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The role of diabetes mellitus in the higher prevalence of tuberculosis among Hispanics

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  • Pablos-Méndez, A.
  • Blustein, J.
  • Knirsch, C.A.

Abstract

Objectives. This research studied the relative contribution of diabetes mellitus to the increased prevalence of tuberculosis in Hispanics. Methods. A case-control study was conducted involving all 5290 discharges from civilian hospitals in California during 1991 who had a diagnosis of tuberculosis, and 37 366 control subjects who had a primary discharge diagnosis of deep venous thrombosis, pulmonary embolism, or acute appendicitis. Risk of tuberculosis was estimated as the odds ratio (OR) across race/ethnicity, with adjustment for other factors. Results. Diabetes mellitus was found to be an independent risk factor for tuberculosis. The association of diabetes and tuberculosis was higher among Hispanics (adjusted OR [OR(adj)] = 2.95; 95% confidence interval [CI] = 2.61, 3.33) than among non-Hispanic Whites (OR(adj) = 1.31; 95% CI = 1.19, 1.45); among non-Hispanic Blacks, diabetes was not found to be associated with tuberculosis (OR(adj) = 0.93; 95% CI = 0.78, 1.09). Among Hispanics aged 25 to 54, the estimated risk of tuberculosis attributable to diabetes (25.2%) was equivalent to that attributable to HIV infection (25.5%). Conclusions. Diabetes mellitus remains a significant risk factor for tuberculosis in the United States. The association is especially notable in middle-aged Hispanics.

Suggested Citation

  • Pablos-Méndez, A. & Blustein, J. & Knirsch, C.A., 1997. "The role of diabetes mellitus in the higher prevalence of tuberculosis among Hispanics," American Journal of Public Health, American Public Health Association, vol. 87(4), pages 574-579.
    • Handle: RePEc:aph:ajpbhl:1997:87:4:574-579_7
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    Cited by:

    1. Littleton, Judith & Park, Julie, 2009. "Tuberculosis and syndemics: Implications for Pacific health in New Zealand," Social Science & Medicine, Elsevier, vol. 69(11), pages 1674-1680, December.

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