Association of multidimensional poverty and tuberculosis in India

Abstract Background Reduction of multidimensional poverty and tuberculosis are priority development agenda worldwide. The SDGs aims to eradicate poverty in all forms (SDG 1.2) and to end tuberculosis (SDG 3.3.2) by 2030. While poverty is increasingly being measured across multiple domains, reduction...

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Autores principales:	Dimpal Pathak, Guru Vasishtha, Sanjay K. Mohanty
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Multidimensional poverty Non-poor Poverty Tuberculosis India Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/946ca96625ad4a8b8488d917c8a85b10
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spelling	oai:doaj.org-article:946ca96625ad4a8b8488d917c8a85b102021-11-14T12:14:16ZAssociation of multidimensional poverty and tuberculosis in India10.1186/s12889-021-12149-x1471-2458https://doaj.org/article/946ca96625ad4a8b8488d917c8a85b102021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12149-xhttps://doaj.org/toc/1471-2458Abstract Background Reduction of multidimensional poverty and tuberculosis are priority development agenda worldwide. The SDGs aims to eradicate poverty in all forms (SDG 1.2) and to end tuberculosis (SDG 3.3.2) by 2030. While poverty is increasingly being measured across multiple domains, reduction of tuberculosis has been an integral part of public health programmes. Though literature suggests a higher prevalence of tuberculosis among the economically poor, no attempt has been made to understand the association between multidimensional poverty and tuberculosis in India. The objective of this paper is to examine the association of multidimensional poverty and tuberculosis in India. Methods The unit data from the National Family Health Survey-4, conducted in 2015–16 covering 628,900 households and 2,869,043 individuals across 36 states and union territories of India was used in the analysis. The survey collected information on the self-reported tuberculosis infection of each member of a sample household at the time of the survey. Multidimensional poverty was measured in the domains of education, health, and standard of living, with a set of 10 indicators. The prevalence of tuberculosis was estimated among the multidimensional poor and non-poor populations across the states of India. A binary logistic regression model was used to understand the association of tuberculosis and multidimensional poverty. Results Results suggest that about 29.3% population of India was multidimensional poor and that the multidimensional poverty index was 0.128. The prevalence of tuberculosis among the multidimensional poor was 480 (95% CI: 464–496) per 100,000 population compared to 250 (95% CI: 238–262) among the multidimensional non-poor. The prevalence of tuberculosis among the multidimensional poor was the highest in the state of Kerala (1590) and the lowest in the state of Himachal Pradesh (220). Our findings suggest a significantly higher prevalence of tuberculosis among the multidimensional poor compared to the multidimensional non-poor in most of the states in India. The odds of having tuberculosis among the multidimensional poor were 1.82 times higher (95% CI, 1.73–1.90) compared to the non-poor. Age, sex, smoking, crowded living conditions, caste, religion, and place of residence are significant socio-demographic risk factors of tuberculosis. Conclusion The prevalence of tuberculosis is significantly higher among the multidimensional poor compared to the multidimensional non-poor in India.Dimpal PathakGuru VasishthaSanjay K. MohantyBMCarticleMultidimensional povertyNon-poorPovertyTuberculosisIndiaPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Multidimensional poverty Non-poor Poverty Tuberculosis India Public aspects of medicine RA1-1270
spellingShingle	Multidimensional poverty Non-poor Poverty Tuberculosis India Public aspects of medicine RA1-1270 Dimpal Pathak Guru Vasishtha Sanjay K. Mohanty Association of multidimensional poverty and tuberculosis in India
description	Abstract Background Reduction of multidimensional poverty and tuberculosis are priority development agenda worldwide. The SDGs aims to eradicate poverty in all forms (SDG 1.2) and to end tuberculosis (SDG 3.3.2) by 2030. While poverty is increasingly being measured across multiple domains, reduction of tuberculosis has been an integral part of public health programmes. Though literature suggests a higher prevalence of tuberculosis among the economically poor, no attempt has been made to understand the association between multidimensional poverty and tuberculosis in India. The objective of this paper is to examine the association of multidimensional poverty and tuberculosis in India. Methods The unit data from the National Family Health Survey-4, conducted in 2015–16 covering 628,900 households and 2,869,043 individuals across 36 states and union territories of India was used in the analysis. The survey collected information on the self-reported tuberculosis infection of each member of a sample household at the time of the survey. Multidimensional poverty was measured in the domains of education, health, and standard of living, with a set of 10 indicators. The prevalence of tuberculosis was estimated among the multidimensional poor and non-poor populations across the states of India. A binary logistic regression model was used to understand the association of tuberculosis and multidimensional poverty. Results Results suggest that about 29.3% population of India was multidimensional poor and that the multidimensional poverty index was 0.128. The prevalence of tuberculosis among the multidimensional poor was 480 (95% CI: 464–496) per 100,000 population compared to 250 (95% CI: 238–262) among the multidimensional non-poor. The prevalence of tuberculosis among the multidimensional poor was the highest in the state of Kerala (1590) and the lowest in the state of Himachal Pradesh (220). Our findings suggest a significantly higher prevalence of tuberculosis among the multidimensional poor compared to the multidimensional non-poor in most of the states in India. The odds of having tuberculosis among the multidimensional poor were 1.82 times higher (95% CI, 1.73–1.90) compared to the non-poor. Age, sex, smoking, crowded living conditions, caste, religion, and place of residence are significant socio-demographic risk factors of tuberculosis. Conclusion The prevalence of tuberculosis is significantly higher among the multidimensional poor compared to the multidimensional non-poor in India.
format	article
author	Dimpal Pathak Guru Vasishtha Sanjay K. Mohanty
author_facet	Dimpal Pathak Guru Vasishtha Sanjay K. Mohanty
author_sort	Dimpal Pathak
title	Association of multidimensional poverty and tuberculosis in India
title_short	Association of multidimensional poverty and tuberculosis in India
title_full	Association of multidimensional poverty and tuberculosis in India
title_fullStr	Association of multidimensional poverty and tuberculosis in India
title_full_unstemmed	Association of multidimensional poverty and tuberculosis in India
title_sort	association of multidimensional poverty and tuberculosis in india
publisher	BMC
publishDate	2021
url	https://doaj.org/article/946ca96625ad4a8b8488d917c8a85b10
work_keys_str_mv	AT dimpalpathak associationofmultidimensionalpovertyandtuberculosisinindia AT guruvasishtha associationofmultidimensionalpovertyandtuberculosisinindia AT sanjaykmohanty associationofmultidimensionalpovertyandtuberculosisinindia
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Association of multidimensional poverty and tuberculosis in India

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