2010 - 2014年，与全国水平相比，B1类菲律宾裔夏威夷移民的结核病发病率更高。
Higher Rates of Tuberculosis Among Class B1 Filipino Immigrants to Hawaii Compared to Nationwide, 2010-2014.
作者信息
Schmit Kristine M, Brostrom Richard, Largen Angela, Pyan Alexandra, Wang Zanju, Mase Sundari, Morris Sapna
机构信息
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Surveillance, Epidemiology, and Outbreak Investigations Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Field Services Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
J Immigr Minor Health. 2019 Dec;21(6):1300-1305. doi: 10.1007/s10903-019-00855-z.
BACKGROUND
Immigrants to the United States from countries with a high burden of tuberculosis (TB) who have abnormal chest radiographs but negative sputum cultures during pre-immigration screening (TB Class B1) have a high risk of being diagnosed with TB disease within 1 year of arrival.
METHODS
Using 2010-2014 national surveillance data, we compared proportions of Class B1 Filipino immigrants who received a diagnosis of TB disease within 1 year of arrival to Hawaii to proportions in other U.S. states (not including Hawaii) using chi-squared tests.
RESULTS
In Hawaii, 40/1190 (3.4%) of Class B1 Filipino immigrants to Hawaii received a diagnosis of TB disease within 1 year of arrival compared with 220/16,035 (1.4%) nationwide (P < .01).
CONCLUSIONS
During 2010-2014, the percentage of recent Class B1 Filipino immigrants in Hawaii with TB disease diagnosed within 1 year of arrival was over twice that as nationwide.
背景
来自结核病（TB）高负担国家的美国移民，在移民前筛查时胸部X光片异常但痰培养阴性（TB B1类），在抵达美国1年内被诊断为结核病的风险很高。
方法
利用2010 - 2014年国家监测数据，我们使用卡方检验，比较了抵达夏威夷1年内被诊断为结核病的B1类菲律宾移民的比例与美国其他州（不包括夏威夷）的比例。
结果
在夏威夷，抵达夏威夷的1190名B1类菲律宾移民中有40人（3.4%）在抵达1年内被诊断为结核病，而全国范围内这一比例为220/16035（1.4%）（P <.01）。
结论
在2010 - 2014年期间，抵达夏威夷1年内被诊断为结核病的近期B1类菲律宾移民的比例是全国水平的两倍多。
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