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  1. Fulltext. The role of diabetes mellitus in the higher prevalence of tuberculosis among hispanics.

    Article - En anglais

    Fulltext.

    Objectives

    This research studied the relative conntribution of diabetes mellitus to the increased prevalence of tuberculosis in Hispanics.

    Methods

    A case-control study was conducted involving all 5290 discharges from civilian hospitals in California during 1991 who had a diagnosis of tuberculosis, and 37 366 control subjects who had a pnmary discharge diagnosis of deep venous thrombosis, pulmonary embolism, or acute appendicitis.

    Risk of tuberculosis was estimated as the odds ratio (OR) across race/ethnicity, with adjustment for other factors.

    Results

    Diabetes mellitus was found to be an independent risk factor for tuberculosis.

    The association of diabetes and tuberculosis was higher among Hispanics (adjusted OR [ORadj]=2.95 : 95% confidence interval [Cl]=2.61,3.33) than among non-Hispanic Whites (ORadj=1.31 ; 95% Cl=1.19,1.45) ; among non-Hispanic Blacks, diabetes was not found to be associated with tuberculosis (ORadj=0.93 : 95% Cl=0.78. 1.09).

    Among Hispanics aged 25 to 54, the estimated risk of tuberculosis attributable to diabetes (25.2% was equivaient to that attributable to HIV infection (25.5%). Conclusions.

    Diabetes mellitus remains a significant risk factor for tuberculosis in the United States.

    The association is especially notable in middle-aged Hispanics.

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Epidémiologie, Facteur risque, Diabète, Homme, Ethnie, Latinoaméricain, Prévalence, Californie, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Endocrinopathie, Hispanique

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Epidemiology, Risk factor, Diabetes mellitus, Human, Ethnic group, Latinamerican, Prevalence, California, United States, North America, America, Respiratory disease, Endocrinopathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0307342

    Code Inist : 002B05B02E. Création : 15/07/1997.