A national study of socioeconomic status and tuberculosis rates by country of birth, United States, 1996-2005.
A national study of socioeconomic status and tuberculosis rates by country of birth, United States, 1996-2005.
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DOI：
10.1186/1471-2458-12-365
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发表时间：
2012-05-18
影响因子：
4.5
通讯作者：
Katz DJ
中科院分区：
文献类型：
--
作者：
Olson NA;Davidow AL;Winston CA;Chen MP;Gazmararian JA;Katz DJ
发达国家的结核病（TB）历来与贫困和社会经济地位低下（SES）有关。在过去的四分之一世纪中，美国的结核病已经从主要是本土出生的疾病转变为主要是外国出生的人的疾病，2010年，外国出生的人占新诊断的结核病病例的60%以上。本研究的目的是评估美国社会经济地位与结核病发病率的关系。在美国出生和外国出生的人，总体上和五个最常见的外国原籍国。1996-2005年的国家结核病监测数据与2000年美国人口普查中的社会经济地位（拥挤、失业、教育和收入）的邮政编码水平指标相关联。邮政编码被分为从低社会经济地位到高社会经济地位的四分位数，并计算了外国出生和美国出生的结核病发病率。每个四分位数的出生人口。结核病发病率最高的四分之一，低社会经济地位的美国和美国，出生和外国出生的人口。然而，尽管结核病发病率从美国社会经济地位最高的两个四分位数到最低的两个四分位数增加了五倍或更多，在外国出生的妇女中，她们只增加了1.3倍。在美国的外国出生者中，低社会经济地位与结核病的相关性很弱。结核病与贫困的传统联系不足以解释结核病在本国和其他发达国家的外国出生者中的流行病学。结核病的推广和研究工作只集中在低社会经济地位上，将错过外国出生人口的一个重要部分。
Tuberculosis (TB) in developed countries has historically been associated with poverty and low socioeconomic status (SES). In the past quarter century, TB in the United States has changed from primarily a disease of native-born to primarily a disease of foreign-born persons, who accounted for more than 60% of newly-diagnosed TB cases in 2010. The purpose of this study was to assess the association of SES with rates of TB in U.S.-born and foreign-born persons in the United States, overall and for the five most common foreign countries of origin. National TB surveillance data for 1996–2005 was linked with ZIP Code-level measures of SES (crowding, unemployment, education, and income) from U.S. Census 2000. ZIP Codes were grouped into quartiles from low SES to high SES and TB rates were calculated for foreign-born and U.S.-born populations in each quartile. TB rates were highest in the quartiles with low SES for both U.S.-born and foreign-born populations. However, while TB rates increased five-fold or more from the two highest to the two lowest SES quartiles among the U.S.-born, they increased only by a factor of 1.3 among the foreign-born. Low SES is only weakly associated with TB among foreign-born persons in the United States. The traditional associations of TB with poverty are not sufficient to explain the epidemiology of TB among foreign-born persons in this country and perhaps in other developed countries. TB outreach and research efforts that focus only on low SES will miss an important segment of the foreign-born population.
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影响因子：
12.7
作者：
Davidow, AL;Mangura, BT;Reichman, LB
通讯作者：
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影响因子：
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10.1164/rccm.200701-057oc
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作者：
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