Challenges and solutions to estimating tuberculosis disease incidence by country of birth in Los Angeles County.

ABSTRACT:

Background

Among U.S. residents, tuberculosis (TB) disease disproportionally affects non-U.S.-born persons and varies substantially by country of birth. Yet TB disease incidence rates by country of birth are not routinely reported despite these large, known health disparities. This is in part due to the technical challenges of using standard regression analysis with a communicable disease. Here, we estimate tuberculosis disease incidence rates by country of birth and demonstrate methods for overcoming these challenges using TB surveillance data from Los Angeles County which has more than 3.5 million non-U.S.-born residents.

Methods

Cross-sectional data on 5,447 cases of TB disease from Los Angeles County were combined with population estimates from the American Community Sur

SUBMITTER: Readhead A 

PROVIDER: S-EPMC6298681 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature