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Published on: September 5, 2017
Active tuberculosis among U.S. Army personnel, 1980 to 1996
1Department of Preventive Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Military Medicine
|May 24, 2001
Summary
Hospitalization rates for active tuberculosis in U.S. Army personnel decreased significantly from 1980 to 1996. However, rates remained higher among minority groups and females, indicating a need for further study.
Area of Science:
- Epidemiology
- Public Health
- Military Medicine
Background:
- Active tuberculosis (TB) poses a public health concern, necessitating surveillance in diverse populations.
- Understanding TB hospitalization trends within military populations is crucial for targeted health interventions.
Purpose of the Study:
- To analyze hospitalization rates for active tuberculosis among U.S. Army active duty personnel.
- To identify trends in TB hospitalizations based on demographic factors and temporal changes.
Main Methods:
- Retrospective analysis of inpatient database records for Army personnel from 1980 to 1996.
- Calculation of incidence rates and trend analyses stratified by age, race, sex, and hospital location.
Main Results:
- A total of 936 hospitalizations for active TB were recorded.
- Hospitalization rates for TB decreased from 15.3 to 5.1 cases per 100,000 personnel between 1980 and 1996.
- Significant declines were observed in white and black males, but not females. TB rates were 3.5 times lower in soldiers aged 25-44 compared to the general population.
Conclusions:
- Military populations, due to screening protocols (medical, PPD, HIV), are generally low-risk for active TB.
- Despite an overall decline, TB hospitalization rates persisted at higher levels among minority soldiers and females.
- Further research is recommended to investigate specific risk factors for TB among healthy military personnel, particularly concerning race and gender.
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