Lower Educational Achievement Research Articles

Factors associated with Entamoeba histolytica proctocolitis in men who have sex with men: a systematic review

ObjectiveEntamoeba histolytica is parasitic infection that can cause a proctocolitis (amoebiasis) and extraintestinal sequelae (eg, liver abscess) and can be sexually transmitted in men who have sex with men (MSM)....

Improved water, Sanitation and Hygiene Facilities at School and their effect on educational achievement in basic level students in Nepal

ABSTRACT Schools with Water, Sanitation, and Hygiene (WASH) facilities can contribute to the well-being and educational achievements of pupils. The study aims to assess whether introducing WASH facilities in schools influences the educational achievements of pupils in Nepal. This research utilized a controlled before-and-after study with a quantitative, causal-comparative design. The research was conducted among 768 respondents, split between 384 in the schools with improved WASH facilities and 384 in the schools without improved school group. This study applied a stratified random sampling design, and the data were collected using a face-to-face method and administered through the structured survey tool. School WASH facilities have a significant association with educational achievements. Similarly, gender, ethnicity, grade, score, subjective norms, and intention have also significant association with educational achievements as do religion, attitudes, and self-efficacy. Students from improved school WASH facilities are more likely to obtain higher educational achievement (crude Odds Ratio (cOR) = 2.77; 95% confidence intervals (CI): 2.06 to 3.72, p < 0.001), even after adjusting for attitude, subjective norms, self-efficacy, and intention (adjusted OR (aOR) = 2.70; 95% CI: 1.99 to 3.67, p < 0.001), than those who are from the unimproved schools, keeping all socio-demographic characteristics constant. The effect is approximately four times larger (aOR = 8.31; 95% CI: 5.08 to 13.59, p < 0.001) than that exhibited by the above model, after adjusting for all socio-covariates and theory-based variables. In conclusion, improving school WASH facilities may need additional school interventions to overcome low educational achievements among students.

High hopes but aiming low? Explaining why some families with high educational aspirations do not choose the academic track in German secondary education

Selecting a school track after primary schooling is an early and highly influential decision families have to make in the German educational system. Usually, families with high educational aspirations choose the academic track since it is the direct pathway to higher education eligibility, yet there are families selecting another track. Explaining this decision is highly relevant since it is known that other tracks can divert aspirations away from the initial high goals, resulting in overall lower educational achievements. The present study analyzes the National Educational Panel Study (NEPS) dataset to investigate predictors of academic track selection (N > 1500). As dominance analyses show, the overall share of variance that all factors can explain is relatively low (ca. 13%), and only the teacher recommendation and the federal state of residence contribute meaningfully to this total share. Overall, it remains unclear what drives the decision, and other explanatory approaches should be investigated.

Language outcomes at 18-24 months of preterm infants from US Spanish- and English-speaking homes.

To evaluate the association of Spanish compared to English primary household language on preterm (PT) infants' language outcomes in the United States and to examine associations with socio-economic factors. This was a retrospective cohort of PT infants born <32 weeks gestation from Spanish-speaking (n = 95) and English-speaking homes (n = 1030) born 2005-2019. Language (primary outcome) and cognitive and motor skills (secondary outcomes) were measured using the BSID-III at 18-24 months corrected age. Group differences were evaluated using bivariate comparisons and logistic regression analyses. Mothers reporting Spanish-speaking homes had higher rates of public insurance and lower educational achievement. Group newborn characteristics were similar. Preterm infants from Spanish-speaking homes had significantly lower BSID-III language composite, cognitive composite, receptive and expressive scores compared to infants from English-speaking homes. Logistic regression modelling identified independent negative effects of Spanish-speaking household OR 3.26 (CI 1.89-5.62) and public insurance OR 2.31 (CI 1.71-3.12) with a protective benefit derived from breast milk OR 0.68 (CI 0.50-0.92) when adjusting for medical morbidities, socio-economic factors and gestational age. Public health policies and interventions in the United States should target language and cognitive outcomes of PT infants from Spanish-speaking homes.

