Rujun Liao, Lin Hu, Jie Yu, Ying Chen, Miaoshuang Chen, Jingmin Yan, Xin Li, Xinyue Han, Chunnong Jike, Gang Yu, Ju Wang, Qiang Liao, Lan Xia, Xuefei Bai, Jinhong Shi, Tian Jiang, Liang Du, Tao Zhang
BACKGROUND: HIV-tuberculosis (HIV-TB) co-infection is a significant public health concern worldwide. TB delay, consisting of patient delay, diagnostic delay, treatment delay, increases the risk of adverse anti-TB treatment (ATT) outcomes. Except for individual level variables, differences in regional levels have been shown to impact the ATT outcomes. However, few studies appropriately considered possible individual and regional level confounding variables. In this study, we aimed to assess the association of TB delay on treatment outcomes in HIV-TB co-infected patients in Liangshan Yi Autonomous Prefecture (Liangshan Prefecture) of China, using a causal inference framework while taking into account individual and regional level factors...
April 30, 2024: BMC Infectious Diseases