Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada
We sought to describe the prevalence and predictors of tuberculin skin test (TST) reactors in a high-risk sample of urban Aboriginal people, and to evaluate adherence to medical evaluation and latent tuberculosis infection (LTBI) treatment among those with TST reactivity. Of the 164 participants tes...
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Language: | English |
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crjohnshopkinsun:10.1353/hpu.0.0029 2024-03-03T08:45:52+00:00 Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada Brassard, Paul Anderson, Kelly K. Schwartzman, Kevin Menzies, Dick Macdonald, Mary Ellen 2008 http://dx.doi.org/10.1353/hpu.0.0029 en eng Project MUSE Journal of Health Care for the Poor and Underserved volume 19, issue 2, page 369-379 ISSN 1548-6869 Public Health, Environmental and Occupational Health journal-article 2008 crjohnshopkinsun https://doi.org/10.1353/hpu.0.0029 2024-02-03T23:20:51Z We sought to describe the prevalence and predictors of tuberculin skin test (TST) reactors in a high-risk sample of urban Aboriginal people, and to evaluate adherence to medical evaluation and latent tuberculosis infection (LTBI) treatment among those with TST reactivity. Of the 164 participants tested, 86% returned for TST reading. Positive TST reactions ($10 mm) were observed in 17.7% (25/141, 95% CI 11.4–24.0) of participants, and were associated with older age (OR per 10 year increase 1.8, 95% CI 1.2–2.7) and Inuit Aboriginal group (OR 2.8, 95% CI 1.1–7.3). Only four participants presented for evaluation, of whom one initiated and none completed LTBI treatment. Tuberculin screening in this population can be an effective strategy for identifying TST reactive individuals; however, screening efforts will have minimal impact without additional efforts in this high-risk group. Article in Journal/Newspaper inuit Johns Hopkins University Press Canada Journal of Health Care for the Poor and Underserved 19 2 369 379 |
institution |
Open Polar |
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Johns Hopkins University Press |
op_collection_id |
crjohnshopkinsun |
language |
English |
topic |
Public Health, Environmental and Occupational Health |
spellingShingle |
Public Health, Environmental and Occupational Health Brassard, Paul Anderson, Kelly K. Schwartzman, Kevin Menzies, Dick Macdonald, Mary Ellen Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada |
topic_facet |
Public Health, Environmental and Occupational Health |
description |
We sought to describe the prevalence and predictors of tuberculin skin test (TST) reactors in a high-risk sample of urban Aboriginal people, and to evaluate adherence to medical evaluation and latent tuberculosis infection (LTBI) treatment among those with TST reactivity. Of the 164 participants tested, 86% returned for TST reading. Positive TST reactions ($10 mm) were observed in 17.7% (25/141, 95% CI 11.4–24.0) of participants, and were associated with older age (OR per 10 year increase 1.8, 95% CI 1.2–2.7) and Inuit Aboriginal group (OR 2.8, 95% CI 1.1–7.3). Only four participants presented for evaluation, of whom one initiated and none completed LTBI treatment. Tuberculin screening in this population can be an effective strategy for identifying TST reactive individuals; however, screening efforts will have minimal impact without additional efforts in this high-risk group. |
format |
Article in Journal/Newspaper |
author |
Brassard, Paul Anderson, Kelly K. Schwartzman, Kevin Menzies, Dick Macdonald, Mary Ellen |
author_facet |
Brassard, Paul Anderson, Kelly K. Schwartzman, Kevin Menzies, Dick Macdonald, Mary Ellen |
author_sort |
Brassard, Paul |
title |
Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada |
title_short |
Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada |
title_full |
Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada |
title_fullStr |
Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada |
title_full_unstemmed |
Challenges to Tuberculin Screening and Follow-up in an Urban Aboriginal Sample in Montreal, Canada |
title_sort |
challenges to tuberculin screening and follow-up in an urban aboriginal sample in montreal, canada |
publisher |
Project MUSE |
publishDate |
2008 |
url |
http://dx.doi.org/10.1353/hpu.0.0029 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
inuit |
genre_facet |
inuit |
op_source |
Journal of Health Care for the Poor and Underserved volume 19, issue 2, page 369-379 ISSN 1548-6869 |
op_doi |
https://doi.org/10.1353/hpu.0.0029 |
container_title |
Journal of Health Care for the Poor and Underserved |
container_volume |
19 |
container_issue |
2 |
container_start_page |
369 |
op_container_end_page |
379 |
_version_ |
1792501522166185984 |