| Persistent risk of tuberculosis in migrants a decade after arrival in Australia. | |
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MedLine Citation:
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PMID: 18459925 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine the risk of tuberculosis (TB) in migrants a decade after their arrival in Australia. DESIGN, SETTING AND PATIENTS: Retrospective review of laboratory-confirmed cases of TB in migrants diagnosed between 1990 and 2004 by the state TB reference laboratory in Victoria, analysed by a multivariate model comparing migrants diagnosed 10 or more years after arrival with those diagnosed within 10 years of arrival. MAIN OUTCOME MEASURES: Time to diagnosis; characteristics of migrants diagnosed with TB, including age, sex, region of birth, site of infection, and drug resistance. RESULTS: A third of migrants (734/1924) were diagnosed with TB 10 or more years after arrival in Australia. This group was more likely to be European-born (adjusted odds ratio [AOR], 3.4; 95% CI, 2.4-5.0) and older than 34 years (35-49 years: AOR, 3.8; 95% CI, 2.0-7.0), reflecting the longer time European migrants have been in Australia. There were two distinct European groups: European Union (EU)/Western and Central/Eastern. The Central/Eastern group were from countries with current high TB rates and, compared with the EU/Western group, were younger (mean age, 50 v 64 years) and more likely to be diagnosed within 10 years of arrival (47% v 14%; P < 0.001). CONCLUSION: European migrants were more likely to be diagnosed a decade or more after arrival in Australia. Once migrants from the currently high TB incidence areas of Asia and Africa have been in Australia for a similar period of time, their timing of diagnosis may resemble that for migrants from Europe. The current screening policy should be complemented with more sensitive techniques to detect latent TB. |
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Authors:
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Michelle E McPherson; Heath Kelly; Mahomed S Patel; David Leslie |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Medical journal of Australia Volume: 188 ISSN: 0025-729X ISO Abbreviation: Med. J. Aust. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-07 Completed Date: 2008-07-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: Australia |
Other Details:
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Languages: eng Pagination: 528-31 Citation Subset: IM |
Affiliation:
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Communicable Disease Control, Department of Human Services, Melbourne, VIC. michelle.mcpherson@health.sa.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Africa / ethnology Aged Asia / ethnology Child Child, Preschool Europe / ethnology Female Humans Incidence Infant Infant, Newborn Male Middle Aged Middle East / ethnology Retrospective Studies Risk Factors Time Factors Transients and Migrants* Tuberculosis / diagnosis, ethnology* Victoria / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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