Epidemiology of Urban Tuberculosis in the United States, 2000―2007

We investigated tuberculosis (TB) incidence rates and characteristics of patients with TB in large US cities. Using the Centers for Disease Control and Prevention's National Tuberculosis Surveillance System data, we categorized 48 cities annually from 2000 to 2007 as reporting decreasing or non...

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Veröffentlicht in:American journal of public health (1971) 2011-07, Vol.101 (7), p.1256-1263
Hauptverfasser: OREN, Eyal, WINSTON, Carla A, PRATT, Robert, ROBISON, Valerie A, NARITA, Masahiro
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container_title American journal of public health (1971)
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creator OREN, Eyal
WINSTON, Carla A
PRATT, Robert
ROBISON, Valerie A
NARITA, Masahiro
description We investigated tuberculosis (TB) incidence rates and characteristics of patients with TB in large US cities. Using the Centers for Disease Control and Prevention's National Tuberculosis Surveillance System data, we categorized 48 cities annually from 2000 to 2007 as reporting decreasing or nondecreasing rates with Joinpoint analysis. We compared demographic, clinical, and treatment characteristics of patients with TB using bivariate and multivariate analyses. We found that 42 448 patients with TB in 48 cities accounted for 36% of all US patients with TB; these cities comprised 15% of the US population. The average TB incidence rate in the 48 cities (12.1 per 100,000) was higher than that in the US excluding the cities (3.8 per 100,000) but decreased at a faster rate. Nineteen cities had decreasing rates; 29 cities had nondecreasing rates. Patient characteristics did not conclusively distinguish decreasing and nondecreasing rate cities. A significant TB burden occurs in large US cities. More than half (60%) of the selected cities did not show decreasing TB incidence rates. Studies of city-level variations in migration, socioeconomic status, and resources are needed to improve urban TB control.
doi_str_mv 10.2105/AJPH.2010.300030
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subjects Adolescent
Adult
Age Factors
Aged
Alcohol use
Bacterial diseases
Biological and medical sciences
Census of Population
Censuses
Child
Child, Preschool
Cities
Confidence intervals
Disease control
Disease prevention
Drug use
Epidemiology
Female
General aspects
Health care access
Health services
Health surveillance
HIV Seropositivity - epidemiology
Human bacterial diseases
Humans
Incidence
Infant
Infectious diseases
Logistic Models
Male
Medical sciences
Middle Aged
Miscellaneous
Patients
Population density
Population Surveillance
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research and Practice
Rural areas
Sex Factors
Studies
Surveillance
Trends
Tuberculosis
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Pulmonary - epidemiology
United States - epidemiology
Urban areas
Urban Population - statistics & numerical data
Young Adult
title Epidemiology of Urban Tuberculosis in the United States, 2000―2007
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