Area-based socio-economic disadvantage and tuberculosis incidence

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
E OrenJ Mayer

Abstract

To examine neighborhood-level influences on tuberculosis (TB) incidence in a multilevel population-based sample. All incident TB cases in Washington State, United States (n = 2161), reported between 1 January 2000 and 31 December 2008 were identified. Multivariate Poisson analysis was used at the ZIP Code tabulation area (ZCTA) level, which allowed for further exploration of area-specific influences on TB incidence. A significant association was found between indices of socio-economic position (SEP) and TB incidence in Washington State, with a clear gradient of higher rates observed among lower ZCTA socio-economic quartiles. Compared to the wealthiest SEP quartile, the relative incidence of TB in successively lower quartiles was respectively 2.7, 4.1 and 10.4 (P trend <0.001). In multivariate analyses, the addition of area-level race, ethnicity and country of birth significantly attenuated this association (adjusted incidence rate ratios 2.3, 2.6, 5.7; P trend <0.001). This study found a significant inverse association between area measures of socio-economic status (SES) and TB incidence across ZCTAs in Washington State, even after adjusting for individual age and sex and area-based race, ethnicity and foreign birth. These resu...Continue Reading

Citations

Nov 26, 2013·Health & Place·Guy Harling, Marcia C Castro
Mar 15, 2014·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·N A van HestI Abubakar
Dec 31, 2015·Journal of Racial and Ethnic Health Disparities·Rachel A RoyceUNKNOWN Tuberculosis Epidemiologic Studies Consortium (TBESC)
Jun 11, 2016·International Journal for Equity in Health·Ana Lòpez-De FedeKathy Mayfield-Smith
Apr 9, 2017·BMC Infectious Diseases·Eric Walter Pefura-YoneAndré Pascal Kengne
Feb 23, 2017·Revista de saúde pública·Alexandre San PedroRosely Magalhães de Oliveira
Jan 1, 2012·Pharmaceuticals·Leonard Amaral, Joseph Molnar
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Dec 13, 2019·BMC Public Health·Grace A NoppertMark L Wilson
Jan 1, 2018·Current Epidemiology Reports·Grace A NoppertJon Zelner

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