ArticleAnnals of epidemiology2017
Individual- and neighborhood-level contextual factors are associated with Mycobacterium tuberculosis transmission: genotypic clustering of cases in Michigan, 2004-2012.
Article in Annals of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A eureka moment - using coalface data for discovery on TB disease and financial relief.IJTLD open · 2026Article
- State variation in neighborhood COVID-19 burden across the United States.Communications medicine · 2024Article
- Determining the risk-factors for molecular clustering of drug-resistant tuberculosis in South Africa.BMC public health · 2023Article
- Making the invisible visible: the current face of tuberculosis in Detroit, Michigan, USA.Cities & health · 2022Article
- Risk factors associated with mortality of COVID-19 in 3125 counties of the United States.Infectious diseases of poverty · 2021Article
- The impact of HIV infection on tuberculosis transmission in a country with low tuberculosis incidence: a national retrospective study using molecular epidemiology.BMC medicine · 2020Article
- Understanding the intersection of race and place: the case of tuberculosis in Michigan.BMC public health · 2019Article
- Contextualizing tuberculosis risk in time and space: comparing time-restricted genotypic case clusters and geospatial clusters to evaluate the relative contribution of recent transmission to incidence of TB using nine years of case data from Michigan, USA.Annals of epidemiology · 2019Article
- Contemporary Social Disparities in TB Infection and Disease in the USA: a Review.Current epidemiology reports · 2018Article
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Authors and funding
6 authors.
Funding
Abstract
purposeUsing genotyping data of Mycobacterium tuberculosis isolates from new cases reported to the tuberculosis (TB) surveillance program, we evaluated risk factors for recent TB transmission at both the individual- and neighborhood- levels among U.S.-born and foreign-born populations.
methodsTB cases (N = 1236) reported in Michigan during 2004 to 2012 were analyzed using multivariable Poisson regression models to examine risk factors for recent transmission cross-sectionally for U.S.-born and foreign-born populations separately. Recent transmission was defined based on spoligotype and 12-locus-mycobacterial interspersed repetitive unit-variable number tandem repeat typing matches of bacteria from cases that were diagnosed within 1 year of each other. Four classes of predictor variables were examined: demographic factors, known TB risk factors, clinical characteristics, and neighborhood-level factors.
resultsOverall, 22% of the foreign-born cases resulted from recent transmission. Among the foreign-born, race and being a contact of an infectious TB case were significant predictors of recent transmission. More than half (52%) of U.S.-born cases resulted from recent transmission. Among the U.S.-born, recent transmission was predicted by both individual- and neighborhood-level sociodemographic characteristics.
conclusionsInterventions aimed at reducing TB incidence among foreign-born should focus on reducing reactivation of latent infection. However, reducing TB incidence among the U.S.-born will require decreasing transmission among socially disadvantaged groups at the individual- and neighborhood- levels. This report fills an important knowledge gap regarding the contemporary social context of TB in the United States, thereby providing a foundation for future studies of public health policies that can lead to the development of more targeted, effective TB control.
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