Table 2. Multivariable Cox regression analysis of factors associated with tuberculosis in the derivation cohort.
Unadjusted hazard ratio (95%CI) | Adjusted hazard ratio (95%CI) | p value | Regression coefficient | Points assigned in risk score* | |
---|---|---|---|---|---|
Contacts | |||||
BMI | 0.87 (0.84–0.91) | 0.87 (0.83–0.91) | <0.0001 | –0.138 | Value of BMI |
History of previous tuberculosis | 2.0 (1.4–2.9) | 1.8 (1.2–2.6) | 0.005 | 0.566 | −4 |
High-risk age group (15–19 or >50 years) | 1.5 (1.1–2.0) | 1.3 (0.96–1.8) | 0.09 | 0.272 | −2 |
Index cases | |||||
Sustained exposure to index case | 1.6 (1.2–2.2) | 1.8 (1.3–2.4) | 0.0003 | 0.573 | −4 |
Exposure to male index case | 1.5 (1.0–2.1) | 1.7 (1.2–2.4) | 0.001 | 0.554 | −4 |
Households | |||||
Lower community household socioeconomic position† | 1.4 (1.0–2.0) | 1.3 (0.95–1.8) | 0.1 | 0.281 | −2 |
Exposed to indoor air pollution | 1.7 (1.3–2.4) | 1.4 (0.97–1.9) | 0.07 | 0.302 | −2 |
Any household member with a history of tuberculosis | 1.7 (1.2–2.3) | 1.7 (1.2–2.3) | 0.001 | 0.530 | −4 |
Fewer windows per room | 1.6 (1.1–2.2) | 1.6 (1.2–2.2) | 0.004 | 0.469 | −3 |
The test of proportional hazards assumption for the entire model was χ2=7·27, p=0·61. BMI=body-mass index.
Calculated by multiplying the Cox regression coefficient by a constant (–7·25) and rounding to the nearest integer; the constant was chosen so that the exact BMI value could be used in the score, using the reciprocal (1/–0·138).
Measured with a household poverty index that combined 12 variables characterising education, access to services and material living conditions into a continuous variable that was dichotomised into two equal categories. The following interactions showed no significant associations and made no significant differences to the model when tested using the likelihood-ratio test, and, therefore, were excluded from the final model: sustained exposure and sex of index case (pinteraction=0·8); sex of index case and index case smear positivity status (pinteraction=0·7); exposure to indoor air pollution and fewer windows per room (pinteraction=0·5); sustained exposure and fewer windows per room (pinteraction=0·6); and sex of index case and socioeconomic position (pinteraction=0·07). Among the household characteristics, the only significant associations were between exposure to indoor air pollution and socioeconomic position (p<0·0001); exposure to indoor air pollution and fewer windows per room (p=0·0003); and indoor air pollution and any household member with a history of tuberculosis (p<0·0001).