Combining surveillance systems to investigate local trends in tuberculosis-HIV co-infection

Autor:	Thibaut Davy-Mendez, Nicholas J. Moss, Sandra Huang, Reiko C Okada, Amit S. Chitnis, Neena Murgai, Rita Shiau
Rok vydání:	2019
Předmět:	Adult Male medicine.medical_specialty Health (social science) Tuberculosis Internationality Social Psychology AIDS-Related Opportunistic Infections Human immunodeficiency virus (HIV) Emigrants and Immigrants HIV Infections medicine.disease_cause Injection drug use California 03 medical and health sciences 0302 clinical medicine Public health surveillance Internal medicine medicine Ethnicity Prevalence Humans Public Health Surveillance 030212 general & internal medicine Registries Substance Abuse Intravenous Tuberculosis Pulmonary 030505 public health business.industry Coinfection Public Health Environmental and Occupational Health Middle Aged medicine.disease Confidence interval Population Surveillance Ill-Housed Persons Female 0305 other medical science business Hiv co infection
Zdroj:	AIDS care. 31(10)
ISSN:	1360-0451
Popis:	Alameda County has some of the highest human immunodeficiency virus (HIV) and tuberculosis (TB) case rates of California counties. We identified TB-HIV co-infected patients in 2002-2015 by matching county TB and HIV registries, and assessed trends in TB-HIV case rates and estimated prevalence ratios for HIV co-infection. Of 2054 TB cases reported during 2002-2015, 91 (4%) were HIV co-infected. TB-HIV case rates were 0.29/100,000 and 0.40/100,000 in 2002 and 2015, respectively, with no significant change (P = 0.85). African-American TB case-patients were 9.77 times (95% confidence interval [CI] 5.90-16.17) more likely than Asians to be HIV co-infected, and men 2.74 times (95% CI 1.66-4.51) more likely co-infected than women. HIV co-infection was more likely among TB case-patients with homelessness (6.21, 95% CI 3.49-11.05) and injection drug use (11.75, 95% CI 7.61-18.14), but less common among foreign-born and older case-patients (both P < 0.05). Among foreign-born case-patients, 42% arrived in the U.S. within 5 years of TB diagnosis. TB-HIV case rates were low and stable in Alameda County, and co-infected patients were predominantly young, male, U.S.-born individuals with traditional TB risk factors. Efforts to reduce TB-HIV burden in Alameda County should target persons with traditional TB risk factors and recently arrived foreign-born individuals.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::baee43daa9dca0eb7af2b80d6539a77e https://pubmed.ncbi.nlm.nih.gov/30729804 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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