Rural secondary school leaver attainment inequities for students entering medical programmes in Aotearoa New Zealand

ABSTRACT The education literature suggests that there are rural–urban differences in educational achievement. Lower educational achievement in rural schools may impact entry into highly competitive medical programmes and disadvantage rural students. Within this study, the National Certificate of Educational Achievement (NCEA) and University Entrance (UE) attainment rates are compared across Aotearoa New Zealand secondary schools for 2012–2021. High schools were classified as urban or rural according to the two rural admission schemes used in the medical programmes at the University of Otago and the University of Auckland. Descriptive statistics were calculated and regression models created to adjust for a range of variables. The data demonstrates that rural high schools have lower NCEA and UE attainment. Lower Māori student NCEA and UE attainment, greater socioeconomic disadvantage and differing characteristics account for the majority of differences between rural and urban schools. The lower UE attainment rate for rural schools will likely mean that rural students will have greater difficulty in entering medical programmes and that this inequity is worse for rural Māori students. Medical programme admission pathways need to undergo a fundamental shift–from workforce pathways to workforce and equity pathways in order to address rural workforce issues.

Stunting Interventions in Developing Countries: Literature Review

Stunting is a condition in which a toddler is shorter than their own age. This condition is defined as having a body length or height that is greater than the - 2 SD median of WHO child development criteria. Childhood stunting can have an effect on growth and development. Growth is not ideal, and developmental hurdles arise from birth, resulting in low educational achievement later in life. To reduce the risk of stunting, it is essential to identify and implement appropriate and optimal action as soon as possible in order to avoid or minimize lasting negative effects on children's growth and development. It aims at determining the way in which stunt interventions take place in a few developing countries. The research plan utilized may be a Writing Survey utilizing the Prisma strategy, which depicts the comes about of hindering intercessions in creating countries. Fifteen articles met the incorporation criteria. Most come about of the article talks about education intervention and multi-micronutrients. In Indonesia, four articles show results with a significant impact on the p-value. and;0.05, 3 articles had no effect in Cambodia, 2 articles showed significant results in India, and 3 influential articles in Ethiopia with p-value and;0.05, impact had a p-value of &lt;0.05.

Educational achievement of children with selected major congenital anomalies and associated factors: a Finnish registry-based study.

Children with major congenital anomalies may be at risk of poor educational outcomes. We aimed to evaluate the educational achievement of children born with major congenital anomalies compared with children without major congenital anomalies in relation to sociodemographic factors. We performed a registry-based study including 401544 children in Finland, graduates of the compulsory school who applied to secondary education. We used health data from the Finnish Register of Congenital Malformations for children born from 1995 to 2002 linked with education data from the Finnish Ministry of Education and Culture. We used generalized linear regression to compare the mean grade differences of children with specific major congenital anomalies and 'All anomalies' subgroup (major congenital anomalies, chromosomal syndromes, and multiple anomalies) with reference children. Children with major congenital anomalies were less likely to apply for further education than reference children (88.0% vs. 96.8%; odds ratio = 4.13; 95% confidence interval, 3.92-4.36). For most non-chromosomal congenital anomalies, children born with congenital anomalies had similar educational achievement to the reference children. For the 'All anomalies' subgroup, children with congenital anomalies had lower educational achievement than reference children. Among children with congenital anomalies, male sex, lower maternal educational levels and younger maternal age were associated with lower educational achievement. For children applying to further education, most non-chromosomal congenital anomalies were not associated with lower educational achievement. Nevertheless, efforts are needed to improve educational achievement in children with major congenital anomalies associated with maternal sociodemographic background.

Overcoming the Odds: Does Social Support Make a Difference for Young People With ADHD Symptoms?

Objectives: Young adults with ADHD symptoms have a risk of negative outcomes in cognitive development, emotional development, and social developmental problems. The research question is: Does social support make a difference for children with ADHD symptoms? Method: Children born in 1984 were interviewed at age 25. The survey then obtained a 67% response rate which measures up to 2,980 interviewed persons. Validated constructs were used to measure outcomes, mediator, and ADHD symptoms. Results: Young people with ADHD symptoms have an increased rate of low educational achievement, low self-esteem, loneliness, suicide considerations, PTSD symptoms, behavioral problems, criminal behavior, peer problems, and substance abuse. Social support is a partial mediator for the negative outcomes except for criminal behavior and substance abuse problems. Conclusions: Loss of social support partly explains the mentioned negative outcomes and we would suggest that future research also look for other mediators. These results indicate potential interventions.

