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Urban-rural and sex differentials in tuberculosis mortality in Bangladesh: results from a population-based survey

Objective To assess tuberculosis mortality in Bangladesh through a population-based survey using a Verbal Autopsy tool. Methods Nationwide mortality survey employing the WHO-recommended Verbal Autopsy (VA) tool, and using InsilicoVA, a data-driven method, to assign the cause of death. Using a three-...

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1. Verfasser: Sarker, Malabika (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2019
In: Tropical medicine & international health
Year: 2018, Jahrgang: 24, Heft: 1, Pages: 109-115
ISSN:1365-3156
DOI:10.1111/tmi.13171
Online-Zugang:Verlag, Volltext: https://doi.org/10.1111/tmi.13171
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13171
Volltext
Verfasserangaben:Malabika Sarker, Fahmida Homayra, Lal B. Rawal, Razin Kabir, Afzal Aftab, Rahmatul Bari, Agnes Dzokoto, Estifanos Biru Shargie, Shayla Islam, Akramul Islam and A.H.M. Mahbub Latif

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245 1 0 |a Urban-rural and sex differentials in tuberculosis mortality in Bangladesh  |b results from a population-based survey  |c Malabika Sarker, Fahmida Homayra, Lal B. Rawal, Razin Kabir, Afzal Aftab, Rahmatul Bari, Agnes Dzokoto, Estifanos Biru Shargie, Shayla Islam, Akramul Islam and A.H.M. Mahbub Latif 
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520 |a Objective To assess tuberculosis mortality in Bangladesh through a population-based survey using a Verbal Autopsy tool. Methods Nationwide mortality survey employing the WHO-recommended Verbal Autopsy (VA) tool, and using InsilicoVA, a data-driven method, to assign the cause of death. Using a three-stage cluster sampling method, 3997 VA interviews were conducted in both urban and rural areas of Bangladesh. Cause-specific mortality fractions (CSMF) were estimated using Bayesian probabilistic models. Results 6.8% of total deaths in the population were due to TB [95% CI: (5.1, 8.9)], comprising 12.0% [95% CI: (11.1, 12.8)] and 6.42% [95% CI: (5.4, 7.3)] of total male and female deaths, respectively. This proportion was highest among adults age 15-49 years [12.2%, 95% CI: (9.4, 14.6)]. The urban population is more likely to die from TB, and urban males have highest CSMF [13.6%, 95% CI: (9.1, 16.9)]. Conclusion Our survey results show that TB is the fifth major cause of death in the general population and that sex and place of residence (urban/rural) have a significant effect on TB mortality in Bangladesh. The underlying causes of higher rates of TB-related deaths in urban areas and particularly among urban males, who have better knowledge and higher enrollment in the DOTS Program, need to be explored. 
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