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Related Experiment Videos

Demographic changes in tuberculosis: high risk groups.

J B Mehta1, T M Roy, S K Hughes

  • 1Department of Internal Medicine, James H. Quillen College of Medicine, East Tennessee State University, Northeast Tennessee Regional Health Office, Johnson City 37614-0622, USA.

Southern Medical Journal
|March 27, 1999
PubMed
Summary
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Tuberculosis (TB) cases in Tennessee increased significantly in most demographics between 1990-1996, with a notable rise in human immunodeficiency virus (HIV) co-infections. These trends necessitate updated TB control strategies in the southeastern US.

Area of Science:

  • Epidemiology
  • Public Health

Background:

  • Tuberculosis (TB) remains a significant public health concern globally.
  • Understanding demographic shifts in TB incidence is crucial for effective control.

Purpose of the Study:

  • To analyze demographic changes in tuberculosis cases in Tennessee from 1990 to 1996.
  • To identify trends in risk factors, including HIV co-infection, homelessness, and foreign birth.

Main Methods:

  • Statistical analysis of verifiable tuberculosis cases in Tennessee.
  • Inclusion of variables such as age, sex, race, disease site, and risk factors.

Main Results:

  • A statistically significant increase in TB cases across most demographic categories was observed, excluding nursing home residents.

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  • Human immunodeficiency virus (HIV) co-infection rates rose from 2.7% in 1990 to 8.1% in 1996.
  • Foreign-born TB cases represented less than 1% of the total, differing from national trends.

    • Conclusions:

    • The study highlights evolving TB epidemiology in Tennessee.
    • Findings underscore the need for targeted TB control measures and clinical practice adjustments in the southeastern US, particularly concerning HIV co-infection.