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Multidrug-resistant tuberculosis among patients in Baja California, Mexico, and hispanic patients in California

Author

Listed:
  • Bojorquez-Chapela, I.
  • Barnes, R.F.W.
  • Flood, J.
  • López-Gatell, H.
  • Garfein, R.S.
  • Bäcker, C.E.
  • Alpuche, C.
  • Vinetz, J.M.
  • Catanzaro, A.
  • Kato-Maeda, M.
  • Rodwell, T.C.

Abstract

Objectives. We sought to compare prevalence and determinants of multidrugresistant tuberculosis (MDR-TB) between tuberculosis patients in Baja California, Mexico, and Hispanic patients in California. Methods. Using data from Mexico's National TB Drug Resistance Survey (2008-2009) and California Department of Public Health TB case registry (2004-2009), we assessed differences in MDR-TB prevalence comparing (1) Mexicans in Baja California, (2) Mexico-born Hispanics in California, (3) US-born Hispanics in California, and (4) California Hispanics born elsewhere. Results. MDR-TB prevalence was 2.1% in Baja California patients, 1.6% in Mexico-born California patients, 0.4% in US-born California patients, and 2.7% in Hispanic California patients born elsewhere. In multivariate analysis, previous antituberculosis treatment was associated with MDR-TB (odds ratio [OR] = 6.57; 95% confidence interval [CI] = 3.34, 12.96); Mexico-born TB patients in California (OR = 5.08; 95% CI = 1.19, 21.75) and those born elsewhere (OR = 7.69; 95% CI = 1.71, 34.67) had greater odds of MDR-TB compared with US-born patients (reference category). Conclusions. Hispanic patients born outside the US or Mexico were more likely to have MDR-TB than were those born within these countries. Possible explanations include different levels of exposure to resistant strains and inadequate treatment. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • Bojorquez-Chapela, I. & Barnes, R.F.W. & Flood, J. & López-Gatell, H. & Garfein, R.S. & Bäcker, C.E. & Alpuche, C. & Vinetz, J.M. & Catanzaro, A. & Kato-Maeda, M. & Rodwell, T.C., 2013. "Multidrug-resistant tuberculosis among patients in Baja California, Mexico, and hispanic patients in California," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1301-1305.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301039_8
    DOI: 10.2105/AJPH.2012.301039
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