Influences of cross-border mobility on tuberculosis diagnoses and treatment interruption among injection drug users in Tijuana, Mexico.

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 reg...

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Publicado en:American Journal of Public Health Vol. 99; no. 8; pp. 1491 - 1496
Autores principales: Deiss R, Garfein RS, Lozada R, Burgos JL, Brouwer KC, Moser KS, Zuniga ML, Rodwell TC, Ojeda VD, Strathdee SA
Formato: research tables/charts Journal Article
Publicado: American Public Health Association Aug2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2009
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      pub: American Public Health Association
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        atl: Influences of cross-border mobility on tuberculosis diagnoses and treatment interruption among injection drug users in Tijuana, Mexico.
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          Deiss R
          Garfein RS
          Lozada R
          Burgos JL
          Brouwer KC
          Moser KS
          Zuniga ML
          Rodwell TC
          Ojeda VD
          Strathdee SA
        affil: Department of Family and Preventive Medicine, Division of International Health and Cross-Cultural Medicine, School of Medicine, University of California, San Diego, USA.
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        subj:
          Antitubercular Agents Therapeutic Use
          Emigration and Immigration Mexico
          Patient Compliance
          Residential Mobility
          Tuberculosis Diagnosis
          Adult
          Confidence Intervals
          Correlational Studies
          Cross Sectional Studies
          Descriptive Statistics
          Female
          Funding Source
          Human
          Undocumented Immigrants
          International Relations
          Persons Who Use Intravenous Drugs
          Male
          Mexico
          Odds Ratio
          Prevalence
          Prisoners
          Prospective Studies
          Residence Characteristics
          Skin Tests United States
          United States
          Adult: 19-44 years
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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