Association of Area-Based Socioeconomic Measures with Tuberculosis Incidence in California
We assessed the association of area-based socio-economic status (SES) measures with tuberculosis (TB) incidence in California. We used TB disease data for 2012–2016 (n = 9901), population estimates, and SES measures to calculate incidence rates, rate ratios, and 95% confidence intervals (95% CI) by...
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| Veröffentlicht in: | Journal of immigrant and minority health 2023-06, Vol.25 (3), p.643-652 |
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| creator | Bakhsh, Yasser Readhead, Adam Flood, Jennifer Barry, Pennan |
| description | We assessed the association of area-based socio-economic status (SES) measures with tuberculosis (TB) incidence in California. We used TB disease data for 2012–2016 (n = 9901), population estimates, and SES measures to calculate incidence rates, rate ratios, and 95% confidence intervals (95% CI) by SES and birth country. SES was measured by census tract and was categorized by quartiles for education, crowding, and the California Healthy Places Index (HPI)and by specific cutoffs for poverty. The lowest SES areas defined by education, crowding, poverty, and HPI had 39%, 40%, 41%, and 33% of TB cases respectively. SES level was inversely associated with TB incidence across all SES measures and birth countries. TB rates were 3.2 (95% CI 3.0–3.4), 2.1 (95% CI 1.9–2.2), 3.6 (95% CI 3.3–3.8), and 2.0 (95% CI 1.9–2.1) times higher in lowest SES areas vs. highest SES areas as defined by education, crowding, poverty and HPI respectively. Area-based SES measures are associated with TB incidence in California. This information could inform TB prevention efforts in terms of materials, partnerships, and prioritization. |
| doi_str_mv | 10.1007/s10903-022-01424-7 |
| format | Article |
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We used TB disease data for 2012–2016 (n = 9901), population estimates, and SES measures to calculate incidence rates, rate ratios, and 95% confidence intervals (95% CI) by SES and birth country. SES was measured by census tract and was categorized by quartiles for education, crowding, and the California Healthy Places Index (HPI)and by specific cutoffs for poverty. The lowest SES areas defined by education, crowding, poverty, and HPI had 39%, 40%, 41%, and 33% of TB cases respectively. SES level was inversely associated with TB incidence across all SES measures and birth countries. TB rates were 3.2 (95% CI 3.0–3.4), 2.1 (95% CI 1.9–2.2), 3.6 (95% CI 3.3–3.8), and 2.0 (95% CI 1.9–2.1) times higher in lowest SES areas vs. highest SES areas as defined by education, crowding, poverty and HPI respectively. Area-based SES measures are associated with TB incidence in California. This information could inform TB prevention efforts in terms of materials, partnerships, and prioritization.</description><identifier>ISSN: 1557-1912</identifier><identifier>EISSN: 1557-1920</identifier><identifier>DOI: 10.1007/s10903-022-01424-7</identifier><identifier>PMID: 36445646</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>California ; California - epidemiology ; Censuses ; Childbirth & labor ; Comparative Law ; Confidence intervals ; Crowding ; Economic status ; Education ; Epidemiology ; Humans ; Incidence ; International & Foreign Law ; Medicine ; Medicine & Public Health ; Original Paper ; Partnerships ; Population statistics ; Poverty ; Prevention programs ; prioritization ; Private International Law ; Public Health ; Quartiles ; Social Class ; Socioeconomic Factors ; Socioeconomic status ; Socioeconomics ; Sociology ; Tuberculosis ; Tuberculosis - epidemiology</subject><ispartof>Journal of immigrant and minority health, 2023-06, Vol.25 (3), p.643-652</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-618d6508d8334b1dd4349df072758e0a09ced99fc0abfbc266445d441a99072f3</citedby><cites>FETCH-LOGICAL-c507t-618d6508d8334b1dd4349df072758e0a09ced99fc0abfbc266445d441a99072f3</cites><orcidid>0000-0003-3186-9027</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10903-022-01424-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10903-022-01424-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,12827,27325,27905,27906,30980,33755,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36445646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bakhsh, Yasser</creatorcontrib><creatorcontrib>Readhead, Adam</creatorcontrib><creatorcontrib>Flood, Jennifer</creatorcontrib><creatorcontrib>Barry, Pennan</creatorcontrib><title>Association of Area-Based Socioeconomic Measures with Tuberculosis Incidence in California</title><title>Journal of immigrant and minority health</title><addtitle>J Immigrant Minority Health</addtitle><addtitle>J Immigr Minor Health</addtitle><description>We assessed the association of area-based socio-economic status (SES) measures with tuberculosis (TB) incidence in California. We used TB disease data for 2012–2016 (n = 9901), population estimates, and SES measures to calculate incidence rates, rate ratios, and 95% confidence intervals (95% CI) by SES and birth country. SES was measured by census tract and was categorized by quartiles for education, crowding, and the California Healthy Places Index (HPI)and by specific cutoffs for poverty. The lowest SES areas defined by education, crowding, poverty, and HPI had 39%, 40%, 41%, and 33% of TB cases respectively. SES level was inversely associated with TB incidence across all SES measures and birth countries. TB rates were 3.2 (95% CI 3.0–3.4), 2.1 (95% CI 1.9–2.2), 3.6 (95% CI 3.3–3.8), and 2.0 (95% CI 1.9–2.1) times higher in lowest SES areas vs. highest SES areas as defined by education, crowding, poverty and HPI respectively. Area-based SES measures are associated with TB incidence in California. This information could inform TB prevention efforts in terms of materials, partnerships, and prioritization.</description><subject>California</subject><subject>California - epidemiology</subject><subject>Censuses</subject><subject>Childbirth & labor</subject><subject>Comparative Law</subject><subject>Confidence intervals</subject><subject>Crowding</subject><subject>Economic status</subject><subject>Education</subject><subject>Epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>International & Foreign Law</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Partnerships</subject><subject>Population statistics</subject><subject>Poverty</subject><subject>Prevention programs</subject><subject>prioritization</subject><subject>Private International Law</subject><subject>Public Health</subject><subject>Quartiles</subject><subject>Social Class</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Socioeconomics</subject><subject>Sociology</subject><subject>Tuberculosis</subject><subject>Tuberculosis - 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| subjects | California California - epidemiology Censuses Childbirth & labor Comparative Law Confidence intervals Crowding Economic status Education Epidemiology Humans Incidence International & Foreign Law Medicine Medicine & Public Health Original Paper Partnerships Population statistics Poverty Prevention programs prioritization Private International Law Public Health Quartiles Social Class Socioeconomic Factors Socioeconomic status Socioeconomics Sociology Tuberculosis Tuberculosis - epidemiology |
| title | Association of Area-Based Socioeconomic Measures with Tuberculosis Incidence in California |
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