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Tuberculosis Research and Treatment
Volume 2015 (2015), Article ID 752709, 7 pages
http://dx.doi.org/10.1155/2015/752709
Research Article

Determinants of Pulmonary Tuberculosis among Inmates at Mangaung Maximum Correctional Facility in Bloemfontein, South Africa

1School of Health Sciences, Monash University, 144 Peter Road, Ruimsig, Johannesburg 1794, South Africa
2School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Park Town, Johannesburg 2193, South Africa
3HIV/AIDS, STI and TB (HAST) Research Program, Human Sciences Research Council, 134 Pretorius Street, Pretoria 002, South Africa
4Department of Health Studies, University of South Africa (UNISA), 1 Preller Street, Muckleneuk, Pretoria 0002, South Africa

Received 14 October 2014; Revised 9 February 2015; Accepted 10 February 2015

Academic Editor: David C. Perlman

Copyright © 2015 Peter Nyasulu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Correctional facilities house large number of inmates who are at high risk of developing tuberculosis (TB); however factors associated with TB among inmates at Mangaung Correctional Centre have not been studied. Study Population and Methods. We undertook a case control study and reviewed a total of 1140 medical records of inmates treated for TB between 2009 and 2010. Cases were selected randomly from the medical records of inmates who were treated. Data collected were analysed using STATA version 12.0 and determinants of TB were evaluated using multiple logistic regression analyses. Factors with were considered significant. Results. Prevalence of TB was 8.8% and 52% of inmates with TB were aged 31–40 years; 58% of the TB cases were HIV positive and 34% of them had CD4 cell count 350 cells/mm3. Factors associated with TB among inmates were HIV coinfection (OR: 4.2; 95% CI: 2.64–7.00); previous history of TB disease (OR: 3.58; 95% CI: 2.25–5.70); and smoking (OR: 2.1; 95% CI: 1.16–3.81). Conclusion. Interventions to improve TB detection such as regular screening of inmates with such factors need to be reinforced to control transmission of TB among inmates and the community.