Early Marriage and Child Cognition: Empirical Evidence from Indonesia

As a country with the fourth largest population in the world, the high number of child marriages remains a major concern in Indonesia. The country is positioned in the top 10 highest child marriage rates in the world and the second highest in Southeast Asia. The high rate of early marriage in Indonesia aligns with the low educational achievement among children. Therefore, this study aims to analyze the effect of early marriage on children’s educational achievement as measured by their cognitive abilities. Using the fifth round of the Indonesia Family Life Survey dataset in 2014, this study employs ordinary least squares with clustered standard errors at the household level in multiple regression analysis. The dependent variable is child cognition as measured by the percentage of correct answers achieved by a sample of 4542 children aged 7 to 14 years on the Raven test, while the main independent variables are the parents’ age of marriage. The result suggests that the age of marriage of mothers had a positive and significant effect on their children’s educational achievement. This finding implies that children born to mothers who married earlier tend to have lower cognitive abilities. However, this result is statistically detectable for daughters only.

Oral health-related quality of life in a group of patients with rheumatoid arthritis.

Rheumatoid arthritis (RA) and periodontitis (PD) are chronic diseases that are associated with connective tissue and bone destruction, which affects the quality of life of the people suffering from these conditions. The identification of social conditions and the determinants of RA and PD would permit the elaboration of policies and strategies based on social reality. The aim of the present study was to identify the relationship between oral health-related quality of life (OHRQoL) and the indicators of general health and oral health in patients with RA. A cross-sectional study involving 59 patients with RA was conducted between 2019 and 2020. Demographic, general health, periodontal, and oral health parameters were collected. In addition, the Oral Health Impact Profile-14 (OHIP-14) questionnaire was administered to each patient. A description of the OHIP-14 dimensions according to different variables was performed. The relationship between OHRQoL and general/oral health indicators was analyzed with logistic and linear regression analyses. The highest OHIP-14 scores were found in people that were 60 years of age and over, single, had low educational achievements, a low socioeconomic status, were unemployed, and had no health affiliation. In the adjusted model, the prevalence of the impact on OHRQoL was 1.34 (1.10-5.29) times greater in those with erosive RA than in those without, and 2.22 (1.16-29.50) times greater in those who self-reported morning stiffness. Regarding the stage of PD, those with stage IV had a prevalence of the impact on the OHRQoL of 70%, an average extent of 3.4 ±4.5 and a severity score of 11.5 ±22.0, with statistically significant differences. The dimensions with the greatest impact on the OHRQoL of patients were physical pain, discomfort and psychological disability. The type of RA and the severity of PD are indicators of worse scores on the OHRQoL scale.

Variation in adult living donor liver transplantation in the United States: Identifying opportunities for increased utilization.

In the United States, living donor liver transplantation (LDLT) is limited to transplant centers with specific experience. However, the impact of recipient characteristics on procedure selection (LDLT vs. deceased donor liver transplant [DDLT]) within these centers has not been described. Transplant registry data for centers that performed ≥1 LDLT in 2002-2019 were analyzed using hierarchal regression modeling to quantify the impact of patient and center factors on the adjusted odds ratio (aOR) of LDLT (vs DDLT). Among 73,681 adult recipients, only 4% underwent LDLT, varying from<1% to>60% of total liver transplants. After risk adjustment, the likelihood of receiving an LDLT rose by 73% in recent years (aOR 1.73 for 2014-2019vs. 2002-2007) but remained lower for older adults, men, racial and ethnic minorities, and obese patients. LDLT was less commonly used in patients with hepatocellular carcinoma or alcoholic cirrhosis, and more frequently in those with hepatitis C and with lower severity of illness (Model for End-Stage Liver Disease(MELD) score<15). Patients with public insurance, lower educational achievement, and residence in the Northwest and Southeast had decreased access. While some differences in access to LDLT reflect clinical factors, further exploration into disparities inLDLTutilizationbased on center practice and socioeconomic determinants of health is needed.

