{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T07:06:00Z","timestamp":1779606360804,"version":"3.53.1"},"reference-count":65,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tuberculosis (TB) is a leading cause of morbidity and mortality worldwide, and Ethiopia is among the 30 high TB-burden countries. People with diabetes mellitus (DM) have a 2\u20133 times higher risk of developing TB than those without DM. However, the incidence and predictors of TB among adults with DM in the western Amhara region remain unclear. This study aimed to determine the incidence rate and predictors of TB among adult DM patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi-center, institution-based retrospective follow-up study was conducted among 750 adult DM patients. Bivariate and multivariate Cox proportional hazards models were used to identify predictors of TB. Variables with a p-value &lt; 0.05 in the multivariate analysis were considered independent predictors..<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 750 participants, 67 (8.9%) developed TB, with an incidence rate of 27 per 1,000 person-years of observation (95% CI: 17.8\u201328.8). Significant predictors of TB included body mass index (BMI) &lt; 18.5 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (AHR = 1.87; 95% CI: 1.00\u20133.47), HIV positivity (AHR = 4.71; 95% CI: 2.68\u20138.26), cancer (AHR = 4.37; 95% CI: 1.54\u201312.39), chronic obstructive pulmonary disease (COPD) (AHR = 2.53; 95% CI: 1.23\u20135.21), and a history of close contact with TB patients (AHR = 6.53; 95% CI: 3.15\u201313.51)..\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The incidence of TB among adult DM patients in western Amhara is high. Low BMI, HIV infection, cancer, COPD, and close contact with TB patients are significant predictors of TB in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036261451534","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T09:22:17Z","timestamp":1779441737000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and predictors of tuberculosis among adult diabetes mellitus patients in western Amhara comprehensive specialized hospitals, northwest Ethiopia. A multicenter retrospective follow-up study"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2735-3522","authenticated-orcid":false,"given":"Jember Ayelgne","family":"Beyene","sequence":"first","affiliation":[{"name":"Teda Health Science College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zemene Mesafint","family":"Kassie","sequence":"additional","affiliation":[{"name":"Amhara National Health Bureau"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nebiyu Mekonnen","family":"Derseh","sequence":"additional","affiliation":[{"name":"University of Gondar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon Gedlu","family":"Nigatu","sequence":"additional","affiliation":[{"name":"University of Gondar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fantahun Ayenew","family":"Mekonnen","sequence":"additional","affiliation":[{"name":"University of Gondar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayana Dinku","family":"Abebe","sequence":"additional","affiliation":[{"name":"Teda Health Science College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0180-5495","authenticated-orcid":false,"given":"Yeshiwas Ayale","family":"Ferede","sequence":"additional","affiliation":[{"name":"Teda Health Science College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9390-9189","authenticated-orcid":false,"given":"Agerie Mengistie","family":"Zeleke","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7952-1738","authenticated-orcid":false,"given":"Worku Chekol","family":"Tassew","sequence":"additional","affiliation":[{"name":"Teda Health Science College"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_3_7_2_2","first-page":"ofy335","volume-title":"Impact of diabetes mellitus on the presentation and response to treatment of adults with pulmonary tuberculosis in Qatar","author":"Dousa KM","year":"2019","unstructured":"Dousa KM, Hamad A, Albirair M, et al. 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