National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
The association between tuberculosis and HIV presents an immediate and grave public health and socioeconomic threat, particularly in the developing world. The interaction of TB with HIV is two-folded, with TB being the leading cause of death among HIV infected, and HIV infection being the most potent risk factor for a latent TB infection to convert to active disease. The study was conducted on patients diagnosed with pulmonary and extra pulmonary tuberculosis, who were admitted in the wards of National Institute of Tuberculosis & Respiratory diseases (NITRD), New Delhi. 397 Patients were enrolled for the study after informed consent from July 2009 to March 2011. Each patient was studied for risk behaviour using modified national sexual health survey questionnaire. 397 cases of pulmonary tuberculosis were studied, out of which 24 were found to be HIV sero positive. Most of the patients were between early twenties to late forties. Promiscuous sexual behavior was found in 87.5% HIV seropositive pulmonary TB patients and thus emerged as a very important risk factor. The most important risk behaviours associated with HIV seropositivity were found to be occupation (high in unemployed, labourer, truck drivers), marital status, multiple sex partners, homosexual behavior, condom use, presence of sexually transmitted diseases, visit to commercial sex workers & use of recreational substances like alcohol before sex (p value<0.0001). Condom use and substance use risk reduction need to be considered as HIV-prevention measures when planning HIV-prevention programmes for TB patients. Other parameters which did not show statistical significance, although described as high risk factors in some previous studies, were age and sex(p=0.06), religion(p=0.173), educational status(p=0.445), migration(p=0.126) and low socioeconomic status(p=0.392).
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