Summary
Diabetes increases the risk of tuberculosis. Authors sought to identify populations of persons with diabetes in California at further increased risk for tuberculosis to target tuberculosis infection screening and treatment efforts using a retrospective population-based analysis of adult (aged =18 years) tuberculosis cases reported in California during 2010-2012. Tuberculosis cases with and without diabetes were grouped into regions of birth and stratified by age category. Population estimates were calculated using 2011-2012 California Health Interview Survey data.
Authors found during 2010-2012, among 6,050 adults with active tuberculosis in California, 82 percent were foreign-born and 24 percent had diabetes. The rate among foreign-born persons with diabetes (141.5/100,000) was almost 12 times greater than among nonforeign-born persons with diabetes (12.0/100,000). Focusing tuberculosis infection screening and treatment efforts on foreign-born persons with diabetes may be a feasible and efficient way to make progress toward tuberculosis elimination in California.
Publication Authors:
- Sarah Ellen Demlow
- et al