PREVALENCE OF HUMAN IMMUNODEFICIENCY VIRUS AMONG REPORTED TUBERCULOSIS CASES, TEXAS 2000-2010 Público
Pezzi, Kathryn Clelia (2012)
Abstract
The objective of this analysis was to understand the association
between residence in U.S.-Mexico
border region of Texas and TB and HIV coinfection. Globally, human
immunodeficiency virus (HIV)
is the leading contributor to the tuberculosis (TB) epidemic. In
the United States the TB epidemic
disproportionately affects foreign born; Mexican-born were the
largest proportion of foreign born
TB cases in 2010. The border region between the United States and
Mexico is a socially and
demographically unique region of the country with many potential
risk factors for TB and HIV. This
analysis used Texas statewide TB surveillance data from 2000
through 2010. Multivariable logistic
regression was used to test the association between border
residence and TB and HIV coinfection
while controlling for a number of sociodemographic risk factors. Of
11,282 TB cases, 14.22% were
infected with HIV at the time of TB reporting. TB cases reported in
the Texas border region were
significantly less likely to have concurrent HIV infection. Males,
African Americans, injection and
non-injection drug users, unemployed persons, and people age 30-49
are more likely to have
concurrent TB and HIV infections. The large proportion of reported
TB cases with unknown HIV
status in Texas indicates that HIV screening in TB patients could
be improved, and ongoing efforts
to reduce TB and HIV coinfection in the border region should be
continued, supported, and
expanded.
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