Epidemiology and Infection
Volume 134, Issue 6, 2006, Pages 1353-1359

Impact of immigration and HIV infection on tuberculosis incidence in an area of low tuberculosis prevalence (Article)

Baussano I.* , Bugiani M. , Gregori D. , Pasqualini C. , Demicheli V. , Merletti F.
  • a Cancer Epidemiology Unit, CPO Piemonte, University of Turin, Via Santena 7, 10126 Turin, Italy
  • b Tuberculosis Prevention Service, Local Health Unit 4, Turin, Italy
  • c Department of Public Health and Microbiology, University of Turin, Via Santena 7, 10126 Torino, Italy
  • d Epidemiology Unit, Local Health Unit 20, Alessandria, Italy
  • e Epidemiology Unit, Local Health Unit 20, Alessandria, Italy
  • f Cancer Epidemiology Unit, CPO Piemonte, University of Turin, Via Santena 7, 10126 Turin, Italy

Abstract

The aim of this study is to assess the effects of immigration from countries with a high prevalence of tuberculosis (HPCs), of HIV/AIDS prevalence, and the ageing of the indigenous population, on tuberculosis distribution in a low-prevalence area (LPCs), the Piedmont Region of Italy. Tuberculosis incidence and HIV cases were identified by linking records from the surveillance systems. Overall, 640 tuberculosis cases were identified and crude annual incidence was found to be 17·3/100000. The incidence rate ratio for HIV infection as a risk factor for tuberculosis (11·4 and 51·9 among individuals from HPCs and LPCs respectively) was greater than that for immigration from HPCs (6·7 and 30·9 among HIV + and HIV - individuals). Immigration accounted for a larger number of incident cases [population attributable risk % (PAR %): 31·8 and 52·8% among HIV + and HIV - individual] than did HIV infection (PAR %: 5.4 and 11·1% among individuals from HPCs and LPCs). Efforts should be made to identify and treat young immigrants from HPCs. © 2006 Cambridge University Press.

Author Keywords

[No Keywords available]

Index Keywords

medical record review HIV Infections Human immunodeficiency virus infection indigenous people Population Surveillance human immigration risk assessment AIDS-Related Opportunistic Infections controlled study geographic distribution disease surveillance Humans Adolescent male female tuberculosis risk factor geographic origin Risk Factors population research prevalence Incidence Article major clinical study adult infection risk age distribution Emigration and Immigration Italy
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33750322840&doi=10.1017%2fS0950268806006261&partnerID=40&md5=6e9b03342b233a822588011086358cd4
DOI: 10.1017/S0950268806006261
ISSN: 09502688
Cited by: 13
Original Language: English