Abstract:
OBJECTIVES:We sought to identify correlates of reported lifetime diagnoses of TB among injection drug users in the border city of Tijuana, Mexico. METHODS:Injection drug users in Tijuana were recruited into a prospective cohort study during 2006 and 2007. We used weighted multivariate logistic regression to identify correlates of TB diagnoses. RESULTS:Of the 1056 participants, 103 (9.8%) reported a history of TB, among whom 93% received anti-TB medication and 80% were diagnosed in the United States. Treatment was prematurely halted among 8% of patients; deportation from the United States was the cause of half of these treatment interruptions. History of travel to (odds ratio [OR] = 6.44; 95% confidence interval [CI] = 1.53, 27.20) or deportation from (OR = 1.83; 95% CI = 1.07, 3.12) the United States and incarceration (OR = 2.20; 95% CI = 1.06, 4.58) were independently associated with a reported lifetime diagnosis of TB. CONCLUSIONS:Mobility and migration are important factors in identifying and treating TB patients diagnosed in the US-Mexico border region. Strengthening capacity on both sides of the border to identify, monitor, and treat TB is a priority.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Deiss R,Garfein RS,Lozada R,Burgos JL,Brouwer KC,Moser KS,Zuniga ML,Rodwell TC,Ojeda VD,Strathdee SAdoi
10.2105/AJPH.2008.142166subject
Has Abstractpub_date
2009-08-01 00:00:00pages
1491-5issue
8eissn
0090-0036issn
1541-0048pii
AJPH.2008.142166journal_volume
99pub_type
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