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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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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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.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2010.300030</identifier><identifier>PMID: 21566031</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: American Public Health Association</publisher><subject>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</subject><ispartof>American journal of public health (1971), 2011-07, Vol.101 (7), p.1256-1263</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Public Health Association Jul 2011</rights><rights>American Public Health Association 2011 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-96351a5ca43d83bb0fc38de6e1cb407dc31d1d3887efdca9451435dd728f0ece3</citedby><cites>FETCH-LOGICAL-c452t-96351a5ca43d83bb0fc38de6e1cb407dc31d1d3887efdca9451435dd728f0ece3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110232/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110232/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27845,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24252711$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21566031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OREN, Eyal</creatorcontrib><creatorcontrib>WINSTON, Carla A</creatorcontrib><creatorcontrib>PRATT, Robert</creatorcontrib><creatorcontrib>ROBISON, Valerie A</creatorcontrib><creatorcontrib>NARITA, Masahiro</creatorcontrib><title>Epidemiology of Urban Tuberculosis in the United States, 2000―2007</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Alcohol use</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Census of Population</subject><subject>Censuses</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cities</subject><subject>Confidence intervals</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Drug use</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care access</subject><subject>Health services</subject><subject>Health surveillance</subject><subject>HIV Seropositivity - epidemiology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Patients</subject><subject>Population density</subject><subject>Population Surveillance</subject><subject>Public health</subject><subject>Public health. 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Hygiene-occupational medicine</subject><subject>Research and Practice</subject><subject>Rural areas</subject><subject>Sex Factors</subject><subject>Studies</subject><subject>Surveillance</subject><subject>Trends</subject><subject>Tuberculosis</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Pulmonary - epidemiology</subject><subject>United States - epidemiology</subject><subject>Urban areas</subject><subject>Urban Population - statistics & numerical data</subject><subject>Young Adult</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkc9u1DAQhy1ERZfCnROKkBAXtsx47MS5IFWlUFAlkOieLcd2WlfZeLETpN54CV6QJ8Gr3ZY_p7Hlb37j0cfYM4RjjiDfnHz6cn7MoVwJAAgesAVKgUsAoR6yBUAL5Uz1IXuc8w0AYivxETvkKOsaCBfs3dkmOL8OcYhXt1Xsq1XqzFhdzp1Pdh5iDrkKYzVd-2o1hsm76utkJp9fV7xM_PXjZynNE3bQmyH7p_t6xFbvzy5Pz5cXnz98PD25WFoh-bRsa5JopDWCnKKug96Scr72aDsBjbOEDh0p1fjeWdMKiYKkcw1XPXjr6Yi93eVu5m7tnfXjlMygNymsTbrV0QT978sYrvVV_K4JETjxEvBqH5Dit9nnSa9Dtn4YzOjjnLVqkJSEWhTyxX_kTZzTWLYrUNPWiloqEOwgm2LOyff3X0HQW0F6K0hvBemdoNLy_O8V7hvujBTg5R4w2ZqhT2a0If_hBJe8QaTfwjWX0A</recordid><startdate>20110701</startdate><enddate>20110701</enddate><creator>OREN, Eyal</creator><creator>WINSTON, Carla A</creator><creator>PRATT, Robert</creator><creator>ROBISON, Valerie A</creator><creator>NARITA, Masahiro</creator><general>American Public Health Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110701</creationdate><title>Epidemiology of Urban Tuberculosis in the United States, 2000―2007</title><author>OREN, Eyal ; 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Eyal</au><au>WINSTON, Carla A</au><au>PRATT, Robert</au><au>ROBISON, Valerie A</au><au>NARITA, Masahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of Urban Tuberculosis in the United States, 2000―2007</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>101</volume><issue>7</issue><spage>1256</spage><epage>1263</epage><pages>1256-1263</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>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.</abstract><cop>Washington, DC</cop><pub>American Public Health Association</pub><pmid>21566031</pmid><doi>10.2105/AJPH.2010.300030</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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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