Background Tuberculosis (TB) remains a significant health concern in India, especially among households with children and young adolescents aged 6–17 years. Despite ongoing research, there is a knowledge gap regarding specific risk factors for TB within this demographic. This study aims to bridge this gap by examining the association between TB and various socio-demographic factors, including socioeconomic status, nutritional status, and environmental conditions. Data and methods Utilizing data from the National Family Health Survey (NFHS) 4th and 5th round (2015-16 and 2019-21), this study conducted a comprehensive cross-sectional analysis. Unadjusted and Adjusted Logistic regression is utilized to identify key factors influencing TB. Furthermore, Wagstaff decomposition analysis is applied, to quantifying the factors that contributes to the inequalities in social determinants on the wealth-related inequality observed in the prevalence of TB. Results The study observed a notable decline in TB prevalence from 1.7 to 1.2% among individuals from households having children and young adolescents aged 6–17 years. Additionally, factors like the use of unclean cooking fuel, lack of electricity, and unimproved toilet facilities were associated with increased TB prevalence. Wealth-based inequality in TB prevalence was also evident, with the burden falling disproportionately on poorer households. Unclean fuel is the most significant determinant of wealth-based inequality in TB, contributing to nearly 2/5th (18.5% in NFHS-4) of the observed inequality. Notably, gender did not significantly influence TB prevalence. Conclusion The decline in TB prevalence in India correlates with improvements in socio-economic and living conditions, as evidenced by increased access to better housing, clean fuel, and sanitation facilities. The study underscores the need for integrated public health strategies that address both medical and socio-environmental determinants of TB. Improving socio-economic conditions, alongside targeted healthcare interventions, appears vital in reducing the TB burden in high-prevalence settings like India. This research emphasizes the importance of comprehensive approaches to combat pediatric TB, combining clinical care with enhancements in living standards and access to basic amenities. |
| format | Article |
| id | doaj-art-925c9941f6f94c28aa307cb82386b621 |
| institution | Kabale University |
| issn | 1471-2334 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-925c9941f6f94c28aa307cb82386b6212025-01-05T12:09:47ZengBMCBMC Infectious Diseases1471-23342025-01-0125111010.1186/s12879-024-10301-7Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021)Saurabh Singh0Quazi Syed Zahiruddin1Sorabh Lakhanpal2Suhas Ballal3Sanjay Kumar4Mahakshit Bhat5Shilpa Sharma6M Ravi Kumar7Yogesh Kumar Dhandh8Sarvesh Rustagi9Mohammed Alissa10Muhammad A. Halwani11Mohammed Garout12Hayam A Alrasheed13Maha F. Al-Subaie14Nawal A. Al Kaabi15Ali A. Rabaan16Sanjit Sah17Muhammed Shabil18Mahalaqua Nazli Khatib19Prakasini Satapathy20International Institute for Population SciencesSouth Asia Infant Feeding Research Network (SAIFRN), Division of Evidence Synthesis, Global Consortium of Public Health and Research, Datta Meghe Institute of Higher EducationSchool of Pharmaceutical Sciences, Lovely Professional UniversityDepartment of Chemistry and Biochemistry, School of Sciences, JAIN (Deemed to be University)Department of Allied Healthcare and Sciences, Vivekananda Global UniversityDepartment of Medicine, National Institute of Medical Sciences, NIMS University RajasthanChandigarh Pharmacy College, Chandigarh Group of Colleges-JhanjeriDepartment of Chemistry, Raghu Engineering CollegeDepartment of Medicine, Graphic Era (Deemed to be University)School of Applied and Life Sciences, Uttaranchal UniversityDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz UniversityDepartment of Medical Microbiology, Faculty of Medicine, Al Baha UniversityDepartment of Community Medicine and Health Care for Pilgrims, Faculty of Medicine, Umm Al-Qura UniversityDepartment of Pharmacy Practice, College of Pharmacy, Princess Nourah bint Abdulrahman UniversityResearch Center, Dr. Sulaiman Alhabib Medical GroupCollege of Medicine and Health Science, Khalifa UniversityCollege of Medicine, Alfaisal UniversityDepartment of Pediatrics, Dr. D. Y. Patil Medical college, Hospital and Research Centre, Dr. D. Y. Patil VidyapeethUniversity Center for Research and Development, Chandigarh UniversityDivision of Evidence Synthesis, Global Consortium of Public Health and Research, Datta Meghe Institute of Higher EducationCenter for Global Health Research, Saveetha Institute of Medical and Technical Sciences, Saveetha Medical College and Hospital, Saveetha UniversityAbstract Background Tuberculosis (TB) remains a significant health concern in India, especially among households with children and young adolescents aged 6–17 years. Despite ongoing research, there is a knowledge gap regarding specific risk factors for TB within this demographic. This study aims to bridge this gap by examining the association between TB and various socio-demographic factors, including socioeconomic status, nutritional status, and environmental conditions. Data and methods Utilizing data from the National Family Health Survey (NFHS) 4th and 5th round (2015-16 and 2019-21), this study conducted a comprehensive cross-sectional analysis. Unadjusted and Adjusted Logistic regression is utilized to identify key factors influencing TB. Furthermore, Wagstaff decomposition analysis is applied, to quantifying the factors that contributes to the inequalities in social determinants on the wealth-related inequality observed in the prevalence of TB. Results The study observed a notable decline in TB prevalence from 1.7 to 1.2% among individuals from households having children and young adolescents aged 6–17 years. Additionally, factors like the use of unclean cooking fuel, lack of electricity, and unimproved toilet facilities were associated with increased TB prevalence. Wealth-based inequality in TB prevalence was also evident, with the burden falling disproportionately on poorer households. Unclean fuel is the most significant determinant of wealth-based inequality in TB, contributing to nearly 2/5th (18.5% in NFHS-4) of the observed inequality. Notably, gender did not significantly influence TB prevalence. Conclusion The decline in TB prevalence in India correlates with improvements in socio-economic and living conditions, as evidenced by increased access to better housing, clean fuel, and sanitation facilities. The study underscores the need for integrated public health strategies that address both medical and socio-environmental determinants of TB. Improving socio-economic conditions, alongside targeted healthcare interventions, appears vital in reducing the TB burden in high-prevalence settings like India. This research emphasizes the importance of comprehensive approaches to combat pediatric TB, combining clinical care with enhancements in living standards and access to basic amenities.https://doi.org/10.1186/s12879-024-10301-7Tuberculosis(TB)Risk factorsWagstaff decompositionIndiaNFHS |
| spellingShingle | Saurabh Singh Quazi Syed Zahiruddin Sorabh Lakhanpal Suhas Ballal Sanjay Kumar Mahakshit Bhat Shilpa Sharma M Ravi Kumar Yogesh Kumar Dhandh Sarvesh Rustagi Mohammed Alissa Muhammad A. Halwani Mohammed Garout Hayam A Alrasheed Maha F. Al-Subaie Nawal A. Al Kaabi Ali A. Rabaan Sanjit Sah Muhammed Shabil Mahalaqua Nazli Khatib Prakasini Satapathy Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021) BMC Infectious Diseases Tuberculosis(TB) Risk factors Wagstaff decomposition India NFHS |
| title | Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021) |
| title_full | Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021) |
| title_fullStr | Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021) |
| title_full_unstemmed | Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021) |
| title_short | Wealth-based inequalities in tuberculosis prevalence among households having children and young adults in India: insights from Indian demographic and health surveys (2015–2021) |
| title_sort | wealth based inequalities in tuberculosis prevalence among households having children and young adults in india insights from indian demographic and health surveys 2015 2021 |
| topic | Tuberculosis(TB) Risk factors Wagstaff decomposition India NFHS |
| url | https://doi.org/10.1186/s12879-024-10301-7 |
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