Table 3.
Individual-level protection against typhoid associated with “Better” household WASHa in the total population residing in the control clusters of the Vi-TTb cluster randomized trial, Dhaka, Bangladesh, stratified by age at onset of follow-up.
| Years | “Better” WASH | “Not Better” WASH | Hazard ratio (HRc)d | |||||||||||
|
|
ne | Cases | PYf | IRg/100,000 PY | N | Cases | PY | IR/100,000 PY | Crude HRh | P valueh | Adjusted HRh,i | P valueh | ||
| All | 56,969 | 110 | 79,326 | 139 | 106,404 | 325 | 129,088 | 252 | 0.56 (0.44,0.71) | <.001 | 0.62 (0.49-0.78) | <.001 | ||
| <2 years | 3356 | 13 | 3883 | 335 | 6979 | 45 | 7211 | 624 | 0.54 (0.28,1.06) | .08 | 0.65 (0.32-1.28) | .21 | ||
| 2-4 years | 3131 | 18 | 4424 | 407 | 6438 | 93 | 7919 | 1174 | 0.35 (0.22,0.57) | <.001 | 0.35 (0.20-0.61) | <.001 | ||
| 5-9 years | 4894 | 26 | 7086 | 367 | 9819 | 84 | 12,586 | 667 | 0.57 (0.35,0.94) | .03 | 0.58 (0.36-0.92) | .02 | ||
| 10-14 years | 4997 | 20 | 7278 | 275 | 9265 | 38 | 12,123 | 313 | 0.88 (0.5,1.56) | .66 | 0.92 (0.53-1.59) | .77 | ||
| >15 years | 40,591 | 33 | 56,655 | 58 | 73,903 | 65 | 89,250 | 73 | 0.76 (0.48,1.21) | .25 | 0.79 (0.50-1.24) | .31 | ||
aWASH: water, sanitation, and hygiene.
bVi-TT: Vi-tetanus toxoid.
cHR: hazard ratio.
dHazard ratios are estimated from extended Cox proportional hazards model.
en: number; 100K: 100,000.
fPY: person years.
gIR: incidence rate.
hP values and CI are calculated using robust SE assuming risk of typhoid is correlated within clusters.
iHazard ratio adjusted for the stratifying variables for randomization, including geographic ward, longer distance to study clinics than median distance, number of eligible children at baseline, and other baseline covariates age, Muslim religion; total monthly income; number of participants in a cluster.