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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 informaticsEpidemiology
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences
Learning Objectives:
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.