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BRIEF REPORT: Tuberculosis among Incarcerated Hispanic Persons — United States, 1993–2014
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8 2017
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Source: J Immigr Minor Health. 19(4):982-986
[PDF-402.99 KB]
Details:
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Alternative Title:J Immigr Minor Health
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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.
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Source:
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Pubmed ID:27900592
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Pubmed Central ID:PMC11073540
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Volume:19
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Issue:4
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