Journal of Immigrant and Minority Health
Volume 21, Issue 6, 2019, Pages 1300-1305

Higher Rates of Tuberculosis Among Class B1 Filipino Immigrants to Hawaii Compared to Nationwide, 2010–2014 (Article)

Schmit K.M.* , Brostrom R. , Largen A. , Pyan A. , Wang Z. , Mase S. , Morris S.
  • a National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Surveillance, Epidemiology, and Outbreak Investigations Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Field Services Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • b National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Field Services Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States, Hawaii TB Program, Hawaii State Department of Health, Honolulu, HI, United States
  • c Hawaii TB Program, Hawaii State Department of Health, Honolulu, HI, United States
  • d Hawaii TB Program, Hawaii State Department of Health, Honolulu, HI, United States
  • e National Center for Emerging and Zoonotic Infectious Diseases, Division of Global Migration and Quarantine, Immigrant, Refugee and Migrant Health Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • f National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Field Services Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States, World Health Organization – Country Office for India, New Delhi, India
  • g National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Field Services Branch, Centers for Disease Control and Prevention, Atlanta, GA, United States

Abstract

Background: Immigrants to the United States from countries with a high burden of tuberculosis (TB) who have abnormal chest radiographs but negative sputum cultures during pre-immigration screening (TB Class B1) have a high risk of being diagnosed with TB disease within 1 year of arrival. Methods: Using 2010–2014 national surveillance data, we compared proportions of Class B1 Filipino immigrants who received a diagnosis of TB disease within 1 year of arrival to Hawaii to proportions in other U.S. states (not including Hawaii) using chi-squared tests. Results: In Hawaii, 40/1190 (3.4%) of Class B1 Filipino immigrants to Hawaii received a diagnosis of TB disease within 1 year of arrival compared with 220/16,035 (1.4%) nationwide (P <.01). Conclusions: During 2010–2014, the percentage of recent Class B1 Filipino immigrants in Hawaii with TB disease diagnosed within 1 year of arrival was over twice that as nationwide. © 2019, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

Author Keywords

Hawaii Screening tuberculosis Immigration Philippines

Index Keywords

[No Keywords available]

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062595446&doi=10.1007%2fs10903-019-00855-z&partnerID=40&md5=5e05851bf43da005228a443f73f1cef9

DOI: 10.1007/s10903-019-00855-z
ISSN: 15571912
Original Language: English