Investigating the intensity of social contacts associated with tuberculosis: a weighted networks model

BMC Pulm Med. 2023 Jun 26;23(1):226. doi: 10.1186/s12890-023-02519-z.

Abstract

Background: Tuberculosis is known as one of the principal health problems, especially in developing countries. This study aimed to visualize, statistically model, and describe the weighted networks to investigate the intensity of social contacts associated with tuberculosis.

Methods: In this case-control study, we applied weighted network analysis to assess the network of person-time spent in stores, workplaces, restaurants, mosques, Police bases, homes, hospitals, colleges, hairdressers, schools, contact homes, health centers, cinemas, parks, and markets. Modules will be determined based on the similarities between the variables in a topology overlap matrix. The most important variables will be found considering the association between each variable and module eigenvalues.

Results: The result shows the extracted modules of locations based on the connectivity followed by the person-time at each place. The correlation (p-value) between TB and the turquoise, blue, and brown modules was 0.058 (0.351), 0.004 (0.943), and 0.117 (0.039), respectively. The brown module is the most important one, demonstrating a significant connection between homes, contact homes, health centers, and hospitals. Therefore, an association was found between person-time in four places and the occurrence of TB.

Conclusion: The finding of this study showed that most transmission of tuberculosis infection occurs in homes, contact homes, health centers, and hospitals. These place evaluations allow the identification of people with more contact and in need of screening, so critically leading to the identification of more patients with active TB.

Keywords: Social Contacts; Tuberculosis; Weighted Networks Model.

MeSH terms

  • Case-Control Studies
  • Contact Tracing
  • Humans
  • Latent Tuberculosis*
  • Schools
  • Tuberculosis* / diagnosis
  • Universities