Unhealthy alcohol use independently associated with unfavorable TB treatment outcomes among Indian men

S. R. Cox, A. N. Gupte, B. Thomas, S. Gaikwad, V. Mave, C. Padmapriyadarsini, T. R. Sahasrabudhe, D. Kadam, N. Gupte, L. E. Hanna, A. Kagal, M. Paradkar, K. Thiruvengadam, D. Jain, S. Atre, K. Sekar, S. Raskar, S. V.B.Y. Shivakumar, R. Santhappan, S. DeshmukhN. Pradhan, V. Kulkarni, A. Kakrani, M. S. Barthwal, T. Sawant, A. DeLuca, N. Suryavanshi, G. Chander, R. Bollinger, J. E. Golub, A. Gupta

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Approximately 10% of incident TB cases worldwide are attributable to alcohol. However, evidence associating alcohol with unfavorable TB treatment outcomes is weak. METHODS: We prospectively evaluated men (>18 years) with pulmonary TB in India for up to 24 months to investigate the association between alcohol use and treatment outcomes. Unhealthy alcohol use was defined as a score of >4 on the Alcohol Use Disorders Identification Test-Concise (AUDIT-C) scale at entry. Unfavorable TB treatment outcomes included failure, recurrence, and all-cause mortality, analyzed as composite and independent endpoints. R E S U LT S: Among 751 men, we identified unhealthy alcohol use in 302 (40%). Median age was 39 years (IQR 28-50); 415 (55%) were underweight (defined as a body mass index [BMI],18.5 kg/m2); and 198 (26%) experienced an unfavorable outcome. Unhealthy alcohol use was an independent risk factor for the composite unfavorable outcome (adjusted incidence rate ratio [aIRR] 1.47, 95% CI 1.05-2.06; P¼0.03) and death (aIRR 1.90, 95% CI 1.08-3.34; P¼ 0.03), specifically. We found significant interaction between AUDIT-C and BMI; underweight men with unhealthy alcohol use had increased risk of unfavorable outcomes (aIRR 2.22, 95% CI 1.44-3.44; P, 0.001) compared to men with BMI >18.5 kg/m2 and AUDIT-C,4. CONCLUSION: Unhealthy alcohol use was independently associated with unfavorable TB treatment outcomes, highlighting the need for integrating effective alcohol interventions into TB care.

Original languageEnglish (US)
Pages (from-to)182-190
Number of pages9
JournalInternational Journal of Tuberculosis and Lung Disease
Volume25
Issue number3
DOIs
StatePublished - Mar 1 2021

Keywords

  • AUDIT
  • Adverse outcomes
  • Failure
  • Mortality
  • Recurrence

ASJC Scopus subject areas

  • General Medicine

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