Multidrug-resistant tuberculosis among patients in Baja California, Mexico, and hispanic patients in California

I. Bojorquez-Chapela, R.F.W. Barnes, J. Flood, H. López-Gatell, R.S. Garfein, C.E. Bäcker, C. Alpuche, J.M. Vinetz, A. Catanzaro, M. Kato-Maeda and T.C. Rodwell

American Journal of Public Health, 2013, vol. 103, issue 7, 1301-1305

Abstract: Objectives. We sought to compare prevalence and determinants of multidrugresistant tuberculosis (MDR-TB) between tuberculosis patients in Baja California, Mexico, and Hispanic patients in California. Methods. Using data from Mexico's National TB Drug Resistance Survey (2008-2009) and California Department of Public Health TB case registry (2004-2009), we assessed differences in MDR-TB prevalence comparing (1) Mexicans in Baja California, (2) Mexico-born Hispanics in California, (3) US-born Hispanics in California, and (4) California Hispanics born elsewhere. Results. MDR-TB prevalence was 2.1% in Baja California patients, 1.6% in Mexico-born California patients, 0.4% in US-born California patients, and 2.7% in Hispanic California patients born elsewhere. In multivariate analysis, previous antituberculosis treatment was associated with MDR-TB (odds ratio [OR] = 6.57; 95% confidence interval [CI] = 3.34, 12.96); Mexico-born TB patients in California (OR = 5.08; 95% CI = 1.19, 21.75) and those born elsewhere (OR = 7.69; 95% CI = 1.71, 34.67) had greater odds of MDR-TB compared with US-born patients (reference category). Conclusions. Hispanic patients born outside the US or Mexico were more likely to have MDR-TB than were those born within these countries. Possible explanations include different levels of exposure to resistant strains and inadequate treatment. Copyright © 2012 by the American Public Health Association®.

Keywords: tuberculostatic agent, adult; article; comparative study; ethnology; female; health survey; Hispanic; human; male; Mexico; middle aged; multidrug resistant tuberculosis; Mycobacterium tuberculosis; prevalence; register; risk; risk factor; statistical model; United States, Adult; Antitubercular Agents; California; Female; Health Surveys; Hispanic Americans; Humans; Logistic Models; Male; Mexico; Middle Aged; Mycobacterium tuberculosis; Odds Ratio; Prevalence; Registries; Risk Factors; Tuberculosis, Multidrug-Resistant; Young Adult (search for similar items in EconPapers)
Date: 2013
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2012.301039

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301039_8

DOI: 10.2105/AJPH.2012.301039

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().