Sleep Deficit as a Risk Factor for Hypertension in Korean Adults

This study aims to evaluate the association between sleep duration and hypertension in Korean adults aged 30 and older. This is a population-based cross-sectional study using the 2020 Korean National Health and Nutritional Examination Survey data. Study subjects numbered 3984 after excluding people with missing data for key exposures and outcome variables. Of the study subjects, 18.8% (n = 748) sleep for less than 6 h a day. Increased risk for hypertension was associated with being male, of old age, unemployed, of low educational achievement, and overweight, as well as drinking, smoking, stress, and short sleep duration. The prevalence of sleep deficit was associated with sex, age, education level, income, and health insurance type. Logistic regression analyses were performed to identify whether sleep duration affects the risk of hypertension. In the unadjusted model, the odds ratio (OR) of having hypertension was lower among people sleeping for 7.0–7.9 h (OR = 0.52, 95% confidence interval (95% CI) = 0.42–0.64) than those sleeping for fewer than 6 h per day. After adjusting for sociodemographic factors (sex, age, education level, occupation, and health insurance), the OR for 7.0–7.9 h remained significant (OR = 0.74, 95% CI = 0.59–0.92). This association was not significant when the model was further adjusted for health-related factors (smoking, drinking, physical activity, BMI level, and stress). Measures to promote adequate sleep duration should be included in programs to prevent and manage hypertension.

Faktor-Faktor yang Berhubungan dengan Underweight pada Anak Usia 6-23 Bulan di Pagedangan Kabupaten Tangerang

Underweight is a crucial indicator of malnutrition in children and has long-term effects such as physical health problems, behavioral problems, and low educational achievement. Objective. This study aimed to assess associated factors of underweight among children aged 6-23 months in Pagedangan, Tangerang District. Method. This study uses a cross-sectional design used to conduct this study. Anthropometric measurements and questionnaire interviews were carried out for data collection. Data were analyzed using univariate and chi-square tests. Result. This study showed that the proportion of underweight was 18.0%. Of 150 children aged 6-23 months, 8% were born with low birth weight, 44.0% had a history of acute respiratory infection, 32.0% had a deficit of energy, 32.7% had a deficit of fat, 39.3% had a deficit of carbohydrate, and 53.3% had a deficit of protein. Energy intake (OR 3.021, 95% CI 1.288-7.087), carbohydrate intake (OR 3,279, 95% CI 1.380-7,790), and history of acute respiratory infection (OR 3.125, 95% CI 1.298-7.522) were significantly associated with underweight. Conclusion. The proportion of underweight children aged 6-23 months in the Pagedangan sub-district is higher than the national prevalence. Energy intake, carbohydrate intake, and history of acute respiratory infection were risk factors of underweight children aged 6-23 months in the Pagedangan sub-district

Mid-Childhood Outcomes after Dextrose Gel Treatment of Neonatal Hypoglycaemia: Follow-Up of the Sugar Babies Randomized Trial

Introduction: Dextrose gel is widely used as first-line treatment for neonatal hypoglycaemia given its cost-effectiveness and ease of use. The Sugar Babies randomized trial first showed that 40% dextrose gel was more effective in reversing hypoglycaemia than feeding alone. Follow-up of the Sugar Babies Trial cohort at 2 and 4.5 years of age reported that dextrose gel appeared safe, with similar rates of neurosensory impairment in babies randomized to dextrose or placebo gel. However, some effects of neonatal hypoglycaemia may not become apparent until school age. Methods: Follow-up of the Sugar Babies Trial cohort at 9–10 years of age was reported. The primary outcome was low educational achievement in reading or mathematics. Secondary outcomes included other aspects of educational achievement, executive function, visual-motor function, and psychosocial adaptation. Results: Of 227 eligible children, 184 (81%) were assessed at a mean (SD) age of 9.3 (0.2) years. Low educational achievement was similar in dextrose and placebo groups (36/86 [42%] vs. 42/94 [45%]; RR 1.04, 95% CI 0.76, 1.44; p = 0.79). Children allocated to dextrose gel had lower visual perception standard scores (95.2 vs. 100.6; MD −5.68, 95% CI −9.79, −1.57; p = 0.006) and a greater proportion had low (<85) visual perception scores (20/88 [23%] vs. 10/95 [11%]; RR 2.23, 95% CI 1.13, 4.37; p = 0.02). Other secondary outcomes, including other aspects of visual-motor function, were similar in both groups. Conclusion: Treatment dextrose gel does not appear to result in any clinically significant differences in educational achievement or other neurodevelopmental outcomes at mid-childhood.

Genomic Disorders in CKD across the Lifespan.

