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Prevalence of Tuberculosis Disease Among Adult US-Bound Refugees with Chronic Kidney Disease.
- Source :
-
Journal of Immigrant & Minority Health . Dec2019, Vol. 21 Issue 6, p1275-1281. 7p. - Publication Year :
- 2019
-
Abstract
- The association between chronic kidney disease (CKD) and tuberculosis disease (TB) has been recognized for decades. Recently CKD prevalence is increasing in low- to middle-income countries with high TB burden. Using data from the required overseas medical exam and the recommended US follow-up exam for 444,356 US-bound refugees aged ≥ 18 during 2009–2017, we ran Poisson regression to assess the prevalence of TB among refugees with and without CKD, controlling for sex, age, diabetes, tobacco use, body mass index (kg/m2), prior residence in camp or non-camp setting, and region of birth country. Of the 1117 (0.3%) with CKD, 21 (1.9%) had TB disease; of the 443,239 who did not have CKD, 3380 (0.8%) had TB. In adjusted analyses, TB was significantly higher among those with than without CKD (prevalence ratio 1.93, 95% CI: 1.26, 2.98, p < 0.01). Healthcare providers attending to refugees need to be aware of this association. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TUBERCULOSIS risk factors
*TUBERCULOSIS epidemiology
*REFUGEES
*TUBERCULOSIS
*AGE distribution
*CAMPS
*CHI-squared test
*CONFIDENCE intervals
*MEDICAL records
*POISSON distribution
*REGRESSION analysis
*SEX distribution
*BODY mass index
*CROSS-sectional method
*DATA analysis software
*MIDDLE-income countries
*LOW-income countries
*ACQUISITION of data methodology
*ADULTS
CHRONIC kidney failure complications
Subjects
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 21
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 139654456
- Full Text :
- https://doi.org/10.1007/s10903-018-00852-8