TY - JOUR
T1 - Gender-based differences in community-wide screening for pulmonary tuberculosis in Karachi, Pakistan
T2 - an observational study of 311 732 individuals undergoing screening
AU - Habib, Shifa Salman
AU - Zaidi, Syed Mohammad Asad
AU - Jamal, Wafa Zehra
AU - Azeemi, Kiran Sohail
AU - Khan, Salman
AU - Khowaja, Saira
AU - Domki, Abdul Khalique
AU - Khan, Aamir
AU - Khan, Faiz Ahmad
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2022.
PY - 2022/3
Y1 - 2022/3
N2 - We describe gender-based differences in a community-wide TB screening programme in Karachi, Pakistan, in which 311 732 individuals were screened in mobile camps using symptom questionnaires and van-mounted digital chest X-ray, between 1 January 2018 and 31 December 2019. Only 22.4% (69 869) of camp attendees were women. Female attendees were less likely to have sputum collected and tested (31.5% (95% CI 30.4% to 32.7%) vs 38.5% (95% CI 37.6% to 39.1%)) or to initiate TB treatment (75.9% (95% CI 68.1% to 82.6%) vs 82.8% (95% CI 78.9% to 86.2%)), when indicated. Among the participants, the age-standardised prevalence of active TB was higher among women (prevalence ratio 1.4, 95% CI 1.1 to 1.7). These findings underscore the importance of integrating gender into the design and monitoring of TB screening programmes to ensure that women and men benefit equally from this important intervention.
AB - We describe gender-based differences in a community-wide TB screening programme in Karachi, Pakistan, in which 311 732 individuals were screened in mobile camps using symptom questionnaires and van-mounted digital chest X-ray, between 1 January 2018 and 31 December 2019. Only 22.4% (69 869) of camp attendees were women. Female attendees were less likely to have sputum collected and tested (31.5% (95% CI 30.4% to 32.7%) vs 38.5% (95% CI 37.6% to 39.1%)) or to initiate TB treatment (75.9% (95% CI 68.1% to 82.6%) vs 82.8% (95% CI 78.9% to 86.2%)), when indicated. Among the participants, the age-standardised prevalence of active TB was higher among women (prevalence ratio 1.4, 95% CI 1.1 to 1.7). These findings underscore the importance of integrating gender into the design and monitoring of TB screening programmes to ensure that women and men benefit equally from this important intervention.
UR - http://www.scopus.com/inward/record.url?scp=85115670127&partnerID=8YFLogxK
U2 - 10.1136/thoraxjnl-2020-216409
DO - 10.1136/thoraxjnl-2020-216409
M3 - Article
C2 - 34510015
AN - SCOPUS:85115670127
SN - 0040-6376
VL - 77
SP - 298
EP - 299
JO - Thorax
JF - Thorax
IS - 3
ER -