Research Article

Chest Radiography and Xpert MTB/RIF® Testing in Persons with Presumptive Pulmonary TB: Gaps and Challenges from a District in Karnataka, India

Table 2

Factors associated with undergoing chest radiography in presumptive pulmonary TB persons enrolled for sputum smear examination in seven selected designated microscopy centers in Chikkaballapur District during February-March 2019.

CharacteristicsNn(%)RR(95% CI)Adj RR(95% CI) value

Total732301(41.1)

Designated microscopy center
 District hospital24353(21.8)ReferenceReference
 Taluka hospital 1249222(89.2)4.08(3.20-5.20)2.29(1.01-5.22)0.047
 Taluka hospital 21259(7.2)0.33(0.16-0.64)0.33(0.10-1.04)0.059
 Primary health center 1323(9.4)0.42(0.14-1.29)0.39(0.12-1.28)0.122
 Primary health center 2330(0.0)NE
 Primary health center 3170(0.0)NE
 Primary health center 43314(42.4)1.94(1.22-3.09)1.13(0.46-2.81)0.776

Age (in years)
 <258239(47.6)0.84(0.64-1.10)0.94(0.64-1.39)0.775
 25 to 3413878(56.5)ReferenceReference
 35 to 4410635(33.0)0.58(0.42-0.79)0.81(0.53-1.19)0.281
 45 to 5410842(38.9)0.68(0.52-0.90)1.08(0.74-1.59)0.664
 55 to 6412947(36.4)0.64(0.49-0.84)0.89(0.61-1.29)0.558
  > 6414654(37.0)0.65(0.50-0.84)0.94(0.66-1.34)0.761
 Not recorded236(26.1)0.46(0.22-0.93)0.95(0.40-2.25)0.919

Gender
 Male455195(42.9)ReferenceReference
 Female276105(38.0)0.88(0.73-1.06)0.92(0.72-1.18)0.559
 Transgender11(100.0)NA

Place of residence
 Urban535257(48.0)2.15(1.63-2.83)NE
 Rural19744(22.3)ReferenceReference

Predominant symptom
 Cough27255(20.2)ReferenceReference
 Cough+fever259225(86.9)4.29(3.37-5.46)1.91(0.85-4.30)0.116
 Hemoptysis11(100.0)4.94(3.90-6.26)4.97(0.67-36.7)0.115
 Not recorded20020(10.0)0.49(0.30-0.79)0.99(0.39-2.51)0.985

Sputum examination results
 Negative675272(40.3)ReferenceReference
 Positive5729(50.9)1.26(0.96-1.65)1.34(0.91-2.00)0.135

NA = not applicable (as outcome predicts exposure perfectly); NE = not estimated due to collinearity with designated microscopy center; RR = relative risk; Adj RR = adjusted relative risk; Reference = strata of data considered as reference population for calculation.