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Drive-by readings: a creative strategy for tuberculosis control among immigrants
Francesca M Gany1, Chau Trinh-Shevrin, Jyotsna Changrani
1Center for Immigrant Health, New York University School of Medicine, BCD-D-401, 550 First Avenue, New York, NY 10016, USA. fg12@nyu.edu
American Journal of Public Health
|December 30, 2004
Summary
Targeted tuberculosis testing in immigrant taxi drivers identified high-risk individuals. However, significant barriers hindered treatment adherence, emphasizing the need for improved physician education and tailored services.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Immigrant Health
Background:
- Tuberculosis (TB) remains a significant global health concern, disproportionately affecting immigrant populations.
- Targeted screening strategies are crucial for early detection and disease control in at-risk communities.
Purpose of the Study:
- To evaluate an innovative approach for tuberculosis screening and management in a high-risk immigrant community (taxi drivers).
- To identify barriers to treatment adherence following positive TB test results.
Main Methods:
- Recruitment of taxi drivers at an airport for tuberculin skin testing (Mantoux).
- Convenient follow-up for test result delivery and referral for evaluation and treatment.
- Baseline and follow-up assessments to monitor outcomes.
Main Results:
- Out of 123 participants, 82 (66%) were at high risk for TB.
- 63% of drivers returned for test readings, with 62% testing positive.
- While all positive cases received physician evaluation, 64% were not treated for latent TB infection due to systemic and physician-related barriers.
Conclusions:
- Targeted testing and treatment are vital for effective tuberculosis control.
- Physician education is essential to improve the identification and management of latent TB infection.
- Service delivery must be adapted to the specific needs of foreign-born populations to enhance treatment adherence.