Centers for Disease Control and Prevention, Atlanta, GA, USA.
Int J Tuberc Lung Dis. 2011 Aug;15(8):1044-9. doi: 10.5588/ijtld.10.0518.
Factors that influence testing for latent tuberculosis infection (LTBI) among foreign-born persons in Connecticut are not well understood.
To identify predictors for LTBI testing and challenges related to accessing health care among the foreign-born population in Connecticut.
Foreign-born Connecticut residents with confirmed or suspected tuberculosis (TB) disease during June 2005-December 2008 were interviewed regarding health care access and immigration status. Predictors for self-reported testing for LTBI after US entry were determined.
Of 161 foreign-born persons interviewed, 48% experienced TB disease within 5 years after arrival. One third (51/156) reported having undergone post-arrival testing for LTBI. Although those with established health care providers were more likely to have reported testing (aOR 4.49, 95%CI 1.48-13.62), only 43% of such persons were tested. Undocumented persons, the majority of whom lacked a provider (53%), were less likely than documented persons to have reported testing (aOR 0.20, 95%CI 0.06-0.67). Hispanic permanent residents (immigrants and refugees) and visitors (persons admitted temporarily) were more likely than non-Hispanics in the respective groups to have reported testing (OR 5.25, 95%CI 1.51-18.31 and OR 7.08, 95%CI 1.30-38.44, respectively).
The self-reported rate of testing for LTBI among foreign-born persons in Connecticut with confirmed or suspected TB was low and differed significantly by ethnicity and immigration status. Strategies are needed to improve health care access for foreign-born persons and expand testing for LTBI, especially among non-Hispanic and undocumented populations.
康涅狄格州的外国出生人群中，影响潜伏性结核感染（LTBI）检测的因素尚不清楚。
确定康涅狄格州外国出生人群中 LTBI 检测的预测因素和获得医疗保健的相关挑战。
2005 年 6 月至 2008 年 12 月期间，对确诊或疑似结核病（TB）的康涅狄格州外国出生居民进行访谈，了解他们获得医疗保健的情况和移民身份。确定入境后自我报告 LTBI 检测的预测因素。
在接受访谈的 161 名外国出生者中，48%在抵达后 5 年内患有 TB 疾病。三分之一（51/156）报告在抵达后进行过 LTBI 检测。尽管有固定医疗服务提供者的人更有可能报告接受过检测（aOR 4.49，95%CI 1.48-13.62），但只有 43%的人接受了检测。大多数无证件者（53%）缺乏提供者，比有证件者更不可能报告接受过检测（aOR 0.20，95%CI 0.06-0.67）。西班牙裔永久居民（移民和难民）和访客（临时入境者）比各自群体中的非西班牙裔更有可能报告接受过检测（OR 5.25，95%CI 1.51-18.31 和 OR 7.08，95%CI 1.30-38.44）。
康涅狄格州确诊或疑似结核病的外国出生人群中，自我报告的 LTBI 检测率较低，且在族裔和移民身份方面存在显著差异。需要采取策略来改善外国出生人群的医疗保健获取途径，并扩大 LTBI 检测，特别是针对非西班牙裔和无证件人群。
