Racial disparities in tuberculosis--selected southeastern states, 1991-2002.

Despite substantial declines in tuberculosis (TB) in the United States, in 2002, non-Hispanic blacks continued to have TB at rates eight times greater than non-Hispanic whites. To better understand racial disparities in TB, CDC analyzed surveillance data collected during 1991-2002, comparing TB cases in seven southeastern states where TB rates were higher than the national average with TB cases in the rest of the United States. This report summarizes the results of that analysis, which indicated that TB rates among non-Hispanic blacks in the seven southeastern states continued to exceed those among non-Hispanic whites but were similar to rates among non-Hispanic blacks in the rest of the country. In addition, non-Hispanic blacks with TB in the southeastern states were more likely than non-Hispanic whites to report certain risk factors, suggesting that differences in socioeconomic status might create barriers to diagnosis and treatment. The continued disparity in TB cases underscores the need for effective, targeted strategies to prevent TB in non-Hispanic blacks.