Evidence map›Paper›PMID 26866439›Full record

ArticleAmerican journal of respiratory and critical care medicine2016

The Prevalence of Latent Tuberculosis Infection in the United States.

James D Mancuso, Jeffrey M Diffenderfer, Bijan J Ghassemieh, David J Horne, Tzu-Cheg Kao

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 100 citations in OpenAlex.

  1. Uncovering Household Tuberculosis Infection Testing and Care Patterns Using a Novel Bioinformatics Linkage Strategy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Review
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  8. Prevalence estimates of tuberculosis infection in adults in Denmark: a retrospective nationwide register-based cross-sectional study, 2010 to 2018.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  9. Patterns of TB transmission in the United States, 2011-2017.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2024
    Article
  10. Article
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  15. Review
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  17. Evaluation of the Latent Tuberculosis Care Cascade Among Public Health Clinics in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  18. Article
  19. Article
  20. Prevalence of Latent Tuberculosis Infection Among Non-US-Born Persons by Country of Birth-United States, 2012-2017.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

James D Mancuso1 Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Jeffrey M Diffenderfer1 Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Bijan J Ghassemieh3 Division of Pulmonary and Critical Care Medicine, Department of Medicine.
David J Horne3 Division of Pulmonary and Critical Care Medicine, Department of Medicine.
Tzu-Cheg Kao1 Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Uniformed Services University of the Health Sciences · USPulmonary and Critical Care Associates · USUniversity of Washington · US

Funding

Tuberculosis Infection and Genetic VariationK23AI085036 · NIAID · UNIVERSITY OF WASHINGTON · PI HORNE, DAVID J. · 2010 to 2014
$638k
NIAID NIH HHS K23 AI085036
6 · The paper itself

Abstract

rationaleIndividuals with latent tuberculosis infection (LTBI) represent a reservoir of infection, many of whom will progress to tuberculosis (TB) disease. A central pillar of TB control in the United States is reducing this reservoir through targeted testing and treatment.

objectivesTo estimate the prevalence of LTBI in the United States using the tuberculin skin test (TST) and an IFN-γ release assay.

methodsWe used nationally representative data from the 2011-2012 National Health and Nutrition Examination Survey (n = 6,083 aged ≥6 yr). LTBI was measured by both the TST and QuantiFERON-TB Gold In-Tube test (QFT-GIT). Weighted population, prevalence, and multiple logistic regression were used. MEASUREMENTS AND MAIN

resultsThe estimated prevalence of LTBI in 2011-2012 was 4.4% as measured by the TST and 4.8% by QFT-GIT, corresponding to 12,398,000 and 13,628,000 individuals, respectively. Prevalence declined slightly since 2000 among the U.S. born but remained constant among the foreign born. Earlier birth cohorts consistently had higher prevalence than more recent ones. Higher risk groups included the foreign born, close contact with a case of TB disease, and certain racial/ethnic groups.

conclusionsAfter years of decline, the prevalence of LTBI remained relatively constant between 2000 and 2011. A large reservoir of 12.4 million still exists, with foreign-born persons representing an increasingly larger proportion of this reservoir (73%). Estimates and risk factors for LTBI were generally similar between the TST and QFT-GIT. The updated estimates of LTBI and associated risk groups can help improve targeted testing and treatment in the United States.

Indexed as

AdolescentAdultAgedAge DistributionAsianBlack or African AmericanChildComorbidityEmigrants and ImmigrantsFemaleHispanic or LatinoHIV InfectionsHumansInterferon-gamma Release TestsLatent TuberculosisLogistic ModelsIFN-γ release testslatent tuberculosisnutrition surveytuberculin testtuberculosis epidemiology

Identifiers

PMID26866439
PMCPMC12057332
OpenAlexW2252667120

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.