BRIEF REPORT: Tuberculosis among Incarcerated Hispanic Persons — United States, 1993–2014

Details

• Alternative Title:
  J Immigr Minor Health
• Personal Author:
  Mindra, Godwin ; Wortham, Jonathan M. ; Haddad, Maryam B. ; Salinas, Jorge L. ; Powell, Krista M. ; Armstrong, Lori R.
• Description:
  Purpose:
  
  We sought to describe characteristics of Hispanic persons receiving tuberculosis (TB) diagnoses while incarcerated and to compare their characteristics with those of non-Hispanic incarcerated TB patients.
  
  Methods:
  
  We analyzed all verified TB cases among incarcerated persons reported to the National Tuberculosis Surveillance System (NTSS) during 1993–2014. Data were stratified by birth origin and by Hispanic or non-Hispanic ethnicity. We calculated odds ratios to contrast sociodemographic and clinical characteristics between Hispanic and non-Hispanic persons.
  
  Findings:
  
  After declines during 1993–2002, the annual proportion of Hispanic TB patients who were incarcerated at diagnosis grew from 4.9% to 8.4% between 2003 and 2014. During 2003–2014, 530 (19%) of the 2,813 incarcerated U.S.-born TB patients were Hispanic, and 2,289 (86%) of the 2,650 foreign-born were Hispanic. Most incarcerated TB patients were men ages 15–44 in local jails, but Hispanic patients had twice the odds of being in federal prisons, and about a third of all foreign-born were in the NTSS facility category that includes U.S. Immigration and Customs Enforcement detention centers. Nearly all the 2,289 Hispanic foreign-born originated from Mexico or Central America, and nearly half received a TB diagnosis within 1 year of arrival. Substance abuse in the year before TB diagnosis was prominent among incarcerated Hispanics.
  
  Conclusion:
  
  Foreign birth recent arrival in the United States characterized many of the Hispanic persons who received a TB diagnosis while incarcerated. Incarceration offers an important opportunity for early detection and treatment of TB infection or disease.
  
  
• Subjects:
  Adolescent Adult Aged Cross-Sectional Studies Emigrants And Immigrants Female Hispanic Or Latino Humans Male Middle Aged Prisons Retrospective Studies Risk Factors Socioeconomic Factors Tuberculosis Young Adult

  More +
• Keywords:
  Hispanic Incarceration Tuberculosis
• Source:
  J Immigr Minor Health. 19(4):982-986
• Pubmed ID:
  27900592
• Pubmed Central ID:
  PMC11073540
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  19
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:50e686f87814e206aeb3f1e6b6ef5bb94431d7570f4c8ccb6cb1b1c228d5d903
• Download URL:
  https://stacks.cdc.gov/view/cdc/155547/cdc_155547_DS1.pdf
• File Type:
  [PDF - 402.99 KB ]