Document Detail


Undocumented migrants in Switzerland: geographical origin versus legal status as risk factor for tuberculosis.
MedLine Citation:
PMID:  19582582     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Undocumented migrants, meaning migrants without a legal residency permit, come to Geneva from countries with high tuberculosis (TB) incidence. We estimate here whether being undocumented is a determinant of TB, independently of origin. Cross-sectional study including undocumented migrants in a TB screening program in 2002; results were compared to 12,904 age and frequency matched participants in a general TB screening program conducted at various workplaces in Geneva, Switzerland from 1992 to 2002. A total of 206 undocumented migrants (36% male, 64% female, mean age 37.8 years (SD 11.8), 82.5% from Latin America) participated in the TB screening program. Compared to legal residents, undocumented migrants had an adjusted OR for TB-related fibrotic signs of 1.7 (95% CI 0.8;3.7). The OR of TB-related fibrotic signs for Latin American (vs. other) origin was 2.7 (95% CI 1.6;4.7) among legal residents and 5.5 (95% CI 2.8;10.8) among undocumented migrants. Chest X-ray screening identified a higher proportion of TB-related fibrotic signs among Latin Americans, independently of their residency status.
Authors:
H Wolff; J P Janssens; P Bodenmann; A Meynard; C Delhumeau; T Rochat; P Sudre; M C Costanza; J M Gaspoz; A Morabia
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of immigrant and minority health / Center for Minority Public Health     Volume:  12     ISSN:  1557-1920     ISO Abbreviation:  J Immigr Minor Health     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2009-12-24     Completed Date:  2010-03-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256527     Medline TA:  J Immigr Minor Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  18-23     Citation Subset:  IM    
Affiliation:
Department of Primary Care and Community Medicine, University Hospitals of Geneva, University of Geneva, 9, Avenue Champel, 1211 Geneva 4, Switzerland. hans.wolff@hcuge.ch
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Female
Geography*
Humans
Latin America / ethnology
Male
Mass Screening
Middle Aged
Mycobacterium / isolation & purification
Risk Factors
Switzerland / epidemiology
Transients and Migrants / legislation & jurisprudence*
Tuberculosis / diagnosis,  ethnology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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