Spatial clusters of latent tuberculous infection, Connecticut, 2010–2014

Details

• Alternative Title:
  Int J Tuberc Lung Dis
• Personal Author:
  Mullins, J. ; Lobato, M. N. ; Bemis, K. ; Sosa, L.
• Description:
  SETTING
  
  In the United States, tuberculosis (TB) control is increasingly focusing on the identification of persons with latent tuberculous infection (LTBI).
  
  OBJECTIVE
  
  To characterize the local epidemiology of LTBI in Connecticut, USA.
  
  METHODS
  
  We used spatial analyses 1) to identify census tract-level clusters of reported LTBI and TB disease in Connecticut, 2) to compare persons and populations in clusters with those not in clusters, and 3) to compare persons with LTBI to those with TB disease.
  
  RESULTS
  
  Significant census tract-level spatial clusters of LTBI and TB disease were identified. Compared with persons with LTBI in non-clustered census tracts, those in clustered census tracts were more likely to be foreign-born and less likely to be of white non-Hispanic ethnicity. Populations in census tract clusters of high LTBI prevalence had greater crowding, persons living in poverty, and persons lacking health care insurance than populations not in clustered census tracts. Persons with LTBI were less likely than those with TB disease to be of Asian ethnicity, and persons with LTBI were more likely than those with TB disease to reside in a clustered census tract.
  
  CONCLUSIONS
  
  Characterizing fine-scale populations at risk for LTBI supports effective and culturally accessible screening and treatment programs.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Article Censuses Child Child, Preschool Cluster Analysis Communicable Disease Control Connecticut Emigrants And Immigrants Female Humans Infant Infant, Newborn Insurance, Health Latent Tuberculosis LTBI Male Middle Aged SaTScan™ Socioeconomic Factors Young Adult

  More +
• Source:
  Int J Tuberc Lung Dis. 22(2):165-170
• Pubmed ID:
  29506612
• Pubmed Central ID:
  PMC7201424
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  22
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6318c6fa4acc409eedeae4041f1985c307a6a5efacb3d7fda0cfa255bf87c43c
• Download URL:
  https://stacks.cdc.gov/view/cdc/87765/cdc_87765_DS1.pdf
• File Type:
  [PDF - 452.47 KB ]