Estimation of the Proportion and Determinants of Diabetes Mellitus Among Notified Tuberculosis Patients in Jaipur, Rajasthan, India

Background Tuberculosis (TB) and diabetes mellitus (DM) comorbidity is a significant public health problem globally and in India. The present study estimated the proportion and determinants of DM among notified TB patients within the Indian National Tuberculosis Elimination Program (NTEP). Methods The present study is the secondary data analysis of the NTEP data obtained from the District Tuberculosis Office, Jaipur, Rajasthan, India. The total number of TB patients included in the study was 4679. Sociodemographic and clinical data were compared between TB-DM and TB-only patients. Bivariate chi-squared analysis and multivariate logistic regression analysis were employed to understand the determinants of TB-DM comorbidity. Results The proportion of DM among the notified TB patients was found to be 0.98% (46). TB-DM patients were significantly older (a mean age of 51.6±12.4 years vs. 34.2±17.3 years; p =35 years was a significant determinant of TB-DM comorbidity (adjusted odds ratio (AOR): 28.641; 95% CI: 6.818-120.313; p Conclusion The study results determined that age >35 years is the significant determinant of TB-DM comorbidity. The analysis of diagnostic and enrollment facilities showed that TB-DM patients were more likely to be diagnosed and enrolled in private hospitals than government healthcare facilities. The study findings suggest that there is a need for integrated management approaches that address TB and DM concurrently.