Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.
Am J Public Health. 2011 Jan;101(1):101-11. doi: 10.2105/AJPH.2009.175331. Epub 2010 Mar 18.
We examined demographic, clinical, and treatment outcome characteristics of Filipinos with tuberculosis (TB) in the United States.
We calculated TB case rates from US Census Bureau population estimates and National Tuberculosis Surveillance System data for US-born non-Hispanic Whites and for US residents born in the Philippines, India, China, Cambodia, Vietnam, Pakistan, and Korea--countries that are major contributors to the TB burden in the United States. We compared Filipinos with the other groups through univariate and multivariate analyses.
Of 45,504 TB patients, 15.5% were Filipinos; 43.0% were other Asian/Pacific Islander groups; and 41.6% were Whites. Per 100 000 persons in 2007, the TB rate was 73.5 among Cambodians, 54.0 among Vietnamese, 52.1 among Filipinos, and 0.9 among Whites. Filipinos were more likely than other groups to be employed as health care workers and to have used private health care providers but less likely to be HIV positive and to be offered HIV testing.
The relatively high TB rate among Filipinos indicates that TB control strategies should target this population. Providers should be encouraged to offer HIV testing to all TB patients.
我们研究了美国菲律宾裔结核病（TB）患者的人口统计学、临床和治疗结果特征。
我们根据美国人口普查局的人口估计数和国家结核病监测系统的数据，计算了美国出生的非西班牙裔白人和出生于菲律宾、印度、中国、柬埔寨、越南、巴基斯坦和韩国的美国居民的结核病发病率 - 这些国家是美国结核病负担的主要贡献者。我们通过单变量和多变量分析比较了菲律宾人与其他群体。
在 45504 名结核病患者中，15.5%是菲律宾人；43.0%是其他亚洲/太平洋岛民群体；41.6%是白人。2007 年每 100000 人中，柬埔寨人为 73.5，越南人为 54.0，菲律宾人为 52.1，白人为 0.9。与其他群体相比，菲律宾人更有可能从事医疗保健工作，并使用私人医疗保健提供者，但不太可能感染 HIV，也不太可能接受 HIV 检测。
菲律宾人相对较高的结核病发病率表明，结核病控制策略应针对这一人群。应鼓励提供者向所有结核病患者提供 HIV 检测。
