TY - JOUR
T1 - Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain
AU - García-García, José María
AU - Blanquer, Rafael
AU - Rodrigo, Teresa
AU - Caylà, Joan A.
AU - Caminero, José A.
AU - Vidal, Rafael
AU - Casals, Martí
AU - Ruiz-Manzano, Juan
PY - 2011
Y1 - 2011
N2 - Background: To identify the differential tuberculosis (TB) characteristics within the immigrant population with respect to natives in Spain. Methodology/Principal Findings: A prospective cohort study design was implemented to examine the TB cases diagnosed and starting standard antituberculous treatment in Spain, between January 1st 2006 and March 31st 2007. A logistic regression analysis was performed to determine differential characteristics. 1,490 patients were included in the study population, 1,048 natives and 442 (29.7%) immigrants. According to the multivariate analysis, the following variables were significantly associated with immigrant TB cases: younger age (OR = 3.79; CI:2.16-6.62), living in group situation (OR = 7.61; CI:3.38-12.12), lower frequency of disabled (OR:0.08; CI:0.02-0.26) and retired (OR:0.21; CI:0.09-0.48) employment status, lower frequency of pulmonary disease presentation (OR = 0.47; CI:0.24-0.92), primary or emergency care admission (OR = 1.80; CI:1.05-3.06 and OR = 2.16; CI:1.36-3.45), drug resistance (OR = 1.86; CI:1.01-3.46), treatment default (OR:2.12; CI:1.18-3.81), lower frequency of alcohol and cigarette consumption (OR = 2.10; CI:1.42-3.11 and OR = 2.85; CI:2.10-3.87 respectively), more directly observed treatment (OR = 1.68; CI:1.04-2.69), and poor understanding of TB disease and its treatment (OR = 3.11; CI:1.86-5.20). The low percentage of primary MDR-TB in the native population (0.1% vs. 2.2% of immigrants) should be noted. Conclusions/Significance: The differences show the need to introduce specific strategies in the management of TB within the immigrant population, including the improvement of social and work conditions.
AB - Background: To identify the differential tuberculosis (TB) characteristics within the immigrant population with respect to natives in Spain. Methodology/Principal Findings: A prospective cohort study design was implemented to examine the TB cases diagnosed and starting standard antituberculous treatment in Spain, between January 1st 2006 and March 31st 2007. A logistic regression analysis was performed to determine differential characteristics. 1,490 patients were included in the study population, 1,048 natives and 442 (29.7%) immigrants. According to the multivariate analysis, the following variables were significantly associated with immigrant TB cases: younger age (OR = 3.79; CI:2.16-6.62), living in group situation (OR = 7.61; CI:3.38-12.12), lower frequency of disabled (OR:0.08; CI:0.02-0.26) and retired (OR:0.21; CI:0.09-0.48) employment status, lower frequency of pulmonary disease presentation (OR = 0.47; CI:0.24-0.92), primary or emergency care admission (OR = 1.80; CI:1.05-3.06 and OR = 2.16; CI:1.36-3.45), drug resistance (OR = 1.86; CI:1.01-3.46), treatment default (OR:2.12; CI:1.18-3.81), lower frequency of alcohol and cigarette consumption (OR = 2.10; CI:1.42-3.11 and OR = 2.85; CI:2.10-3.87 respectively), more directly observed treatment (OR = 1.68; CI:1.04-2.69), and poor understanding of TB disease and its treatment (OR = 3.11; CI:1.86-5.20). The low percentage of primary MDR-TB in the native population (0.1% vs. 2.2% of immigrants) should be noted. Conclusions/Significance: The differences show the need to introduce specific strategies in the management of TB within the immigrant population, including the improvement of social and work conditions.
UR - http://www.scopus.com/inward/record.url?scp=79251647403&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79251647403&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0016272
DO - 10.1371/journal.pone.0016272
M3 - Article
C2 - 21283716
AN - SCOPUS:79251647403
SN - 1932-6203
VL - 6
JO - PloS one
JF - PloS one
IS - 1
M1 - e16272
ER -