Tuberculosis and HIV Co-infection, California, USA, 1993–2008

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Metcalfe, John Z. ; Porco, Travis C. ; Westenhouse, Janice ; Damesyn, Mark ; Facer, Matt ; Hill, Julia ; Xia, Qiang ; Watt, James P. ; Hopewell, Philip C. ; Flood, Jennifer
• Description:
  To understand the epidemiology of tuberculosis (TB) and HIV co-infection in California, we cross-matched incident TB cases reported to state surveillance systems during 1993-2008 with cases in the state HIV/AIDS registry. Of 57,527 TB case-patients, 3,904 (7%) had known HIV infection. TB rates for persons with HIV declined from 437 to 126 cases/100,000 persons during 1993-2008; rates were highest for Hispanics (225/100,000) and Blacks (148/100,000). Patients co-infected with TB-HIV during 2001-2008 were significantly more likely than those infected before highly active antiretroviral therapy became available to be foreign born, Hispanic, or Asian/Pacific Islander and to have pyrazinamide-monoresistant TB. Death rates decreased after highly active antiretroviral therapy became available but remained twice that for TB patients without HIV infection and higher for women. In California, HIV-associated TB has concentrated among persons from low and middle income countries who often acquire HIV infection in the peri-immigration period.
• Subjects:
  Adolescent Adult Age Distribution Antiretroviral Therapy, Highly Active California/epidemiology Coinfection/drug Therapy Coinfection/epidemiology Epidemiological Monitoring Female HIV Infections/drug Therapy HIV Infections/epidemiology Humans Incidence Male Middle Aged Prevalence Retrospective Studies Tuberculosis, Pulmonary/epidemiology Young Adult

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• Source:
  Emerg Infect Dis. 19(3):400-406.
• Document Type:
  Journal Article
• Place as Subject:
  California
• Location:
  North America
• Volume:
  19
• Issue:
  3
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:6c2a9c399f6956cb8bc12e0d6d4a4f060723b49ab5330e3f7a2cd43fe95fde31
• Download URL:
  https://stacks.cdc.gov/view/cdc/19015/cdc_19015_DS1.pdf
• File Type:
  [PDF - 819.70 KB ]