| Titre : | Trends in Tuberculosis Mortality in the United States, 1990-2006 : A Population-Based Case-Control Study. (2010) |
| Auteurs : | JUNG (Richard-S) : USA. Department of Preventive Medicine. Keck School of Medicine of University of Southern California. Alhambra. CA. ; BELLOMY (Amy) : USA. Division of Disease Control & Prevention. Santa Barbara County Department of Public Health. Santa Barbara. CA. ; BENNION (Jonathan-R) : USA. Eastern Virginia Medical School. Norfolk. VA. ; SORVILLO (Frank) : USA. Department of Epidemiology. University of California. Los Angeles. Los Angeles. CA. |
| Type de document : | Article |
| Dans : | Public health reports (vol. 125, n° 3, 2010) |
| Pagination : | 389-397 |
| Langues: | Anglais |
| Mots-clés : | Tuberculose ; Tendance séculaire ; Mortalité ; Epidémiologie ; Enquête cas témoin ; Bactériose ; Infection ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS rtsBmR0x. Diffusion soumise à autorisation]. Objective. We assessed demographic and temporal trends of tuberculosis (TB) - related deaths in the United States and examined associated comorbidities listed on death certificates. Methods. We analyzed TB-related mortality from 1990 through 2006 by examining multiple-cause-of-death data from the National Center for Health Statistics. We assessed age-adjusted mortality rates, secular trends, associations with demographic variables, and comorbid conditions. Results. From 1990 through 2006, TB was reported as a cause of death among 53,505 people in the U.S. with a combined overall mean age-adjusted mortality rate of 1.16 per 100,000 person-years. The age-adjusted TB mortality rate declined from 2.22 per 100,000 person-years in 1990 to 0.47 per 100,000 person-years in 2006, demonstrating mean annual decline of about 10%. People aged 75 years and older ; males ; foreign-born people ; and those of Hispanic, Asian, black, and Native American race/ethnicity had comparatively elevated TB-related mortality rates. The mortality rate in foreign-born people was more than two times higher than in U.S. - born people. About 89% of deaths among people of Asian race/ethnicity and nearly 50% among black people were foreign-born individuals. Human immunodeficiency virus and selected autoimmune diseases were more common in TB-related deaths. Conclusions. TB mortality decreased substantially from 1990 through 2006, but remains an important cause of preventable mortality. The observed decrease was more pronounced among U.S. - born people than among foreign-born people. Disparities in TB-related mortality and the identification of important comorbid conditions can inform strategies targeting subpopulations at increased risk for fatal TB infection. |
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