Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community
Background Tuberculosis (TB) remains a significant health burden among Inuit in Canada. Social determinants of health (SDH) play a key role in TB infection, disease and ongoing transmission in this population. The objective of this research was to estimate the prevalence of social determinants of In...
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fthighwire:oai:open-archive.highwire.org:jech:73/5/401 2023-05-15T15:10:39+02:00 Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community Kilabuk, Elaine Momoli, Franco Mallick, Ranjeeta Van Dyk, Deborah Pease, Christopher Zwerling, Alice Potvin, Sharon Edmunds Alvarez, Gonzalo G 2019-05-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/73/5/401 https://doi.org/10.1136/jech-2018-211261 en eng BMJ Publishing Group Ltd http://jech.bmj.com/cgi/content/short/73/5/401 http://dx.doi.org/10.1136/jech-2018-211261 Copyright (C) 2019, BMJ Publishing Group Ltd Research reports TEXT 2019 fthighwire https://doi.org/10.1136/jech-2018-211261 2019-10-03T17:12:56Z Background Tuberculosis (TB) remains a significant health burden among Inuit in Canada. Social determinants of health (SDH) play a key role in TB infection, disease and ongoing transmission in this population. The objective of this research was to estimate the prevalence of social determinants of Inuit health as they relate to latent TB infection (LTBI) among people living in residential areas at high risk for TB in Iqaluit, Nunavut. Methods Inperson home surveys were conducted among those who lived in predetermined residential areas at high risk for TB identified in a door-to-door TB prevention campaign in Iqaluit, Nunavut in 2011. Risk ratios for SDH and LTBI were estimated, and multiple imputation was used to address missing data. Results 261 participants completed the questionnaire. Most participants identified as Inuit (82%). Unadjusted risk ratios demonstrated that age, education, smoking tobacco, crowded housing conditions and Inuit ethnicity were associated with LTBI. After adjusting for other SDH, multivariable analysis showed an association between LTBI with increasing age (relative risk, RR 1.07, 95% CI 1.04 to 1.11), crowded housing (RR 1.48, 95% CI 1.10 to 2.00) and ethnicity (RR 2.76, 95% CI 1.33 to 5.73) after imputing missing data. Conclusion Among high-risk residential areas for TB in a remote Arctic region of Canada, crowded housing and Inuit ethnicity were associated with LTBI after adjusting for other SDH. In addition to strong screening and treatment programmes, alleviating the chronic housing shortage will be a key element in the elimination of TB in the Canadian Inuit Nunangat. Text Arctic inuit Iqaluit Nunavut HighWire Press (Stanford University) Arctic Canada Nunavut Journal of Epidemiology and Community Health 73 5 401 406 |
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Research reports |
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Research reports Kilabuk, Elaine Momoli, Franco Mallick, Ranjeeta Van Dyk, Deborah Pease, Christopher Zwerling, Alice Potvin, Sharon Edmunds Alvarez, Gonzalo G Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community |
topic_facet |
Research reports |
description |
Background Tuberculosis (TB) remains a significant health burden among Inuit in Canada. Social determinants of health (SDH) play a key role in TB infection, disease and ongoing transmission in this population. The objective of this research was to estimate the prevalence of social determinants of Inuit health as they relate to latent TB infection (LTBI) among people living in residential areas at high risk for TB in Iqaluit, Nunavut. Methods Inperson home surveys were conducted among those who lived in predetermined residential areas at high risk for TB identified in a door-to-door TB prevention campaign in Iqaluit, Nunavut in 2011. Risk ratios for SDH and LTBI were estimated, and multiple imputation was used to address missing data. Results 261 participants completed the questionnaire. Most participants identified as Inuit (82%). Unadjusted risk ratios demonstrated that age, education, smoking tobacco, crowded housing conditions and Inuit ethnicity were associated with LTBI. After adjusting for other SDH, multivariable analysis showed an association between LTBI with increasing age (relative risk, RR 1.07, 95% CI 1.04 to 1.11), crowded housing (RR 1.48, 95% CI 1.10 to 2.00) and ethnicity (RR 2.76, 95% CI 1.33 to 5.73) after imputing missing data. Conclusion Among high-risk residential areas for TB in a remote Arctic region of Canada, crowded housing and Inuit ethnicity were associated with LTBI after adjusting for other SDH. In addition to strong screening and treatment programmes, alleviating the chronic housing shortage will be a key element in the elimination of TB in the Canadian Inuit Nunangat. |
format |
Text |
author |
Kilabuk, Elaine Momoli, Franco Mallick, Ranjeeta Van Dyk, Deborah Pease, Christopher Zwerling, Alice Potvin, Sharon Edmunds Alvarez, Gonzalo G |
author_facet |
Kilabuk, Elaine Momoli, Franco Mallick, Ranjeeta Van Dyk, Deborah Pease, Christopher Zwerling, Alice Potvin, Sharon Edmunds Alvarez, Gonzalo G |
author_sort |
Kilabuk, Elaine |
title |
Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community |
title_short |
Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community |
title_full |
Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community |
title_fullStr |
Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community |
title_full_unstemmed |
Social determinants of health among residential areas with a high tuberculosis incidence in a remote Inuit community |
title_sort |
social determinants of health among residential areas with a high tuberculosis incidence in a remote inuit community |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2019 |
url |
http://jech.bmj.com/cgi/content/short/73/5/401 https://doi.org/10.1136/jech-2018-211261 |
geographic |
Arctic Canada Nunavut |
geographic_facet |
Arctic Canada Nunavut |
genre |
Arctic inuit Iqaluit Nunavut |
genre_facet |
Arctic inuit Iqaluit Nunavut |
op_relation |
http://jech.bmj.com/cgi/content/short/73/5/401 http://dx.doi.org/10.1136/jech-2018-211261 |
op_rights |
Copyright (C) 2019, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech-2018-211261 |
container_title |
Journal of Epidemiology and Community Health |
container_volume |
73 |
container_issue |
5 |
container_start_page |
401 |
op_container_end_page |
406 |
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1766341637542248448 |