Journal of Immigrant and Minority Health
Volume 21, Issue 6, 2019, Pages 1275-1281

Prevalence of Tuberculosis Disease Among Adult US-Bound Refugees with Chronic Kidney Disease (Article)

Bardenheier B.H.* , Pavkov M.E. , Winston C.A. , Klosovsky A. , Yen C. , Benoit S. , Gravenstein S. , Posey D.L. , Phares C.R.
  • a Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-03, Atlanta, GA 30333, United States
  • b Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-03, Atlanta, GA 30333, United States
  • c Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-03, Atlanta, GA 30333, United States
  • d International Organization for MigrationWA, United States
  • e International Organization for MigrationWA, United States
  • f Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-03, Atlanta, GA 30333, United States
  • g Brown University, Providence, RI, United States
  • h Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-03, Atlanta, GA 30333, United States
  • i Centers for Disease Control and Prevention, 1600 Clifton Rd, NE MS E-03, Atlanta, GA 30333, United States

Abstract

The association between chronic kidney disease (CKD) and tuberculosis disease (TB) has been recognized for decades. Recently CKD prevalence is increasing in low- to middle-income countries with high TB burden. Using data from the required overseas medical exam and the recommended US follow-up exam for 444,356 US-bound refugees aged ≥ 18 during 2009–2017, we ran Poisson regression to assess the prevalence of TB among refugees with and without CKD, controlling for sex, age, diabetes, tobacco use, body mass index (kg/m2), prior residence in camp or non-camp setting, and region of birth country. Of the 1117 (0.3%) with CKD, 21 (1.9%) had TB disease; of the 443,239 who did not have CKD, 3380 (0.8%) had TB. In adjusted analyses, TB was significantly higher among those with than without CKD (prevalence ratio 1.93, 95% CI: 1.26, 2.98, p < 0.01). Healthcare providers attending to refugees need to be aware of this association. © 2019, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

Author Keywords

Refugees Chronic kidney disease tuberculosis

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059696698&doi=10.1007%2fs10903-018-00852-8&partnerID=40&md5=b635a8555d39a045a7e037bddf1a351f
DOI: 10.1007/s10903-018-00852-8
ISSN: 15571912
Original Language: English