| Titre : | Screening Latino adolescents for latent tuberculosis infection (LTBI). (2003) |
| Auteurs : | Carol SIPAN ; Josephine ACOSTA ; Marc ADAMS ; Elaine BLUMBERG ; Lawrence FRIEDMAN ; Melbourne HOVELL ; Norma KELLEY ; Kathleen MOSER ; Miguel OCANA ; Alicia VERA ; Center for Behavioral Epidemiology and Community Health. Graduate School of Public Health. San Diego State University. San Diego. CA. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 118, n° 5, 2003) |
| Pagination : | 425-433 |
| Langues: | Anglais |
| Mots-clés : | Tuberculose ; Bactériose ; Infection ; Bactérie ; Dépistage ; Adolescent ; Homme ; Epidémiologie ; Prévalence ; Facteur risque |
| Résumé : | [BDSP. Notice produite par INIST-CNRS PwR0xOQP. Diffusion soumise à autorisation]. Objectives. To investigate the rates of latent TB infection (LTBI) in a sample of young people in San Diego County and examine potential predictors of a positive tuberculin skin test (TST). Methods. Latino and foreign-born students from ten public middle and high schools were invited to screenings along with a random 10% sample of all other students. After obtaining parental consent, Mantoux tests were placed (N=2,698) and read (n=2,667 [98.9% ]) in 48-72 hours. A positive TST was defined as>=10 mm induration. The mean age of the sample was 14.34 years (SD=1.81) ; 50.1% were female (n=1,353) ; 78.5% were Latino (n=2,108) ; 35.7% were foreign-born (n=939) ; and 44.3% were uninsured (n=930). Results. The positive TST rate for Latinos was 21.8% vs. 5.6% for non-Latinos, p<0.001. Foreign-born Latinos had the highest infection rate (31.3%), followed by foreign-born non-Latinos (20.4%), U.S. - born Latinos (15.4%), and U.S. - born non-Latinos (1.0%), p<0.001. Logistic regression was conducted to determine predictors of TST positivity. Being Latino (odds ratio [OR]=3.27), uninsured (OR=1.60), foreign-born (OR=3.90), and living in the south county region closest to the U.S./Mexico border (OR=2.72) were significant predictors. Conclusions. Results suggest that Latino youth near the California/Mexico border are at high risk for infection, for remaining undiagnosed, and for being under-treated for LTBI. |
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