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Volume 32, Number 4—April 2026

Research

Transmissibility and Disease Progression of Asymptomatic Mycobacterium tuberculosis Infection, Lima, Peru

Ruitong Wang, Chuan-Chin Huang, Mercedes C. Becerra, Roger I. Calderon, Carmen C. Contreras, Jerome T. Galea, Judith Jimenez, Leonid Lecca, Rosa M. Yataco, Zibiao Zhang, and Megan B. MurrayComments to Author 
Author affiliation: Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA (R. Wang, M.B. Murray); Harvard Medical School, Boston (C.-C. Huang, M.C. Becerra, L. Lecca, M.B. Murray); Brigham and Women’s Hospital, Boston (C.-C. Huang, Z. Zhang, M.B. Murray); Advanced Research and Health, Lima, Peru (R.I. Calderon); Universidad de San Martin de Porres, Lima (R.I. Calderon); Partners In Health—Socios En Salud Sucursal Peru, Lima (C.C. Contreras, J. Jimenez, L. Lecca, R.M. Yataco); University of South Florida, Tampa, Florida, USA (J.T. Galea)

Main Article

Table 6

Association between characteristics of asymptomatic index patients and risk for Mycobacterium tuberculosis infection at 6-month follow-up of all household contacts in study of transmissibility of asymptomatic M. tuberculosis, Lima, Peru*

Characteristic No. (%) uninfected contacts No. (%) infected contacts Odds ratio (95%CI) p value
Age group, y, n = 230
16–30 92 (50.5) 26 (54.2) Referent Referent
31–45 20 (11.0) 6 (12.5) 1.08 (0.44–2.68) 0.87
46–60 12 (6.59) 10 (20.8) 3.00 (1.41–6.37) 0.004
≥61
58 (31.9)
6 (12.5)
0.40 (0.19–0.89)
0.02
Sex, n = 230
M 143 (78.6) 42 (87.5) Referent Referent
F
39 (21.4)
6 (12.5)
0.48 (0.17–1.37)
0.17
HIV status, n = 230
Negative 131 (72.0) 42 (87.5) Referent Referent
Positive
51 (28.0)
6 (12.5)
0.37 (0.19–0.74)
0.005
Smoking status, n = 230
Nonsmoker 171 (94.5) 45 (93.8) Referent Referent
Smoker
10 (5.52)
3 (6.25)
1.02 (0.40–2.60)
0.85
SES, n = 222†
Low 58 (32.6) 10 (22.7) Referent Referent
Medium 105 (59.0) 23 (52.3) 1.36 (0.61–3.03) 0.46
High
15 (8.43)
11 (25.0)
4.30 (1.49–12.4)
0.007
Employment status, n = 228
Stay at home 121 (67.2) 37 (77.1) Referent Referent
Work outside
59 (32.8)
11 (22.9)
0.54 (0.26–1.14)
0.11
Alcohol consumption, n = 208
Drinker 41 (24.8) 17 (39.5) Referent Referent
Nondrinker
124 (75.2)
26 (60.5)
0.53 (0.27–1.03)
0.06
Diabetes, n = 230
No 179 (98.4) 47 (97.9) Referent Referent
Yes 3 (1.65) 1 (2.08) 1.21 (0.12–11.9) 0.87

*Results of univariate analysis. SES, socioeconomic status. †We created a continuous variable to capture summarize household-level socioeconomic status by including variables on housing quality, water supply and sanitation in a principal component analysis. The continuous SES score was categorized into tertiles corresponding to relative low, middle, and upper SES.

Main Article

Page created: March 10, 2026
Page updated: April 15, 2026
Page reviewed: April 15, 2026
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