1993-2021 年新墨西哥州原住民和移民人口结核病趋势流行病学分析。

IF 3.4 3区 医学 Q2 INFECTIOUS DISEASES International Journal of Tuberculosis and Lung Disease Pub Date : 2024-06-01 DOI:10.5588/ijtld.23.0318
J-M Ramos-Rincon, B Montoya, G Simpson, M Burgos
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引用次数: 0

摘要

目的分析新墨西哥州非美国出生肺结核患者的流行病学、人口统计学、临床、实验室、放射学和治疗结果趋势。设计我们回顾性分析了新墨西哥州肺结核监测系统(1993-2021 年)的肺结核数据,比较了非美国出生患者和美国出生患者之间的变量。非美国出生患者的发病率从 15.3/100,000(1993 年)下降到 7.8/100,000(2021 年)(下降 54.6%),而美国出生患者的发病率从 3.3/100,000(1993 年)下降到 0.5/100,000(2021 年)(下降 84.8%)。大多数非美国出生的患者来自墨西哥(482 人,73.5%)。非美国出生者通常是较年轻的成年人(年龄中位数:54 岁对 61 岁),以男性为主(64.8% 对 59.4%),不太可能过量饮酒和患有肺外结核病。然而,他们更有可能对标准结核病药物产生抗药性(P < 0.01)。非美国出生的患者死亡的可能性较小(7.8% 对 15.4%),但失去随访的可能性较大(P < 0.007)。由卫生部以外的医疗机构提供治疗与未完成治疗有关(OR 0.18,95% CI 0.09-0.35;P < 0.001)。这些结果突出表明,有必要详细了解移民对结核病流行病学的影响,并制定有针对性的干预措施来改善治疗效果。
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An epidemiological analysis of TB trends in native and migrant populations, New Mexico, 1993-2021.

OBJECTIVESTo analyze the epidemiological, demographic, clinical, laboratory, radiographic and treatment outcome trends in non-US-born individuals with TB in New Mexico.DESIGNSWe retrospectively analyzed TB data from New Mexico TB surveillance system from (1993-2021), comparing variables between non-US-born and US-born individuals.RESULTSOf the 1,512 TB cases, 876 (56.5%) were non-US-born and 653 (43.3%) were US-born. The incidence rate among non-US-born patients declined from 15.3/100,000 (1993) to 7.8/100,000 (2021) (54.6% reduction), while among US-born patients it declined from 3.3/100,000 (1993) to 0.5/100,000 (2021) (84.8% reduction). The majority of non-US-born individuals were from Mexico (n = 482, 73.5%). Non-US-born were typically younger adults (median age: 54 vs. 61), predominantly male (64.8% vs. 59.4%), less likely to consume excess alcohol and have extrapulmonary TB. However, they were more likely to exhibit resistance to standard TB drugs (P < 0.01). Non-US-born individuals were less likely to die (7.8% vs. 15.4%), but more likely to be lost to follow-up (P < 0.007). Treatment by providers outside the Department of Health was associated with noncompletion (OR 0.18, 95% CI 0.09-0.35; P < 0.001).CONCLUSIONThese results highlight the need for a detailed understanding of the impact of migration on TB epidemiology and the development of tailored interventions to improve treatment outcomes..

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来源期刊
CiteScore
4.90
自引率
20.00%
发文量
266
审稿时长
2 months
期刊介绍: The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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