ArticlePloS one2016
Abrupt Decline in Tuberculosis among Foreign-Born Persons in the United States.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Assessing the association between elements of health inequalities and the risk of bacterial infection in high-income countries: a systematic scoping review.Access microbiology · 2026Review
- Multidrug-Resistant Tuberculosis in U.S.-Bound Immigrants and Refugees.Annals of the American Thoracic Society · 2022Article
- Minnesota refugees diagnosed with tuberculosis disease, January 1993-August 2019.BMC infectious diseases · 2022Article
- TB risk by time since U.S. entry among non-U.S.-born residents of Washington State, USA.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021Article
- Cost effectiveness analysis of implementing tuberculosis screening among applicants for non-immigrant U.S. work visas.Pneumonia (Nathan Qld.) · 2020Article
- Article
- Tuberculosis in Canada and the United States: a review of trends from 1953 to 2015.Canadian journal of public health = Revue canadienne de sante publique · 2019Review
- Changes in tuberculosis epidemiology, United States, 1993-2017.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2019Article
- Economic analysis of CDC's culture- and smear-based tuberculosis instructions for Filipino immigrants.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2018Article
- Comparing Drivers and Dynamics of Tuberculosis in California, Florida, New York, and Texas.American journal of respiratory and critical care medicine · 2017Article
- Current and future trends in tuberculosis incidence in New York City: a dynamic modelling analysis.The Lancet. Public health · 2017Article
- Tuberculosis in Enclosed Populations.Microbiology spectrum · 2017Review
- Resistance to First-Line Antituberculosis Drugs in Washington State by Region of Birth and Implications for Latent Tuberculosis Treatment Among Foreign-Born Individuals.The American journal of tropical medicine and hygiene · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While the number of reported tuberculosis (TB) cases in the United States has declined over the past two decades, TB morbidity among foreign-born persons has remained persistently elevated. A recent unexpected decline in reported TB cases among foreign-born persons beginning in 2007 provided an opportunity to examine contributing factors and inform future TB control strategies. We investigated the relative influence of three factors on the decline: 1) changes in the size of the foreign-born population through immigration and emigration, 2) changes in distribution of country of origin among foreign-born persons, and 3) changes in the TB case rates among foreign-born subpopulations. Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined TB case counts, TB case rates, and population estimates, stratified by years since U.S. entry and country of origin. Regression modeling was used to assess statistically significant changes in trend. Among foreign-born recent entrants (<3 years since U.S. entry), we found a 39.5% decline (-1,013 cases) beginning in 2007 (P<0.05 compared to 2000-2007) and ending in 2011 (P<0.05 compared to 2011-2014). Among recent entrants from Mexico, 80.7% of the decline was attributable to a decrease in population, while the declines among recent entrants from the Philippines, India, Vietnam, and China were almost exclusively (95.5%-100%) the result of decreases in TB case rates. Among foreign-born non-recent entrants (≥3 years since U.S. entry), we found an 8.9% decline (-443 cases) that resulted entirely (100%) from a decrease in the TB case rate. Both recent and non-recent entrants contributed to the decline in TB cases; factors contributing to the decline among recent entrants varied by country of origin. Strategies that impact both recent and non-recent entrants (e.g., investment in overseas TB control) as well as those that focus on non-recent entrants (e.g., expanded targeted testing of high-risk subgroups among non-recent entrants) will be necessary to achieve further declines in TB morbidity among foreign-born persons.
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