Association between Diabetes Mellitus and Tuberculosis in United States-Born and Foreign-Born Populations in San Francisco

The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. To determine the characteristics, prevalence and temporal trends of diabetes in US and foreign-born persons attending the San Francisco Tuberculosis Clinic. We analyzed data fr...

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Vydané v:PloS one Ročník 9; číslo 12; s. e114442
Hlavní autori: Suwanpimolkul, Gompol, Grinsdale, Jennifer A., Jarlsberg, Leah G., Higashi, Julie, Osmond, Dennis H., Hopewell, Philip C., Kato-Maeda, Midori
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Public Library of Science 05.12.2014
Public Library of Science (PLoS)
Predmet:
Ambulatory care
Analysis
Data processing
Diabetes
Diabetes mellitus
Diabetes Mellitus - epidemiology
Emigrants and Immigrants
Epidemiology
Female
Health aspects
Humans
Infections
Latent infection
Male
Medicine and Health Sciences
Middle Aged
Patients
Population
Populations
Prevalence
Public health
San Francisco - epidemiology
Socioeconomic factors
Studies
Systematic review
Tuberculosis
Tuberculosis - epidemiology
Womens health
San Francisco
Mexico
San Francisco California
California
United States > US
Philippines
China
ISSN:1932-6203, 1932-6203
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Shrnutí:The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. To determine the characteristics, prevalence and temporal trends of diabetes in US and foreign-born persons attending the San Francisco Tuberculosis Clinic. We analyzed data from individuals seeking medical attention at the San Francisco Tuberculosis Clinic. We included patients with diagnosis of tuberculosis, latent infection, or not infected with Mycobacterium tuberculosis. We assessed the temporal trend and the characteristics of individuals with and without diabetes. Between 2005 and 2012, there were 4371 (19.0%) individuals without evidence of tuberculosis infection, 17,856 (77.6%) with latent tuberculosis, and 791 (3.4%) with tuberculosis. 66% were born in the United States, China, Mexico, and the Philippines. The prevalence of diabetes was the highest among individuals with tuberculosis and increased during the study period. Patients with tuberculosis and diabetes were more likely to be male, older than 45 years and born in the Philippines. There was a disproportionate association of TB and DM relative to LTBI and DM among Filipinos in individuals older than 45 years old. Our data suggest that Filipinos older than 45 years old are more likely to have tuberculosis probably due to a higher prevalence of diabetes. In San Francisco, tuberculosis-screening programs in individuals with diabetes and latent tuberculosis may be beneficial in patients older than 45 years old especially from the Philippines.
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Competing Interests: The authors have declared that no competing interests exist.
Performed the experiments: GS, LGJ, JAG, and JH were responsible for acquisition of the data. Conceived and designed the experiments: GS LGJ DHO PCH MKM. Analyzed the data: GS LGJ DHO. Wrote the paper: GS LGJ JAG DHO JH PCH MKM. Acquisition of the data: GS LGJ JAG JH.
Current address: San Francisco Department of Public Health, Office of Equity and Quality Improvement, Population Health Division, San Francisco, California, United States of America.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0114442