Abstract
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.
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Funding
This evaluation was supported with funding provided by the Centers for Disease Control and Prevention (CDC), with additional support from the State of Hawaii Tuberculosis Program. The findings and conclusions are those of the authors and do not necessarily represent the views of CDC.
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Kristine Schmit contributed to the acquisition, analysis and interpretation of data as well as the drafting and revision of the article for intellectual content. Richard Brostrom contributed to the conception and design of the evaluation, the acquisition, analysis and interpretation of data, and the drafting and revision of the article for intellectual content. Angela Largen contributed to the acquisition, analysis, and interpretation of data as well as the revision of the article for intellectual content. Alexandra Pyan contributed to the acquisition, analysis, and interpretation of data as well as the revision of the article for intellectual content. Zanju Wang contributed to the acquisition, analysis, and interpretation of data as well as the revision of the article for intellectual content. Sundari Mase contributed to the conception and design of the evaluation as well as the revision of the article for intellectual content. Sapna Morris contributed to the conception and design of the evaluation, the acquisition, analysis and interpretation of data, and the revision of the article for intellectual content.
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Dr. Mase was employed at CDC during part of her role with this manuscript and formerly affiliated with 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.
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Schmit, K.M., Brostrom, R., Largen, A. et al. Higher Rates of Tuberculosis Among Class B1 Filipino Immigrants to Hawaii Compared to Nationwide, 2010–2014. J Immigrant Minority Health 21, 1300–1305 (2019). https://doi.org/10.1007/s10903-019-00855-z
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DOI: https://doi.org/10.1007/s10903-019-00855-z