Tuberculosis Incidence Among Populations at High Risk in California, Florida, New York, and Texas, 2011-2015.
Am J Public Health
; 108(S4): S311-S314, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-30383419
ABSTRACT
OBJECTIVES:
To illustrate the magnitude of between-state heterogeneities in tuberculosis (TB) incidence among US populations at high risk for TB that may help guide state-specific strategies for TB elimination.METHODS:
We used data from the National Tuberculosis Surveillance System and other public sources from 2011 to 2015 to calculate TB incidence in every US state among people who were non-US-born, had diabetes, or were HIV-positive, homeless, or incarcerated. We then estimated the proportion of TB cases that reflected the difference between each state's reported risk factor-specific TB incidence and the lowest incidence achieved among 4 states (California, Florida, New York, Texas). We reported these differences for the 4 states and also calculated and aggregated across all 50 states to quantify the total percentage of TB cases nationally that reflected between-state differences in risk factor-specific TB incidence.RESULTS:
On average, 24% of recent TB incidence among high-risk US populations reflected heterogeneity at the state level. The populations that accounted for the greatest percentage of heterogeneity-reflective cases were non-US-born individuals (51%) and patients with diabetes (24%).CONCLUSIONS:
State-level differences in TB incidence among key populations provide clues for targeting state-level interventions.
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1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article