Abstract:
OBJECTIVES:We explored an innovative strategy for targeted testing and disease management among immigrant communities at risk for tuberculosis. METHODS:Taxi drivers were recruited at an airport holding lot to undergo tuberculin skin testing (Mantoux). After receiving their test results in a location convenient for them, drivers with positive results were referred for evaluation and treatment. We conducted baseline and follow-up assessments. RESULTS:Of 123 drivers who participated, two thirds (82) were at high risk for tuberculosis. Seventy-eight (63%) of the 123 returned for test readings; 62% of these drivers had positive test results. All drivers with positive results received a complete physician evaluation, but 64% of those evaluated were not treated for latent TB infection. Of the untreated drivers, 37.5% were at high risk. Systemic and physician barriers (e.g., lack of knowledge, erroneous beliefs regarding vaccines) affected adherence to evaluation and treatment. CONCLUSIONS:Targeted testing and treatment are important to the control of tuberculosis. The results of this study highlight the need for an aggressive physician educational campaign to identify latent tuberculosis infection and to tailor service delivery to meet the unique needs of foreign-born communities.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Gany FM,Trinh-Shevrin C,Changrani Jdoi
10.2105/AJPH.2003.019620subject
Has Abstractpub_date
2005-01-01 00:00:00pages
117-9issue
1eissn
0090-0036issn
1541-0048pii
95/1/117journal_volume
95pub_type
杂志文章abstract::A deeper understanding of how structure and environment shape the sexual and reproductive health vulnerabilities of youths across a range of outcomes has implications for the development of successful policies and programs. We have discussed some of the key structural and environmental factors that influence the sexua...
journal_title:American journal of public health
pub_type: 杂志文章,评审
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更新日期:2006-10-01 00:00:00
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更新日期:2012-03-01 00:00:00
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更新日期:2015-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-06-01 00:00:00
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更新日期:1982-12-01 00:00:00
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更新日期:2018-11-01 00:00:00
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journal_title:American journal of public health
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更新日期:2019-07-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1994-12-01 00:00:00
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pub_type: 历史文章,杂志文章,评审
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更新日期:2016-04-01 00:00:00