Table 2– Individual-level risk factors for multidrug-resistant tuberculosis (MDR-TB) diagnosis during treatment among cases without MDR-TB at baseline in Moldova#
VariableNew TB casesPreviously treated TB cases
Unadjusted HR (95% CI)Adjusted HR (95% CI)Unadjusted HR (95% CI)Adjusted HR (95% CI)
Demographic and socioeconomic factors
Age years
  <40ReferenceReferenceReferenceReference
  ≥400.26 (0.11–0.60)0.34 (0.15– 0.79)0.31 (0.12–0.83)0.49 (0.20–1.21)
 Living in an urban or rural area
  RuralReferenceReference
  Urban1.89 (0.86–4.12)1.64 (0.63–4.30)
 Homeless
  NoReferenceReference
  Yes2.58 (0.43–15.65)0.78 (0.15–10.96)
 Sex
  FemaleReferenceReferenceReference
  Male1.55 (0.60–3.98)0.39 (0.12–1.26)0.35 (0.11–1.08)
 Citizenship
  MoldovanReferenceReference
  Other2.86 (0.03–299.2)10.39 (0.10–1093.1)
 Occupation
  OtherReferenceReference
  Employed0.22 (0.07–0.73)0.28 (0.05–1.40)0.36 (0.06, 2.22)
 Salaried
  YesReferenceReference
  No2.97 (1.13–7.81)1.48 (0.39–5.59)3.33 (0.97–11.43)
 Education (linear)
  For each increase in education level0.87 (0.52–1.46)0.54 (0.27–1.11)
 Spent >3 months outside Moldova during previous 12 months
  NoReferenceReferenceReference
  Yes3.67 (1.54–8.79)2.30 (0.99–5.35)1.46 (0.37–5.76)
 Was previously in detention
  NoReferenceReferenceReference
  Yes11.97 (3.59–39.91)9.10 (2.80–29.54)3.60 (0.94–13.81)
 Household size
  Living with othersReferenceReferenceReference
  Living alone4.85 (1.92–12.22)4.12 (1.60–10.59)1.31 (0.43–4.01)
 Number of children in the household
  At least oneReferenceReferenceReference
  None2.22 (0.95–5.19)1.57 (0.64–3.87)0.63 (0.23–1.70)
 Lives with someone with diagnosed TB
  NoReferenceReference
  Yes2.10 (0.52–8.52)1.48 (0.34–6.45)
 Region of residenceCould not be estimatedCould not be estimated
HIV status and TB-related factors
 Degree of lung pathology
  InfiltrationReferenceReferenceReferenceReference
  Destruction3.33 (1.37–8.08)2.40 (1.01–5.71)4.29 (1.22–15.13)3.29 (1.02–10.67)
 Smear microscopy result
  Negative/untested/result unknownReferenceReference
  Positive2.10 (0.87–5.08)3.28 (0.82–13.17)
 Culture positive, linear graded 1–3
  For each increase in grade1.47 (0.91–2.38)1.28 (0.80–2.05)1.21 (0.65, 2.26)
 HIV status
  Negative/untested/result unknownReferenceReferenceReference
  Positive12.96 (3.16–53.15)4.70 (1.24–17.82)6.59 (0.79–55.22)
 Presence of resistance to any first-line drugs at baseline+
  NoneReferenceReference
  Any drug resistance present14.31 (5.69–35.96)6.22 (2.21–17.52)
 Number of drugs to which there was resistance
  Linear trend 0,1,2,35.84 (3.57–9.56)3.85 (2.17–6.83)4.48 (2.56–7.85)2.85 (1.51–5.36)
 Resistance to isoniazid+
  NoneReferenceReference
  Any22.35 (8.08–61.79)4.02 (1.35–11.92)
 Any resistance to rifampicin+
  NoneReferenceReferenceReference
  Any18.65 (2.87–121.2)111.16 (21.72–569.0)20.50 (4.83–86.94)
 Any resistance to ethambutol+
  NoneReferenceReferenceReferenceReference
  Any81.44 (22.15–299.5)3.45 (0.78–15.27)49.58 (10.85–226.6)2.54 (0.47–13.76)
 Any resistance to streptomycin+
  NoneReferenceReference
  Any11.13 (4.39–28.19)6.44 (2.24–18.49)
  • Unadjusted and adjusted hazard ratios (HR) and 95% confidence intervals from univariable and multivariable models are presented for both new and previously treated cases. Cells left blank indicate that variable was not included in the multivariable model. #: between January 1, 2007 and December 31, 2010; : categories in increasing order: no education, primary, secondary, specialised secondary, higher; +: all of these variables were potentially highly correlated (online supplementary material).