Racial and Ethnic Disaggregation of Tuberculosis Incidence and Risk Factors Among American Indian and Alaska Native Persons—United States, 2001–2020.
Objectives. To examine impacts of racial and ethnic disaggregation on the characterization of tuberculosis (TB) epidemiology among American Indian and Alaska Native (AI/AN) persons in the United States. Methods. Using data reported to the National Tuberculosis Surveillance System during 2001 to 2020...
| Publicado en: | American Journal of Public Health Vol. 114; no. 2; pp. 226 - 237 |
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| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175356715&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 175356715 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Feb2024 vid: 114 iid: 2 pid: 44 pub: American Public Health Association artinfo: ui: 175356715 10.2105/AJPH.2023.307498 ppf: 226 ppct: 11 formats: tig: atl: Racial and Ethnic Disaggregation of Tuberculosis Incidence and Risk Factors Among American Indian and Alaska Native Persons—United States, 2001–2020. aug: au: Springer, Yuri P. Filardo, Thomas D. Woodruff, Rachel S. Self, Julie L. su: United States Racism Psychology of Native Americans Homelessness Death Tuberculosis epidemiology Tuberculosis risk factors HIV infections Alaska Natives sug: subj: Racism Psychology of Native Americans Homelessness Death United States Tuberculosis epidemiology Tuberculosis risk factors HIV infections Alaska Natives ab: Objectives. To examine impacts of racial and ethnic disaggregation on the characterization of tuberculosis (TB) epidemiology among American Indian and Alaska Native (AI/AN) persons in the United States. Methods. Using data reported to the National Tuberculosis Surveillance System during 2001 to 2020, we compared annual age-adjusted TB incidence and the frequency of TB risk factors among 3 AI/AN analytic groups: non-Hispanic AI/AN alone persons, multiracial/Hispanic AI/AN persons, and all AI/AN persons (aggregate of the first 2 groups). Results. During 2009 to 2020, annual TB incidence (cases per 100 000 persons) among non-Hispanic AI/AN alone persons (range = 3.87–8.56) was on average 1.9 times higher than among all AI/AN persons (range = 1.89–4.70). Compared with non-Hispanic AI/AN alone patients with TB, multiracial/Hispanic AI/AN patients were significantly more likely to be HIV positive (prevalence ratio [PR] = 2.05) and to have been diagnosed while a resident of a correctional facility (PR = 1.71), and significantly less likely to have experienced homelessness (PR = 0.53) or died during TB treatment (PR = 0.47). Conclusions. Racial and ethnic disaggregation revealed significant differences in TB epidemiology among AI/AN analytic groups. Exclusion of multiracial/Hispanic AI/AN persons from AI/AN analytic groups can substantively affect estimates of racial and ethnic health disparities. (Am J Public Health. 2024;114(2):226–236. https://doi.org/10.2105/AJPH.2023.307498) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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