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首页> 外文期刊>Archives of Internal Medicine >Tuberculosis in South Asians living in the United States, 1993-2004.
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Tuberculosis in South Asians living in the United States, 1993-2004.

机译：肺结核在南亚人生活在美国州,1993 - 2004。

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BACKGROUND: Patients with tuberculosis (TB) in the United States are often described in 2 broad categories, US-born and foreign-born, which may mask differences among different immigrant groups. We determined characteristics of patients born in South Asia and diagnosed as having TB in the United States. METHODS: All 224,101 TB cases reported to the US National Tuberculosis Surveillance System from the 50 states and the District of Columbia from 1993 to 2004 were included. We used descriptive analysis and logistic regression to explore differences among patients born in South Asia, other foreign-born, and US-born TB patients. RESULTS: Half of the South Asian TB patients (50.5%) in our study were in the 25- to 44-year-old age group, compared with 40.1% of other foreign-born TB patients and 31.8% of US-born TB patients. Compared with other foreign-born TB patients, South Asians were more likely to have extrapulmonary disease (odds ratio [OR], 1.7), more likely to be uninfected with human immunodeficiency virus (HIV) (OR, 5.8) but also more likely not to be offered HIV testing (OR, 9.4) or not to accept an HIV test if offered (OR, 11.8), and more likely not to be homeless (OR, 2.9) or not to use drugs or excess alcohol (OR, 2.7). CONCLUSIONS: South Asian TB patients in the United States are younger and more commonly develop extrapulmonary TB than other foreign-born patients. New TB control strategies that target younger patients and that encourage HIV testing and inform physicians about high extrapulmonary TB in the absence of common risk factors in South Asians are needed.
机译：背景:患者肺结核(TB)美国常常被描述2广泛类别,出生于外国出生,可能面具的差异在不同的移民组。出生在南亚和诊断为结核美国。据报道,美国国家结核病从50个州和监测系统哥伦比亚特区从1993年到2004年包括在内。逻辑回归来探索差异患者出生在南亚,其他在国外出生的,和在美国出生的美国结核病患者。南亚结核病患者(50.5%)在我们的研究中相比,在25 - 44岁年龄组与其他的外国出生的结核病患者和40.1%出生于结核病患者的31.8%。在国外出生的结核病患者,南亚人可能有肺外疾病(优势比[或],1.7),更有可能感染人类免疫缺陷病毒(HIV) (5.8)更有可能不提供艾滋病毒检测(或9.4)或者不接受艾滋病毒检测(或11.8),更有可能不是无家可归(或2.9)或不使用毒品或酒精(或2.7)。在美国更年轻和更一般开发比其他肺外结核在国外出生的病人。这一目标年轻患者和鼓励艾滋病毒检测和通知医生对高肺外结核病在缺乏共同的风险因素在南亚是必要的。

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