一项针对在美国与墨西哥接壤各州出生的外国裔西班牙裔人群的结核病研究。
A study of tuberculosis among foreign-born Hispanic persons in the U.S. States bordering Mexico.
作者信息
Wells C D, Ocaña M, Moser K, Bergmire-Sweat D, Mohle-Boetani J C, Binkin N J
机构信息
Division of Tuberculosis Elimination, National Center for HIV/AIDS, Sexually Transmitted Diseases, and Tuberculosis Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
出版信息
Am J Respir Crit Care Med. 1999 Mar;159(3):834-7. doi: 10.1164/ajrccm.159.3.9712122.
In 1996, 10% of the 20,973 U.S. tuberculosis (TB) cases were among foreign-born (FB) Hispanic persons, with the four states bordering Mexico accounting for 83% of FBH cases. Limited information is available on this population's health care seeking and migration practices and on differences between FB Hispanic patients in border and nonborder areas. Therefore, we conducted interviews and record reviews for all consenting FB Hispanic TB patients from eight counties bordering Mexico (BC; n = 167) and seven urban nonborder counties (NBC; n = 158) in these States during 1995-1997. BC patients had resided in the U.S. longer than NBC patients (17.4 versus 10.8 yr; p < 0.01), had immigrated more often from Mexican border communities (62.4% versus 25.4%; p < 0.01), and had returned to Mexico more often in the past 12 mo (71.5% versus 47.3%; p < 0. 01). TB symptoms were present for >/= 6 mo in 37% of BC and 34% of NBC patients. Binational collaboration is essential for improving TB control in both countries and should extend beyond border areas of Mexico.
1996年，在美国20973例结核病病例中，10%为出生于国外的西班牙裔人，与墨西哥接壤的四个州的此类病例占出生于国外的西班牙裔人病例的83%。关于这一人群寻求医疗保健和移民行为以及边境地区和非边境地区出生于国外的西班牙裔患者之间差异的信息有限。因此，我们在1995 - 1997年期间，对来自这些州与墨西哥接壤的八个县（边境县；n = 167）和七个非边境城市县（非边境县；n = 158）的所有同意参与的出生于国外的西班牙裔结核病患者进行了访谈并查阅了记录。边境县患者在美国居住的时间比非边境县患者长（17.4年对10.8年；p < 0.01），更多地从墨西哥边境社区移民而来（62.4%对25.4%；p < 0.01），并且在过去12个月中更频繁地返回墨西哥（71.5%对47.3%；p < 0.01）。37%的边境县患者和34%的非边境县患者结核病症状出现≥6个月。双边合作对于改善两国的结核病控制至关重要，而且应该超越墨西哥的边境地区。
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