Mobility patterns of persons at risk for drug-resistant tuberculosis in Mumbai, India

Author(s): Conners, E; Garfein, RS; Rodwell, TC; Udwadia, ZF; Catanzaro, DG | Abstract: SettingTuberculosis (TB) hospital in Mumbai, India.ObjectiveTo describe the mobility patterns of persons with suspected drug-resistant tuberculosis (DR-TB) and to assess whether there were significant differences in demographic or risk characteristics based on mobility.DesignObservational cohort study of TB clinic patients at risk for DR-TB.ResultsAmong 602 participants, 37% had ever moved from their place of birth; 14% were local movers (within state), and 23% were distant movers, between states or countries. Univariate multinomial logistic regression models showed that distant movers were more likely than non-movers to have lower income, less education, a greater number of previous TB episodes, and to have ever smoked. Compared to non-movers, local movers were more likely to have lower income and were more likely to have seen a doctor in the past 2 years. Clinical outcomes, including DR-TB, diabetes, and human immunodeficiency virus (HIV), did not differ between the three mobility groups.ConclusionMobility was common among patients at risk for DR-TB in Mumbai. TB programs should consider the implications of mobility on the protracted treatment for DR-TB in India.