Résumé :
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[BDSP. Notice produite par INIST-CNRS 9jIR0xGo. Diffusion soumise à autorisation]. Objectives. We sought to identify correlates of reported lifetime diagnoses of TB among injection drug users in the border city of Tijuana, Mexico. Methods. Injection drug users in Tijuana were recruited into a prospective cohort study during 2006 and 2007. We used weighted multivariate logistic regression to identify correlates of TB diagnoses. Results. Of the 1056 participants, 103 (9.8%) reported a history of TB, among whom 93% received anti-TB medication and 80% were diagnosed in the United States. Treatment was prematurely halted among 8% of patients ; deportation from the United States was the cause of half of these treatment interruptions. History of travel to (odds ratio [OR]=6.44 ; 95% confidence interval [Cl]=1.53,27.20) or deportation from (OR=1.83 ; 95% Cl=1.07,3.12) the United States and incarceration (OR=2.20 ; 95% Cl=1.06,4.58) were independently associated with a reported lifetime diagnosis of TB. Conclusions. Mobility and migration are important factors in identifying and treating TB patients diagnosed in the US-Mexico border region. Strengthening capacity on both sides of the border to identify, monitor, and treat TB is a priority.
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