Pathogenic structural genetic variants, also known as genomic disorders, have been associated with pediatric CKD. This study extends those results across the lifespan, with genomic disorders enriched in both pediatric and adult patients compared with controls. In the Chronic Renal Insufficiency Cohort study, genomic disorders were also associated with lower serum Mg, lower educational performance, and a higher risk of death. A phenome-wide association study confirmed the link between kidney disease and genomic disorders in an unbiased way. Systematic detection of genomic disorders can provide a molecular diagnosis and refine prediction of risk and prognosis. Genomic disorders (GDs) are associated with many comorbid outcomes, including CKD. Identification of GDs has diagnostic utility. We examined the prevalence of GDs among participants in the Chronic Kidney Disease in Children (CKiD) cohort II ( n =248), Chronic Renal Insufficiency Cohort (CRIC) study ( n =3375), Columbia University CKD Biobank (CU-CKD; n =1986), and the Family Investigation of Nephropathy and Diabetes (FIND; n =1318) compared with 30,746 controls. We also performed a phenome-wide association analysis (PheWAS) of GDs in the electronic MEdical Records and GEnomics (eMERGE; n =11,146) cohort. We found nine out of 248 (3.6%) CKiD II participants carried a GD, replicating prior findings in pediatric CKD. We also identified GDs in 72 out of 6679 (1.1%) adult patients with CKD in the CRIC, CU-CKD, and FIND cohorts, compared with 199 out of 30,746 (0.65%) GDs in controls (OR, 1.7; 95% CI, 1.3 to 2.2). Among adults with CKD, we found recurrent GDs at the 1q21.1, 16p11.2, 17q12, and 22q11.2 loci. The 17q12 GD (diagnostic of renal cyst and diabetes syndrome) was most frequent, present in 1:252 patients with CKD and diabetes. In the PheWAS, dialysis and neuropsychiatric phenotypes were the top associations with GDs. In CRIC participants, GDs were associated with lower serum magnesium, lower educational achievement, and higher mortality risk. Undiagnosed GDs are detected both in children and adults with CKD. Identification of GDs in these patients can enable a precise genetic diagnosis, inform prognosis, and help stratify risk in clinical studies. GDs could also provide a molecular explanation for nephropathy and comorbidities, such as poorer neurocognition for a subset of patients.

Re-examining the dual harm profile: an assessment using US prison population-level data

ABSTRACT Dual harm behaviour has recently gained scholarly attention. Dual harm centres on a subset of people who display violent and self-harming behaviour. This study re-examines the differential profile characteristics identified in Europe for those who dual harm, using international data featuring a population study of a state prison system in the south-eastern United States. Three years of data produced 43,489 institutional events, from a custodial population of 22,918. Logistic regression analysis indicates that those who dual harm in custody had an overall rate of infraction 40–70% higher than those who engage solely in violence or self-harm, and five times higher than those without physical harm infractions. Dual harm was associated with higher rates of non-harm incidents (e.g. property damage and disorder), younger age, lower educational achievements on admission and less educational development during imprisonment, greater self-reported mental health need although not substance abuse, and fewer intimate relationships. Dual harm was related to more lethal acts of self-harm such as ligature or ingestion. This is the first study that applies the dual harm profile to prison data within the US. This study supports dual harm as a highly relevant construct within international custodial settings and offers policy implications for this population.

The key role of education for Flemish care leavers

Research consistently shows that both foster- and residential care leavers achieve lower levels of educational qualification in comparison to the general population. However, in Western society, education remains an important gateway to success in employment, income and housing opportunities. This study explores and predicts educational achievement of care leavers in Flanders and investigates the effect of educational attainment on other outcomes (employment, income and housing). The study involves 220 care leavers (both family foster care ( n = 138) and residential care ( n = 82)). Data was collected using a self-reporting questionnaire touching multiple domains. The participants of the study (77 male, 143 female) are between 21 and 27 years old. Both foster- and residential care leavers achieve significantly lower qualifications, earn less and more often experience homelessness than their peers from the general population. Residential care leavers achieve lower qualifications and are more often unemployed than foster care leavers. Multiple regression analyses indicate that the level of qualification is a key factor in determining the results on employment, income and education. More placements and less support during the time in care are significantly associated with lower educational achievements. This lower qualification brings significantly higher risks of unemployment, financial- and housing obstacles in the long term. It is therefore important to support young care leavers in attaining their qualification, therefore providing equal opportunities in our society. Policy makers should focus on increased support regarding education during the time in care. School- and placement changes should be minimized, and society ought to invest in psychological support during placement.

