Active tuberculosis and recent overseas deployment in the U.S. military

American Journal of Preventive Medicine
James D MancusoLisa W Keep

Abstract

The risk of active TB resulting from military deployment to endemic areas is unknown. It has typically been assumed that the risk of TB approximates the risk among local nationals in that country. This nested case-control study assesses the putative association of overseas deployment with active tuberculosis among active-component U.S. military service members. Deployment histories and other exposures among 578 active TB cases and 2312 controls matched on year of entry into service and length of service between 1990 and 2006 were compared in 2009 using multivariate conditional logistic regression. Multiple imputation methods were used to account for missing data. The matched OR of active TB for military deployers as compared to nondeployers was 1.18 (95% CI=0.91, 1.52). A significant association of deployments of 90-179 days was found, but this was inconsistent with the overall negative result. Significant associations were seen with foreign birth and nonwhite racial or ethnic groups. Overseas stationing in Korea was also found to be associated with active TB. No strong or consistent association was found between active TB and deployment, but an association was seen with long-term residence in TB-endemic countries (Korea). The ...Continue Reading

References

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Mar 22, 2008·American Journal of Respiratory and Critical Care Medicine·James D MancusoLisa W Keep
Jul 2, 2008·American Journal of Epidemiology·Mark A Klebanoff, Stephen R Cole

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Citations

Feb 28, 2015·Military Medical Research·Zheng Jie Marc HoJian Ming Vernon Lee
Sep 30, 2015·The American Journal of Tropical Medicine and Hygiene·James D Mancuso, Mia Geurts
Jul 24, 2014·Travel Medicine and Infectious Disease·R MichelR Migliani
Apr 2, 2015·Journal of Korean Medical Science·Jung Yeon HeoHee Jin Cheong
Jun 19, 2015·Clinical Microbiology Reviews·Jose L SanchezCharlotte A Gaydos

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