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Association between Birth Region and Time to Tuberculosis Diagnosis among Non–US-Born Persons in the United States
- Source :
- Emerging Infectious Diseases, Vol 27, Iss 6, Pp 1645-1653 (2021), Emerging Infectious Diseases
- Publication Year :
- 2021
- Publisher :
- Centers for Disease Control and Prevention, 2021.
-
Abstract
- Approximately 90% of tuberculosis (TB) cases among non–US-born persons in the United States are attributable to progression of latent TB infection to TB disease. Using survival analysis, we investigated whether birthplace is associated with time to disease progression among non–US-born persons in whom TB disease developed. We derived a Cox regression model comparing differences in time to TB diagnosis after US entry among 19 birth regions, adjusting for sex, birth year, and age at entry. After adjusting for age at entry and birth year, the median time to TB diagnosis was lowest among persons from Middle Africa, 128 months (95% CI 116–146 months) for male persons and 121 months (95% CI 108–136 months) for female persons. We found time to TB diagnosis among non–US-born persons varied by birth region, which represents a prognostic indicator for progression of latent TB infection to TB disease.
- Subjects :
- Male
Microbiology (medical)
proportional hazards models
Tuberculosis
Epidemiology
Kaplan-Meier estimate
030231 tropical medicine
Emigrants and Immigrants
Disease
Infectious and parasitic diseases
RC109-216
survival analysis
respiratory infections
03 medical and health sciences
0302 clinical medicine
Tuberculosis diagnosis
emigrants
latent tuberculosis
Humans
Mass Screening
Medicine
030212 general & internal medicine
bacteria
Survival analysis
Birth Year
Latent tuberculosis
immigrants
business.industry
Proportional hazards model
Research
Disease progression
medicine.disease
United States
tuberculosis and other mycobacteria
Association between Birth Region and Time to Tuberculosis Diagnosis among Non–US-Born Persons Entering the United States
Infectious Diseases
TB
Africa
Female
business
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 10806059 and 10806040
- Volume :
- 27
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Emerging Infectious Diseases
- Accession number :
- edsair.doi.dedup.....263c81c689e50247457d21ddafbae89f