Tuberculosis Risk Factors in Adults in King County, Washington, 1988 Through 1990

Overview

Journal Am J Public Health

Specialty Public Health

Date 1994 Nov 1

PMID 7977912

Citations 38

Authors

S E Buskin

J L Gale

N S Weiss

C M Nolan

Affiliations

Soon will be listed here.

Abstract

Objectives: Tuberculosis has become a resurgent public health problem in the United States. Because resources are limited, control programs frequently must target populations at greatest risk. The purpose of the study was to examine risk factors for tuberculosis in adults.

Methods: In King County, Washington State, from 1988 through 1990, the characteristics of patients with tuberculosis were compared with census data, and a case-control study was conducted. Self-administered questionnaires were completed by 151 patients with active tuberculosis and 545 control subjects.

Results: Infection with the human immunodeficiency virus, non-White race/ethnicity, and foreign birthplace were each associated with a sixfold or greater increase in risk. Each of the following was associated with at least a doubled risk: history of selected underlying medical conditions; low weight for height; low socioeconomic status; and age 70 years or older. Men had 1.9 times the risk of women, smokers of 20 years' or more duration had 2.6 times the risk of nonsmokers, and heavy alcohol consumers had 2.0 times the risk of nondrinkers.

Conclusions: Intervention targeting easily identified groups may be an effective way to reduce the incidence of tuberculosis.

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References

Rieder H, Cauthen G, Kelly G, Bloch A, Snider Jr D . Tuberculosis in the United States. JAMA. 1989; 262(3):385-9. View

Schieffelbein Jr C, Snider Jr D . Tuberculosis control among homeless populations. Arch Intern Med. 1988; 148(8):1843-6. View

Boman K . Tuberculosis occurring after gastrectomy. Acta Chir Scand. 1956; 110(6):451-7. View

Yu G, Hsieh C, Peng J . Risk factors associated with the prevalence of pulmonary tuberculosis among sanitary workers in Shanghai. Tubercle. 1988; 69(2):105-12. DOI: 10.1016/0041-3879(88)90072-4. View

Rose R . Immunology of the lung in HIV infection: the pathophysiologic basis for the development of tuberculosis in the AIDS setting. Bull Int Union Tuberc Lung Dis. 1991; 66(1):15-20. View

STEIGER Z, NICKEL W, SHANNON G, NEDWICKI E, Higgins R . Pulmonary tuberculosis after gastric resection. Am J Surg. 1976; 131(6):668-71. DOI: 10.1016/0002-9610(76)90174-4. View

Nolan C, Teklu B, Wu R . The use of sputum cultures in the evaluation of immigrants classified as tuberculosis suspects. Am Rev Respir Dis. 1989; 140(4):996-1000. DOI: 10.1164/ajrccm/140.4.996. View

Nolan C, Aitken M, Elarth A, Anderson K, Miller W . Active tuberculosis after isoniazid chemoprophylaxis of Southeast Asian refugees. Am Rev Respir Dis. 1986; 133(3):431-6. DOI: 10.1164/arrd.1986.133.3.431. View

Comstock G, Palmer C . Long-term results of BCG vaccination in the southern United States. Am Rev Respir Dis. 1966; 93(2):171-83. DOI: 10.1164/arrd.1966.93.2.171. View

10.

Krause U . Late prognosis after partial gastrectomy for ulcer; a follow-up study of 361 patients operated upon from 1905 to 1933. Acta Chir Scand. 1958; 114(5):341-54. View

11.

Hanngren A, Reizenstein P . Studies in dumping syndrome. V. Tuberculosis in gastrectomized patients. Am J Dig Dis. 1969; 14(10):700-10. DOI: 10.1007/BF02233576. View

12.

Weber D, Rutala W, Samsa G, Sarubbi Jr F, King L . Epidemiology of tuberculosis in North Carolina, 1966 to 1986: analysis of demographic features, geographic variation, AIDS, migrant workers, and site of infection. South Med J. 1989; 82(10):1204-14. DOI: 10.1097/00007611-198910000-00003. View

13.

Heckbert S, Elarth A, Nolan C . The impact of human immunodeficiency virus infection on tuberculosis in young men in Seattle-King County, Washington. Chest. 1992; 102(2):433-7. DOI: 10.1378/chest.102.2.433. View

14.

HOLMBOE A, Nissen-Meyer S . [Gastroduodenal ulcer and pulmonary tuberculosis]. Nord Med. 1957; 57(16):575-8. View

15.

MacGregor R . Alcohol and immune defense. JAMA. 1986; 256(11):1474-9. View

16.

Stead W, DUTT A . Tuberculosis in the elderly. Semin Respir Infect. 1989; 4(3):189-97. View

17.

LAURENZI G, GUARNERI J . Effects of bacteria and viruses on ciliated epithelium. A study of the mechanisms of pulmonary resistance to infection: the relationship of bacterial clearance to ciliary and alveolar macrophage function. Am Rev Respir Dis. 1966; 93(3):Suppl:134-41. DOI: 10.1164/arrd.1966.93.3P2.134. View

18.

Edwards L, LIVESAY V, Acquaviva F, Palmer C . Height, weight, tuberculous infection, and tuberculous disease. Arch Environ Health. 1971; 22(1):106-12. DOI: 10.1080/00039896.1971.10665820. View

19.

Lowe C . An association between smoking and respiratory tuberculosis. Br Med J. 1956; 2(5001):1081-6. PMC: 2035839. DOI: 10.1136/bmj.2.5001.1081. View

20.

Stead W . Genetics and resistance to tuberculosis. Could resistance be enhanced by genetic engineering?. Ann Intern Med. 1992; 116(11):937-41. DOI: 10.7326/0003-4819-116-11-937. View