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Table 1 Characteristics of 22 observational studies in the review

From: Diabetes mellitus and latent tuberculosis infection: an updated meta-analysis and systematic review

Author and year

Study Type

Country

Study population (n)

Exclusion of active TB

LTBI prevalence (%)

DM prevalence (%)

Age (mean/ median)

LTBI diagnosis

DM diagnosis

aOR (95% CI)

Arnedo-Pena 2015 [17]

Cohort

Spain

Contacts (198)

Yes

9.1

2.0

37.5 ± 12.9

IGRA and TST

Unclear

aRR

4.40 (0.50–38.55)

Khawcharoenporn 2015 [18]

Cohort

Taiwan, China

HIV-positive (150)

Yes

24.0

4.0

40 (17–65)

IGRA

Interview and medical records

aRR

1.52 (0.38–3.24)

Wang 2012 [19]

Cohort

Taiwan, China

Household contacts (583)

Yes

30.2

2.9

Mean: 44.7

IGRA

Self-report

aRR

1.01 (0.44–1.84)

Alvarez 2014 [20]

Cross-sectional

Canada

Household contacts (185)

Yes

17.3

2.7

25 (1–85)

TST

Unclear

0.23 (0.02–2.65)

Arnedo-Pena 2015 [17]

Cross-sectional

Spain

Contacts (386)

Yes

23.3

3.6

35.4 ± 9.8

IGRA and TST

Unclear

1.71 (0.48–6.08)

Barron 2018 [21]

Cross-sectional

USA

Community residents (4958)

Yes

4.4

11.4

Unkonwn, age ≥ 20

IGRA

HbA1c

1.90 (1.15–3.14)

Bennet 2013 [22]

Cross-sectional

USA

Immigrants (4187)

Yes

19.7

4.2

Mean: 31.0

TST or IGRA

Self-report

1.58 (1.13–2.20)

Chan-Yeung 2006 [23]

Cross-sectional

China

Old age home residents (3605)

No

46.3

22.4

82.4 ± 8.3

TST

Medical records

1.15 (0.97–1.37)

Hensel 2015 [24]

Cross-sectional

USA

Refugees (702)

Yes

31.5

7.7

Mean: 36.1 (26.6–42.3)

IGRA

HbA1c

2.27 (1.15–4.48)

Jackson 2013 [25]

Cross-sectional

UK

Contacts (4730)

Yes

29.3

6.0

Unknown, age ≥ 16

IGRA

Self-report

1.15 (0.88–1.50)

Jackson 2019 [26]

Cross-sectional

UK

Community residents (9157)

Yes

27.7

8.3

NS

IGRA

Self-report

1.15 (1.02–1.30)

Koesoemadinata 2017 [27]

Cross-sectional

Indonesia

Household contacts (651)

No

NS

50.0

NS

IGRA

Interview and medical records

1.71 (1.19–2.45)

Kubiak 2019 [28]

Cross-sectional

India

Household contacts (1113)

Yes

54.4

6.2

36.8 ± 14.4

TST

Self-report

1.20 (0.99–1.45)

Lee 2010 [29]

Cross-sectional

Taiwan, China

Hemodialysis patients (83)

Yes

38.6

26.5

58.3 ± 14.9

IGRA

Self-report

0.58 (0.15–2.21)

Lin 2019 [30]

Cross-sectional

Taiwan, China

Community residents (3401)

Yes

19.6

86.7

61.5 ± 9.3

IGRA and TST

HbA1c

1.67 (1.18–2.38)

Liu 2020 [31]

Cross-sectional

China

Community residents (5405)

Yes

37.8

5.6

50 (40–61)

IGRA

Fasting blood glucose test

1.16 (0.88–1.51)

Martinez 2017 [32]

Cross-sectional

USA

Community residents (4215)

Yes

3.34

18.4

NS

IGRA

Self-report

1.50 (1.00–2.20)

Salindri 2021 [33]

Cross-sectional

USA

Community residents (132)

Yes

10.6

74.2

54 (49–60)

IGRA

HbA1c

0.45 (0.13–1.71)

Shu 2012 [34]

Cross-sectional

Taiwan, China

End-stage renal disease (407)

Yes

22.4

25.1

61.1 ± 13.1

IGRA

Self-report

0.89 (0.51–1.56)

Suwanpimolkul 2014 [35]

Cross-sectional

USA

Immigrants (22,227)

Yes

80.3

6.1

NS

TST or IGRA

Medical records

1.13 (0.97–1.33)

Swarna Nantha 2017 [36]

Cross-sectional

Malaysia

Non-communicable disease patients (763)

Yes

28.8

52.9

62.3 ± 10.0

TST

HbA1c

1.23 (0.81–1.86)

Ting 2014 [37]

Cross-sectional

Taiwan, China

High-risk (1018)a

Yes

29.1

14.4

Mean: 59.0

IGRA

Interview and medical records

1.11 (0.75–1.63)

  1. Abbreviations: DM diabetes mellitus, IGRA interferon-γ release assay, LTBI latent tuberculosis infection, TST tuberculin skin test, aOR adjusted odds ratios, aRR adjusted risk ratios, NS Not specified
  2. aHigh-risk: people with active TB contact, health care workers, and patients with malignancy, end-stage renal disease, liver cirrhosis, post-organ transplantation, autoimmune diseases, and fibro-calcified lesions suggestive of prior TB on chest radiogram