OBJECTIVE: To describe the decline of tuberculosis (TB) cases among U.S.-born non-Hispanic (NH) black and white Chicago residents. METHODS: Data from the National TB Surveillance System was used to analyze trends and characteristics of reported TB cases among U.S.-born NH black and U.S.-born NH white Chicago residents from 1998-2008. RESULTS: Chicago reported a total of 3,821 TB cases over the 11-year time period. Of these, 1,916 were U.S.-born NH black and 235 were U.S.-born NH white. The proportion of cases attributable to U.S.-born NH blacks was 63% (294/469) in 1998 and 34% in 2008 (72/213). Regression analysis for trends from 2000-2008 revealed a greater than predicted decrease in rates among U.S.-born NH blacks (p<0.05). U.S.-born NH blacks had greater odds than U.S.-born NH whites of HIV infection (OR 1.8), non-injecting drug use (OR 3.0), unemployment (OR 1.7), receiving care from the health department (OR 2.2) and receiving directly observed therapy (OR 3.0). CONCLUSION: Despite more TB risk factors in Chicago's U.S.-born black population, there was a narrowing of TB case disparity in Chicago from 1998-2008. Continued focused strategies aimed at controlling TB are needed.
OBJECTIVE: To describe the decline of tuberculosis (TB) cases among U.S.-born non-Hispanic (NH) black and white Chicago residents. METHODS: Data from the National TB Surveillance System was used to analyze trends and characteristics of reported TB cases among U.S.-born NH black and U.S.-born NH white Chicago residents from 1998-2008. RESULTS: Chicago reported a total of 3,821 TB cases over the 11-year time period. Of these, 1,916 were U.S.-born NH black and 235 were U.S.-born NH white. The proportion of cases attributable to U.S.-born NH blacks was 63% (294/469) in 1998 and 34% in 2008 (72/213). Regression analysis for trends from 2000-2008 revealed a greater than predicted decrease in rates among U.S.-born NH blacks (p<0.05). U.S.-born NH blacks had greater odds than U.S.-born NH whites of HIV infection (OR 1.8), non-injecting drug use (OR 3.0), unemployment (OR 1.7), receiving care from the health department (OR 2.2) and receiving directly observed therapy (OR 3.0). CONCLUSION: Despite more TB risk factors in Chicago's U.S.-born black population, there was a narrowing of TB case disparity in Chicago from 1998-2008. Continued focused strategies aimed at controlling TB are needed.
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Keywords:
Epidemiology; Health Disparities; Racial Difference; TB
Authors: R S Levine; J E Foster; R E Fullilove; M T Fullilove; N C Briggs; P C Hull; B A Husaini; C H Hennekens Journal: Public Health Rep Date: 2001 Sep-Oct Impact factor: 2.792
Authors: Thorsten Thye; Fredrik O Vannberg; Rolf D Horstmann; Adrian V S Hill; Sunny H Wong; Ellis Owusu-Dabo; Ivy Osei; John Gyapong; Giorgio Sirugo; Fatou Sisay-Joof; Anthony Enimil; Margaret A Chinbuah; Sian Floyd; David K Warndorff; Lifted Sichali; Simon Malema; Amelia C Crampin; Bagrey Ngwira; Yik Y Teo; Kerrin Small; Kirk Rockett; Dominic Kwiatkowski; Paul E Fine; Philip C Hill; Melanie Newport; Christian Lienhardt; Richard A Adegbola; Tumani Corrah; Andreas Ziegler; Andrew P Morris; Christian G Meyer Journal: Nat Genet Date: 2010-08-08 Impact factor: 38.330