Tuberculosis and HIV co-infection, California, USA, 1993-2008

John Z. Metcalfe, Travis C. Porco, Janice Westenhouse, Mark Damesyn, Matt Facer, Julia Hill, Qiang Xia, James P. Watt, Philip C. Hopewell, Jennifer Flood

Research output: Contribution to journalArticlepeer-review

Abstract

To understand the epidemiology of tuberculosis (TB) and HIV co-infection in California, we cross-matched incident TB cases reported to state surveillance systems during 1993-2008 with cases in the state HIV/AIDS registry. Of 57,527 TB case-patients, 3,904 (7%) had known HIV infection. TB rates for persons with HIV declined from 437 to 126 cases/100,000 persons during 1993-2008 rates were highest for Hispanics (225/100,000) and Blacks (148/100,000). Patients co-infected with TB-HIV during 2001-2008 were significantly more likely than those infected before highly active antiretroviral therapy became available to be foreign born, Hispanic, or Asian/Pacific Islander and to have pyrazinamide- monoresistant TB. Death rates decreased after highly active antiretroviral therapy became available but remained twice that for TB patients without HIV infection and higher for women. In California, HIV-associated TB has concentrated among persons from low- and middle-income countries who often acquire HIV infection in the peri-immigration period.

Original languageEnglish (US)
Pages (from-to)400-406
Number of pages7
JournalEmerging Infectious Diseases
Volume19
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Epidemiology

Fingerprint

Dive into the research topics of 'Tuberculosis and HIV co-infection, California, USA, 1993-2008'. Together they form a unique fingerprint.

Cite this