Changes in Tuberculosis Disparities at a Time of Decreasing Tuberculosis Incidence in the United States, 1994-2016

To assess national progress in reducing disparities in rates of tuberculosis (TB) disease, which disproportionately affects minorities. We used Centers for Disease Control and Prevention (CDC) surveillance data and US Census data to calculate TB rates for 1994 through 2016 by race/ethnicity, nationa...

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Bibliographic Details
Published in:American journal of public health (1971) 2018-11, Vol.108 (S4), p.S321-S326
Main Authors: Khan, Awal, Marks, Suzanne, Katz, Dolly, Morris, Sapna Bamrah, Lambert, Lauren, Magee, Elvin, Bowman, Sloane, Grant, Gail
Format: Article
Language:English
Subjects:
AJPH Open-Themed Research
Censuses
Disease control
Disease prevention
Epidemiology
Estimates
Ethnic groups
Ethnicity
Health disparities
HIV/AIDS
Homeless people
Indexes
Minority & ethnic groups
Minority groups
Other Race/Ethnicity
Prevention
Public health
Public Health Practice
Race
Subpopulations
Surveillance
Tuberculosis
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Summary:To assess national progress in reducing disparities in rates of tuberculosis (TB) disease, which disproportionately affects minorities. We used Centers for Disease Control and Prevention (CDC) surveillance data and US Census data to calculate TB rates for 1994 through 2016 by race/ethnicity, national origin, and other TB risk factors. We assessed progress in reducing disparities with rate ratios (RRs) and indexes of disparity, defined as the average of the differences between subpopulation and all-population TB rates divided by the all-population rate. Although TB rates decreased for all subpopulations, RRs increased or stayed the same for all minorities compared with Whites. For racial/ethnic groups, indexes of disparity decreased from 1998 to 2008 (P 
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2018.304606