A national data linkage study to determine the association of congenital anomalies with standardised education outcomes.

ObjectivesEducation outcomes predict life chances; however disabilities and concurrent learning difficulties are often barriers to school performance. Low educational achievement is also linked with socio-economic deprivation. We aimed to quantify the association of these factors with education outcomes by ages 12 and 17 for children in Wales (UK).&#x0D; ApproachWe linked health, socio-economic and education data for children born after 1997 in Wales, registered with any one of 17 isolated congenital anomalies. Children were included if they had known education outcomes at ages 12 (n=9,223) and 17 (n=4524). A reference population comprised children born similarly but without anomalies, also having education records at 12 (n=261,827) and 17 (n=4,524).&#x0D; Multinomial logistic regressions determined the likelihood of attainment in compulsory subjects by age 12 and of attaining five GCSE qualifications by age 17. We adjusted for socio-economic status by using free school meal eligibility (household deprivation) and area-based indices of deprivation.&#x0D; ResultsWe identified 14 and 11 isolated anomalies that reduced the likelihood of achieving educational standards by ages 12 and 17 respectively. Educational achievements were lower for children with Down syndrome, Turner syndrome, hydrocephalus and limb reduction defects, particularly at age 12, indicating that children with anomalies may catch-up with their peers. While children with anomalies were less likely to achieve five GCSEs by age 17, there was no difference in the grades of those who did so. Deprivation, particularly at household level, further reduced the likelihood of education success. At age 17, household deprivation reduced 3-fold the odds of achieving any five GCSEs grades A*-C.&#x0D; ConclusionsChildren with congenital anomalies from the most deprived communities and households are at particular risk of low education achievement. To realise their potential, these children should be identified from medical records at an early age and offered targeted educational support as soon as possible and at every opportunity.

Moderate-to-vigorous group aerobic exercise versus group leisure activities for mild-to-moderate depression in adolescents: study protocol for a multicentre randomised controlled trial

IntroductionDepression is common, increasing among adolescents and carries risk of disability, lower educational achievements, cardiovascular disease, substance abuse, self-harm and suicide. The effects of evidence-based treatments with medication or psychotherapy...

Neighbourhood prevalence-to-notification ratios for adult bacteriologically-confirmed tuberculosis reveals hotspots of underdiagnosis in Blantyre, Malawi.

Local information is needed to guide targeted interventions for respiratory infections such as tuberculosis (TB). Case notification rates (CNRs) are readily available, but systematically underestimate true disease burden in neighbourhoods with high diagnostic access barriers. We explored a novel approach, adjusting CNRs for under-notification (P:N ratio) using neighbourhood-level predictors of TB prevalence-to-notification ratios. We analysed data from 1) a citywide routine TB surveillance system including geolocation, confirmatory mycobacteriology, and clinical and demographic characteristics of all registering TB patients in Blantyre, Malawi during 2015-19, and 2) an adult TB prevalence survey done in 2019. In the prevalence survey, consenting adults from randomly selected households in 72 neighbourhoods had symptom-plus-chest X-ray screening, confirmed with sputum smear microscopy, Xpert MTB/Rif and culture. Bayesian multilevel models were used to estimate adjusted neighbourhood prevalence-to-notification ratios, based on summarised posterior draws from fitted adult bacteriologically-confirmed TB CNRs and prevalence. From 2015-19, adult bacteriologically-confirmed CNRs were 131 (479/371,834), 134 (539/415,226), 114 (519/463,707), 56 (283/517,860) and 46 (258/578,377) per 100,000 adults per annum, and 2019 bacteriologically-confirmed prevalence was 215 (29/13,490) per 100,000 adults. Lower educational achievement by household head and neighbourhood distance to TB clinic was negatively associated with CNRs. The mean neighbourhood P:N ratio was 4.49 (95% credible interval [CrI]: 0.98-11.91), consistent with underdiagnosis of TB, and was most pronounced in informal peri-urban neighbourhoods. Here we have demonstrated a method for the identification of neighbourhoods with high levels of under-diagnosis of TB without the requirement for a prevalence survey; this is important since prevalence surveys are expensive and logistically challenging. If confirmed, this approach may support more efficient and effective targeting of intensified TB and HIV case-finding interventions aiming to accelerate elimination of urban TB.