Risk Factors for Active Tuberculosis Disease in Kansas from 2004 through 2013
Methods: Data were extracted from the Kansas TB Surveillance database from 2004 to 2013. Log-linear Poisson regression analysis was conducted to assess the differences in TB rates among factors. TB rates among foreign-born persons were also calculated and stratified by world region of origin.
Results: Among the 544 TB cases reported from 2004 to 2013, 63% (n=343) were foreign-born. The average incidence of TB cases per 100,000 persons were 1.2 and 16.2 for US- and foreign-born populations (p<0.0001); 1.4, 6.8, and 22.6 for Caucasian, African-American and Asian-American, respectively (p<0.0001); 6.3 and 1.5 for Hispanic and non-Hispanic, respectively (p<0.0001). Age and gender were not associated with the incidence of TB. Foreign-born TB cases were most likely to be persons diagnosed in the first five years of Kansas residence originating from Asia (35%) or Africa (7%).
Conclusion: Significant disparities in the incidence of TB exist among US- and foreign-born populations, racial groups, and by ethnicity. Among the foreign-born cases, more than one-third of cases originated from Asia.
Learning Areas:Communication and informatics
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences
Describe the risk factors associated with tuberculosis disease in Kansas from 2004-2013 based on the factors including age, gender, race, ethnicity and US-born vs foreign-born population? Compare the differences in tuberculosis rates between US-born and foreign-born populations in Kansas from 2004-2013? Identify the high risk groups for active tuberculosis among the foreign born population in Kansas from 2004-2013?
Keyword(s): Epidemiology, Health Disparities/Inequities
Qualified on the content I am responsible for because: I am being a part of designing, developing and evaluating various epidemiological studies and infectious disease outbreak investigation as of graduate research assistant. I hold a MD degree and currently am a graduate student of Master's of Public Health degree program at the University of Kansas School of Medicine-Wichita. My current research focus on examining the health disparities exists in various infectious diseases including tuberculosis, HIV/AIDS, rabies, Influenza A and cancer among Kansas population.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.