Tuberculosis and poverty.BMJ 1993; 307 doi: http://dx.doi.org/10.1136/bmj.307.6907.759 (Published 25 September 1993) Cite this as: BMJ 1993;307:759
- D P Spence,
- J Hotchkiss,
- C S Williams,
- P D Davies
OBJECTIVE--To examine whether the historical link between tuberculosis and poverty still exists. DESIGN--Retrospective study examining the notifications of all forms of tuberculosis by council ward over a six year period and correlating this with four indices of poverty; council housing, free school meals, the Townsend overall deprivation index, and the Jarman index. SETTING--The 33 electoral wards of the city of Liverpool. SUBJECTS--344 residents of Liverpool with tuberculosis. RESULTS--The rate of tuberculosis was correlated with all measures of poverty, the strongest correlation being with the Jarman index (r = 0.73, p < 0.0001). This link was independent of the high rates of tuberculosis seen in ethnic minorities. CONCLUSION--Tuberculosis remains strongly associated with poverty.