This cross-sectional study investigated the combined impact of behavioral, environmental, socioeconomic, and demographic factors on multi-drug resistant urinary tract infections (MDR UTIs) in East Africa. Using data from 1610 individuals in Kenya, Tanzania, and Uganda, the study found that higher MDR UTI risk was associated with interrelated social and environmental disadvantages, including older age, lower education, chronic illness, resource-deprived households, animal contact, and exposure to human or animal waste. This highlights the need for interventions addressing intersectional socio-environmental disadvantage.
Publisher
Nature Communications
Published On
Oct 31, 2024
Authors
Katherine Keenan, Michail Papathomas, Stephen E. Mshana, Benon Asiimwe, John Kiiru, Andy G. Lynch, Mike Kesby, Stella Neema, Joseph R. Mwanga, Martha F. Mushi, Wei Jing, Dominique L. Green, Emmanuel Olamijuwon, Qing Zhang, Rachel Sippy, Kathryn J. Fredricks, Stephen H. Gillespie, Wilber Sabiiti, Joel Baziras, Derek J. Sloan, Blandina T. Mmbaga, Gibson Kibiki, David Aanensen, John Stelling, V. Anne Smith, Alison Sandeman, Matthew T. G. Holden
Tags
multi-drug resistant infections
urinary tract infections
East Africa
socioeconomic factors
environmental disadvantage
health disparities
public health
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