Comments on: prevalence and risk factors for tuberculosis and HIV coinfections in Kenyan prison inmates.

Journal: Tropical medicine and health

Volume: 52

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Internal Medicine, Saidu Medical College, Swat, Pakistan. Department of Internal Medicine, Sahiwal Medical College, Sahiwal, Pakistan. Department of Research, The Medical Research Circle (MedReC), Goma, Democratic Republic of the Congo. malikolatunde@gmail.com.

Abstract summary 

The study by Mwatenga et al. found a tuberculosis (TB) prevalence of 10.2% and an HIV prevalence of 19.1% among inmates, with all TB cases co-infected with HIV. Education level, smoking history, and substance use are key predictors of coinfections. Although informative, its single-centred design and reliance on sputum samples may be insufficient for some patient groups, potentially compromising diagnostic accuracy. Expanding the study to include several jails and employing more diagnostic procedures may increase reliability and the ability to generalize. The report also notes the lack of debate on broader socioeconomic variables and structural barriers to healthcare in jails, which are crucial to understanding inmates' health challenges. Overcrowding, malnutrition, and a poor healthcare system are examples of environmental factors that probably contribute to the spread of tuberculosis and make managing HIV more difficult. Additionally, not enough is known about the dietary habits of prisoners and other health conditions like diabetes or mental health, which may have an impact on the course of HIV and TB. Future studies should take these extra characteristics into account to create more comprehensive approaches to controlling HIV coinfections and TB in prison populations. This will help build more effective therapies.

Authors & Co-authors:  Hamza Muhammad M Jalil Zil-E-Huma ZE Sattar Abid Jan Abdul AJA Sohail Hamnah H Oduoye Malik Olatunde MO

Study Outcome 

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Statistics
Citations :  Mwatenga SA, Musa AA, Muturi MW, et al. Prevalence and associated factors of TB and HIV coinfections among adult inmates with presumptive pulmonary TB in a Kenyan prison. Trop Med Health. 2024;52:54. 10.1186/s41182-024-00623-2.
Authors :  5
Identifiers
Doi : 78
SSN : 1348-8945
Study Population
Male,Female
Mesh Terms
Other Terms
HIV;Infection;Inmates;Malnutrition;Smoking;TB
Study Design
Study Approach
Country of Study
Kenya
Publication Country
Japan