Tuberculosis, AIDS, and death among substance abusers on welfare in New York City

The New England Journal of Medicine
L N FriedmanT R Frieden

Abstract

In New York City, the incidence of tuberculosis has more than doubled during the past decade. We examined the incidence of tuberculosis and the acquired immunodeficiency syndrome (AIDS) and the rate of death from all causes in a very-high-risk group--indigent subjects who abuse drugs, alcohol, or both. In 1984 we began to study prospectively a cohort of welfare applicants and recipients 18 to 64 years of age who abused drugs or alcohol. The incidence rates of tuberculosis, AIDS, and death for this group were ascertained through vital records and New York City's tuberculosis and AIDS registries. The cohort was followed for eight years. Of the 858 subjects, tuberculosis developed in 47 (5.5 percent), 84 (9.8 percent) were given a diagnosis of AIDS, and 183 (21.3 percent) died. The rates of incidence per 100,000 person-years were 744 for tuberculosis, 1323 for AIDS, and 2842 for death. In this group of welfare clients, the rate of newly diagnosed tuberculosis was 14.8 times that of the age-matched general population of New York City; the rate of AIDS was 10.0 times as high; and the death rate was 5.2 times as high. There was no significant difference in the rate of new cases of tuberculosis between subjects with positive skin test...Continue Reading

References

Oct 1, 1991·The American Review of Respiratory Disease·L B Reichman
Jun 12, 1991·JAMA : the Journal of the American Medical Association·T J JordanL B Reichman
Jul 21, 1989·JAMA : the Journal of the American Medical Association·H L RiederD E Snider
Nov 1, 1987·The American Review of Respiratory Disease·L N FriedmanR Loscos
Apr 20, 1995·The New England Journal of Medicine·M T McKennaI Onorato
Aug 1, 1994·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I W FongC Major
Aug 10, 1994·JAMA : the Journal of the American Medical Association·A R ZolopaA R Moss
Aug 1, 1993·Annals of Internal Medicine·S MorenoD López-Gay
Mar 1, 1994·The American Journal of Psychiatry·J MahlerS Perry
Mar 1, 1994·Alcohol·A K BallaO Bagasra
Dec 1, 1993·American Journal of Public Health·E A PaulA Chen
Feb 25, 1993·The New England Journal of Medicine·T R FriedenS W Dooley
May 1, 1993·American Journal of Public Health·S H Landesman
Aug 1, 1921·American Journal of Public Health : the Journal of the American Public Health Association

❮ Previous
Next ❯

Citations

Nov 14, 1997·Clinical Reviews in Allergy & Immunology·P N Lao
Jul 6, 2011·Journal of Neuroimmune Pharmacology : the Official Journal of the Society on NeuroImmune Pharmacology·Alexander BrackChristoph Stein
Sep 16, 2006·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Hector Manuel ColonHardeo Sahai
Mar 1, 1997·The American Journal of Medicine·D J FarrarJ D Rich
Jul 1, 1997·Pharmacology, Biochemistry, and Behavior·N K Mello, J H Mendelson
Jun 4, 1999·Diagnostic Microbiology and Infectious Disease·G FätkenheuerR Wenzel
Mar 28, 1996·The New England Journal of Medicine·H V Fineberg, M E Wilson
Feb 4, 1999·The New England Journal of Medicine·D V Havlir, P F Barnes
Jan 23, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Alberto Fernández-VillarLuis Piñeiro
Dec 3, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Robert G DeissRichard S Garfein
Nov 18, 2009·American Journal of Epidemiology·Sun Ha JeeJonathan M Samet
Mar 17, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ira L LeedsColleen S Kraft
Mar 5, 2010·Respirology : Official Journal of the Asian Pacific Society of Respirology·Sheree M S Smith
Apr 13, 2011·Clinical Microbiology Reviews·Candice K Kwan, Joel D Ernst
Jun 1, 2006·Sexually Transmitted Infections·L DegenhardtM Warner-Smith
Dec 31, 1997·American Journal of Respiratory and Critical Care Medicine·A L DavidowP Alcabes
Dec 12, 2001·American Journal of Respiratory and Critical Care Medicine·J M BeckH H Peavy
Apr 7, 2007·American Journal of Respiratory and Critical Care Medicine·Gerard de VriesJan H Richardus
Jan 20, 2005·Behavior Modification·Marguerita LightfootDallas Swendeman
Aug 16, 2008·BMC Public Health·Knut LönnrothChristopher Dye
Jun 29, 2013·Critical Care : the Official Journal of the Critical Care Forum·Putul Sarkar, Husham F Rasheed
Jun 12, 2013·Emerging Infectious Diseases·John Z MetcalfeJennifer Flood
Feb 19, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kris K OurslerRichard E Chaisson
Jun 4, 1998·Journal of Neuroimmunology·R M Donahoe, D Vlahov
Jun 10, 2000·American Journal of Public Health·N Freudenberg
Nov 28, 2000·The American Journal of the Medical Sciences·C NzerueK Hewan-Lowe
Feb 23, 2013·Chest·Shravan KethireddyUNKNOWN Cooperative Antimicrobial Therapy of Septic Shock (CATSS) Database Group
Aug 9, 2011·Annals of Epidemiology·Richard F W BarnesTimothy C Rodwell
Apr 28, 2009·Social Science & Medicine·Knut LönnrothMario Raviglione
Sep 25, 2004·The Journal of Emergency Medicine·Rashid Fuad KysiaEric S Nadel
May 4, 2004·The Lancet Infectious Diseases·William F Paolo, Joshua D Nosanchuk
Mar 1, 1997·Disease-a-month : DM·L J McDermottA K Dutt
May 13, 1998·Neurologic Clinics·J C Brust
Mar 11, 2011·Journal of Medical Microbiology·Karishma S KaushikA K Praharaj
Jul 17, 1998·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M K ViljanenA V Vasilyef
Feb 25, 1998·Health Education & Behavior : the Official Publication of the Society for Public Health Education·N Freudenberg
Oct 31, 2006·European Journal of Epidemiology·Ekaterina V KourbatovaHenry M Blumberg

❮ Previous
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