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Racial and ethnic disparities in pediatric tuberculosis in North Carolina.

Publication ,  Journal Article
Stout, JE; Saharia, KK; Nageswaran, S; Ahmed, A; Hamilton, CD
Published in: Arch Pediatr Adolesc Med
June 2006

OBJECTIVES: To investigate an increase in active pediatric tuberculosis (TB) cases in North Carolina from 9 cases in 2001 to 32 cases in 2002, and to pilot test a screening tool for detection of latent TB infection in children. DESIGN: Retrospective cohort and cross-sectional study. SETTING: State of North Carolina and a county public health department pediatric clinic. PARTICIPANTS: Children younger than 15 years with TB in North Carolina from January 1, 1994, to December 31, 2002, and children younger than 21 years initially seen in a primary care public health department pediatric clinic from July 16, 2004, to December 8, 2004. INTERVENTIONS: We reviewed medical records for 180 children (<15 years) with active TB reported in North Carolina. We subsequently initiated a screening project at a county public health department pediatric clinic. MAIN OUTCOME MEASURES: Incidence of TB and prevalence of latent TB infection. RESULTS: One hundred eighty pediatric TB cases were reported from 1994 to 2002. Compared with 0.2 case per 100 000 non-Hispanic white children, the incidence rates were 3.0 cases per 100 000 non-Hispanic black children (P = .003) and 4.5 cases per 100 000 Hispanic children (P = .01); 88.3% of pediatric patients with TB were nonwhite. The screening project detected 2 cases of latent TB infection among 864 US-born children of foreign-born parents. CONCLUSIONS: The burden of pediatric TB is almost entirely borne by black and Hispanic children in North Carolina. Tuberculin skin testing of US-born children of foreign-born parents is of low yield; more efficient screening strategies are necessary.

Duke Scholars

Published In

Arch Pediatr Adolesc Med

DOI

ISSN

1072-4710

Publication Date

June 2006

Volume

160

Issue

6

Start / End Page

631 / 637

Location

United States

Related Subject Headings

  • Tuberculosis
  • Retrospective Studies
  • Prevalence
  • Pediatrics
  • North Carolina
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Hispanic or Latino
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Stout, J. E., Saharia, K. K., Nageswaran, S., Ahmed, A., & Hamilton, C. D. (2006). Racial and ethnic disparities in pediatric tuberculosis in North Carolina. Arch Pediatr Adolesc Med, 160(6), 631–637. https://doi.org/10.1001/archpedi.160.6.631
Stout, Jason E., Kapil K. Saharia, Savithri Nageswaran, Amina Ahmed, and Carol Dukes Hamilton. “Racial and ethnic disparities in pediatric tuberculosis in North Carolina.Arch Pediatr Adolesc Med 160, no. 6 (June 2006): 631–37. https://doi.org/10.1001/archpedi.160.6.631.
Stout JE, Saharia KK, Nageswaran S, Ahmed A, Hamilton CD. Racial and ethnic disparities in pediatric tuberculosis in North Carolina. Arch Pediatr Adolesc Med. 2006 Jun;160(6):631–7.
Stout, Jason E., et al. “Racial and ethnic disparities in pediatric tuberculosis in North Carolina.Arch Pediatr Adolesc Med, vol. 160, no. 6, June 2006, pp. 631–37. Pubmed, doi:10.1001/archpedi.160.6.631.
Stout JE, Saharia KK, Nageswaran S, Ahmed A, Hamilton CD. Racial and ethnic disparities in pediatric tuberculosis in North Carolina. Arch Pediatr Adolesc Med. 2006 Jun;160(6):631–637.

Published In

Arch Pediatr Adolesc Med

DOI

ISSN

1072-4710

Publication Date

June 2006

Volume

160

Issue

6

Start / End Page

631 / 637

Location

United States

Related Subject Headings

  • Tuberculosis
  • Retrospective Studies
  • Prevalence
  • Pediatrics
  • North Carolina
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Hispanic or Latino