Factors Associated with Development of Tuberculosis Disease Among Refugees, Massachusetts, 2008-2018.

Autor: Smock L; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA. Laura.smock@mass.gov., Nguyen T; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA., Gadani K; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA., Tibbs A; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA., Geltman PL; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA.; Boston University School of Medicine, Boston, MA, USA., Bernardo J; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA.; Boston University Medical Center, Boston, MA, USA., Cochran J; Massachusetts Department of Public Health, Division of Global Populations and Infectious Disease Prevention, 305 South Street, Boston, MA, 02130, USA.
Jazyk: angličtina
Zdroj: Journal of immigrant and minority health [J Immigr Minor Health] 2023 Feb; Vol. 25 (1), pp. 31-37. Date of Electronic Publication: 2022 Apr 30.
DOI: 10.1007/s10903-022-01366-0
Abstrakt: Refugees and immigrants undergo tuberculosis screening prior to arrival in the United States. CDC Technical Instructions for screening changed in 2007. Our goal was to quantify TB disease in refugees after 2007 and identify risks for disease. Massachusetts refugee and tuberculosis databases were matched to identify refugees who arrived 2008-2017 and were diagnosed with tuberculosis infection or disease 2008-2018. Factors associated with disease were analyzed in SAS. Of 19,583 refugees, 4706 were diagnosed with infection at arrival and 60 with disease during the observation period. Lack of treatment for infection was strongly associated (OR = 26.5, p = 0.0001) with diagnosis of disease; in a multivariate logistic regression model, positive screening test (AOR = 12.5, p = 0.0001), class B1 status (AOR = 4.0, p = 0.0004), and < 2 years since arrival (AOR = 60.0, p = 0.0001) were associated with disease. Providers should continue screening new arrivals, providing accessible services, and treating infection to further reduce tuberculosis morbidity and mortality.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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