Table 3. Logistic regression modeling for confirmed or probable TB disease in household contacts ≥15 years of age*.
n/N (%) 38/704 (5%) |
Univariable | Multivariable | ||||
---|---|---|---|---|---|---|
Odds Ratio [95% CI] | P value | Odds Ratio [95% CI] | P value | |||
HHC’s Age | 15–24 years | 7/189 (4%) | 0.3 [0.1, 0.8] | 0.020 | 0.5 [0.2, 1.1] | 0.011 |
25–49 years | 14/341 (4%) | 0.4 [0.2, 0.7] | 0.3 [0.1, 0.6] | |||
≥50 years | 17/174 (10%) | 1.0 (ref) | 1.0 (ref) | |||
HHC’s Sex | Male | 15/259 (6%) | 1.1 [0.6, 2.2] | 0.72 | ||
Female | 23/445 (5%) | 1.0 (ref) | ||||
HHC’s HIV Status | HIV-positive | 3/59 (5%) | 0.9 [0.3, 2.7] | 0.09 | 0.5 [0.1, 2.7] | 0.07 |
Unknown | 3/130 (2%) | 0.4 [0.1, 1.1] | 0.3 [0.1, 1.0] | |||
HIV-negative | 32/515 (6%) | 1.0 (ref) | 1.0 (ref) | |||
HHC’s History of COPD/Asthma | Yes | 3/29 (10%) | 1.9 [0.6, 6.1] | 0.41 | ||
No | 34/661 (5%) | 1.0 (ref) | ||||
HHC’s History of Previous TB Treatment | Yes | 21/77 (27%) | 12.3 [6.3, 24.2] | <0.001 | 9.7 [4.5, 21.1] | <0.001 |
No/Unknown | 17/627 (3%) | 1.0 (ref) | 1.0 (ref) | |||
HHC Incarcerated Past 12 Mos. | Yes | 1/20 (5%) | 0.7 (0.1, 8.4) | 0.76 | ||
No | 37/683 (6%) | 1.0 (ref) | ||||
HHC Used Alcohol Almost Every Day Sometime in Past 12 Mos. | Yes | 11/56 (20%) | 5.5 [2.6, 11.7] | 0.008 | 3.1 [1.3, 7.5] | 0.033 |
No | 27/640 (4%) | 1.0 (ref) | 1.0 (ref) | |||
HHC Incarceration, Substance and/or Alcohol Use Composite in Past 12 Mos.a | Incarcerated | 1/20 (5%) | 1.2 [0.1, 10.0] | 0.023 | ||
Never Incarcerated, Used Substances and/or Alcohol | 14/82 (17%) | 4.8 [2.3, 9.9] | ||||
Never Incarcerated, Did Not Use Substances or Alcohol | 23/593 (4%) | 1.0 (ref) | ||||
HHC’s Smoking History | Current | 20/151 (13%) | 6.2 [3.1, 12.4] | <0.001 | 2.9 [1.3, 6.4] | 0.031 |
Previous | 7/54 (13%) | 6.3 [2.5, 16.0] | 4.2 [1.5, 11.7] | |||
Never | 11/499 (2%) | 1.0 (ref) | 1.0 (ref) | |||
Index Participant’s Sputum Smear | AFB-positive | 24/325 (7%) | 2.1 [1.0, 4.4] | 0.06 | ||
AFB-negative/Unknown | 14/379 (4%) | 1.0 (ref) | ||||
Relationship of IP to HHC | Spouse | 2/60 (3%) | 0.6 [0.2, 2.1] | 0.47 | ||
Mother | 2/55 (4%) | 0.5 [0.1, 2.6] | ||||
Father | 1/37 (3%) | 0.5 [0.1, 2.4] | ||||
Other | 33/552 (6%) | 1.0 (ref) | ||||
Sleeping Proximity of IP to HHC | Same Room | 15/240 (6%) | 1.2 [0.6, 2.3] | 0.69 | ||
Different Room | 23/464 (5%) | 1.0 (ref) | ||||
Evenings/Week with IP, Past 6 Months | 6–7 | 28/533 (5%) | 1.1 [0.3, 3.4] | 0.85 | ||
3–5 | 5/72 (7%) | 1.5 [0.4, 6.4] | ||||
≤2 | 5/98 (5%) | 1.0 (ref) | ||||
Smokers in Householdb | Any | 24/273 (9%) | 2.7 [1.3, 5.6] | 0.021 | ||
None | 14/422 (3%) | 1.0 (ref) | ||||
Primary Exterior Wall Material | Brick, Cinderblock, Stone with Mortar | 25/544 (5%) | 1.0 (ref) | 0.22 | ||
Adobe, Rammed Earth, Sticks/Stones & Mud, Wood, Straw, Tin, Other | 13/156 (8%) | 1.8 [0.8, 4.2] |
IP, index participant; HHC, household contact; n, number of HHCs with positive IGRA result; N, number of HHCs with determinate IGRA result (positive or negative); %, simple percentage calculated as n/N; CI, confidence interval; ref, reference; mos., months.
* Models use data on HHC ≥15 years of age diagnosed with TB based on study evaluations; eight HHCs with active TB documented before study entry did not have data collection on incarceration, TB symptoms, or HIV status; they also did not have chest x-ray, specimen collection for IGRA, TB diagnostics, or HIV testing. Models were fit using an exchangeable working correlation, unless working correlation was negative (which occurred when data were sparse) in which case an independent working correlation was used. Univariable models include the one characteristic only. Each multivariable model includes characteristics with odds ratios shown. The p values are from score tests.
a All self-reported. Incarceration is defined as having spent a night in jail, prison, youth detention center, alcohol use as having a period of drinking alcoholic beverages almost every day, and substance use as any use of substances (marijuana, cocaine, etc.) all in the past 12 months.
b Smoking was defined as smoking tobacco products, ongoing or having quit within the past 6 months.