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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| Vydáno v: | PloS one Ročník 9; číslo 12; s. e114442 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Public Library of Science
05.12.2014
Public Library of Science (PLoS) |
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| ISSN: | 1932-6203, 1932-6203 |
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| Abstract | 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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| AbstractList | Setting The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. Objective To determine the characteristics, prevalence and temporal trends of diabetes in US and foreign-born persons attending the San Francisco Tuberculosis Clinic. Design 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. Result 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. Conclusions 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. 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. 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. Setting The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. Objective To determine the characteristics, prevalence and temporal trends of diabetes in US and foreign-born persons attending the San Francisco Tuberculosis Clinic. Design 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. Result 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. Conclusions 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. The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied.SETTINGThe 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.OBJECTIVETo 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.DESIGNWe 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.RESULTBetween 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.CONCLUSIONSOur 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. |
| Audience | Academic |
| Author | Suwanpimolkul, Gompol Osmond, Dennis H. Grinsdale, Jennifer A. Hopewell, Philip C. Higashi, Julie Jarlsberg, Leah G. Kato-Maeda, Midori |
| AuthorAffiliation | 1 Curry International Tuberculosis Center, University of California San Francisco, San Francisco, California, United States of America 2 Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand 4 Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America Public Health Agency of Barcelona, Spain 3 Tuberculosis Control, San Francisco Department of Public Health, San Francisco, California, United States of America |
| AuthorAffiliation_xml | – name: 3 Tuberculosis Control, San Francisco Department of Public Health, San Francisco, California, United States of America – name: Public Health Agency of Barcelona, Spain – name: 4 Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America – name: 1 Curry International Tuberculosis Center, University of California San Francisco, San Francisco, California, United States of America – name: 2 Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand |
| Author_xml | – sequence: 1 givenname: Gompol surname: Suwanpimolkul fullname: Suwanpimolkul, Gompol – sequence: 2 givenname: Jennifer A. surname: Grinsdale fullname: Grinsdale, Jennifer A. – sequence: 3 givenname: Leah G. surname: Jarlsberg fullname: Jarlsberg, Leah G. – sequence: 4 givenname: Julie surname: Higashi fullname: Higashi, Julie – sequence: 5 givenname: Dennis H. surname: Osmond fullname: Osmond, Dennis H. – sequence: 6 givenname: Philip C. surname: Hopewell fullname: Hopewell, Philip C. – sequence: 7 givenname: Midori surname: Kato-Maeda fullname: Kato-Maeda, Midori |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25478954$$D View this record in MEDLINE/PubMed |
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| Copyright | COPYRIGHT 2014 Public Library of Science 2014 Suwanpimolkul et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2014 Suwanpimolkul et al 2014 Suwanpimolkul et al |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 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. |
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| References_xml | – volume: 19 start-page: 460 year: 2013 ident: ref15 article-title: Mycobacterial lineages causing pulmonary and extrapulmonary tuberculosis, Ethiopia publication-title: Emerg Infect Dis doi: 10.3201/eid1903.120256 – ident: ref1 – ident: ref3 – volume: 5 start-page: e152 year: 2008 ident: ref4 article-title: Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies publication-title: PLoS Med doi: 10.1371/journal.pmed.0050152 – volume: 9 start-page: 81 year: 2011 ident: ref5 article-title: The impact of diabetes on tuberculosis treatment outcomes: a systematic review publication-title: BMC Med doi: 10.1186/1741-7015-9-81 – volume: 5 start-page: 240 year: 2008 ident: ref32 article-title: Validity of diabetes self-reports in the Women's Health Initiative: comparison with medication inventories and fasting glucose measurements publication-title: Clin Trials doi: 10.1177/1740774508091749 – volume: 18 start-page: 215 year: 2000 ident: ref33 article-title: Validation of self-reported chronic conditions and health services in a managed care population publication-title: Am J Prev Med doi: 10.1016/S0749-3797(99)00158-0 – volume: 31 start-page: 1305 year: 2012 ident: ref24 article-title: The effect of diabetic control status on the clinical features of pulmonary tuberculosis publication-title: Eur J Clin Microbiol Infect Dis doi: 10.1007/s10096-011-1443-3 – volume: 27 start-page: 34 year: 2013 ident: ref21 article-title: Racial/ethnic differences in control of cardiovascular risk factors among type 2 diabetes patients in an insured, ambulatory care population publication-title: J Diabetes Complications doi: 10.1016/j.jdiacomp.2012.08.006 – volume: 12 start-page: 365 year: 2012 ident: ref29 article-title: A national study of socioeconomic status and tuberculosis rates by country of birth, United States, 1996–2005 publication-title: BMC Public Health doi: 10.1186/1471-2458-12-365 – ident: ref25 – volume: 7 start-page: e1001307 year: 2011 ident: ref13 article-title: Human macrophage responses to clinical isolates from the Mycobacterium tuberculosis complex discriminate between ancient and modern lineages publication-title: PLoS Pathog doi: 10.1371/journal.ppat.1001307 – ident: ref20 doi: 10.1037/e554912009-001 – ident: ref9 – volume: 54 start-page: 173 year: 2000 ident: ref26 article-title: Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas publication-title: J Epidemiol Community Health doi: 10.1136/jech.54.3.173 – ident: ref19 – volume: 87 start-page: 4 year: 2010 ident: ref10 article-title: Global estimates of the prevalence of diabetes for 2010 and 2030 publication-title: Diabetes Res Clin Pract doi: 10.1016/j.diabres.2009.10.007 – volume: 45 start-page: 428 year: 2007 ident: ref22 article-title: The effect of type 2 diabetes mellitus on the presentation and treatment response of pulmonary tuberculosis publication-title: Clin Infect Dis doi: 10.1086/519841 – ident: ref2 – volume: 103 start-page: 2869 year: 2006 ident: ref12 article-title: Variable host-pathogen compatibility in Mycobacterium tuberculosis publication-title: Proc Natl Acad Sci U S A doi: 10.1073/pnas.0511240103 – ident: ref6 – volume: 161 start-page: 1376 year: 2000 ident: ref16 article-title: Diagnostic Standards and Classification of Tuberculosis in Adults and Children. This official statement of the American Thoracic Society and the Centers for Disease Control and Prevention was adopted by the ATS Board of Directors, July 1999. 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To determine the characteristics,... Setting The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. Objective To determine the... The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. To determine the characteristics,... The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied.SETTINGThe impact of diabetes on... The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied.To determine the characteristics,... Setting The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. Objective To determine the... |
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| SubjectTerms | 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 |
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| Title | Association between Diabetes Mellitus and Tuberculosis in United States-Born and Foreign-Born Populations in San Francisco |
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