| Tuberculosis in indigenous peoples in the U.S., 2003-2008. | |
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MedLine Citation:
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PMID: 21886328 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We examined trends and epidemiology of tuberculosis (TB) across racial/ethnic groups to better understand TB disparities in the United States, with particular focus on American Indians/Alaska Natives (AI/ANs) and Native Hawaiians/other Pacific Islanders (NH/PIs). METHODS: We analyzed cases in the U.S. National Tuberculosis Surveillance System and calculated TB case rates among all racial/ethnic groups from 2003 to 2008. Socioeconomic and health indicators for counties in which TB cases were reported came from the Health Resources and Services Administration Area Resource File. RESULTS: Among the 82,836 TB cases, 914 (1.1%) were in AI/ANs and 362 (0.4%) were in NH/PIs. In 2008, TB case rates for AI/ANs and NH/PIs were 5.9 and 14.7 per 100,000 population, respectively, rates that were more than five and 13 times greater than for non-Hispanic white people (1.1 per 100,000 population). From 2003 to 2008, AI/ANs had the largest percentage decline in TB case rates (-27.4%) for any racial/ethnic group, but NH/PIs had the smallest percentage decline (-3.5%). AI/ANs were more likely than other racial/ethnic groups to be homeless, excessively use alcohol, receive totally directly observed therapy, and come from counties with a greater proportion of people living in poverty and without health insurance. A greater proportion of NH/PIs had extrapulmonary disease and came from counties with a higher proportion of people with a high school diploma. CONCLUSIONS: There is a need to develop flexible TB-control strategies that address the social determinants of health and that are tailored to the specific needs of AI/ANs and NH/PIs in the U.S. |
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Authors:
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Emily Bloss; Timothy H Holtz; John Jereb; John T Redd; Laura Jean Podewils; James E Cheek; Eugene McCray |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Public health reports (Washington, D.C. : 1974) Volume: 126 ISSN: 0033-3549 ISO Abbreviation: Public Health Rep Publication Date: 2011 Sep-Oct |
Date Detail:
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Created Date: 2011-09-02 Completed Date: 2011-11-02 Revised Date: 2012-09-28 |
Medline Journal Info:
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Nlm Unique ID: 9716844 Medline TA: Public Health Rep Country: United States |
Other Details:
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Languages: eng Pagination: 677-89 Citation Subset: AIM; IM |
Affiliation:
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Centers for Disease Control and Prevention, Division of Tuberculosis Elimination, International Research and Programs Branch, Atlanta, GA, USA. dpu2@cdc.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Alaska / epidemiology, ethnology Antitubercular Agents / therapeutic use Child Child, Preschool Female Hawaii / epidemiology, ethnology Health Status Indicators Humans Indians, North American / statistics & numerical data Inuits / statistics & numerical data Male Middle Aged Oceanic Ancestry Group / statistics & numerical data Population Surveillance Risk Factors Treatment Outcome Tuberculosis / drug therapy, epidemiology, ethnology* United States / epidemiology |
| Chemical | |
Reg. No./Substance:
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0/Antitubercular Agents |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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