High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China

The high incidence of tuberculosis (TB) among prisoners calls for interventions to identify latent tuberculosis infection (LTBI) before disease onset. To identify LTBI prevalence among prisoners and factors associated with it, we conducted a cross-sectional study in Tianjin. We randomly sampled 959...

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Main Authors: Guoqin Zhang, Yuhua Zhang, Da Zhong, Sukai Meng, Liqun An, Wenliang Wei, Zhi Zhang, Yanyong Fu, Xiexiu Wang
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2020-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/26/3/19-0891_article
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author Guoqin Zhang
Yuhua Zhang
Da Zhong
Sukai Meng
Liqun An
Wenliang Wei
Zhi Zhang
Yanyong Fu
Xiexiu Wang
author_facet Guoqin Zhang
Yuhua Zhang
Da Zhong
Sukai Meng
Liqun An
Wenliang Wei
Zhi Zhang
Yanyong Fu
Xiexiu Wang
author_sort Guoqin Zhang
collection DOAJ
description The high incidence of tuberculosis (TB) among prisoners calls for interventions to identify latent tuberculosis infection (LTBI) before disease onset. To identify LTBI prevalence among prisoners and factors associated with it, we conducted a cross-sectional study in Tianjin. We randomly sampled 959 HIV-negative adult prisoners by ward clusters in 5 prisons and determined LTBI by seropositivity using an interferon-γ release assay. The overall rate of LTBI was 52.0% (499/959) in the 5 facilities and ranged from 41.9% (72/172) to 60.9% (106/174). Age (adjusted odds ratio [aOR] 1.7, 95% CI 1.4–2.0 per 10 years), duration of imprisonment (aOR 1.2, 95 CI% 1.1–1.2 per year), previous incarceration (aOR 2.0, 95% CI 1.5–2.7), and facility-specific TB incidence (aOR 1.9, 95% CI 1.3–2.8) were risk factors for LTBI. These findings indicate possible TB transmission within prisons and suggest the necessity for early TB case detection, as well as prophylaxis.
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spelling doaj.art-3e1b1ec9b8dd4253870bdf41cc848fee2022-12-21T20:33:14ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592020-03-0126351652210.3201/eid2603.190891High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, ChinaGuoqin ZhangYuhua ZhangDa ZhongSukai MengLiqun AnWenliang WeiZhi ZhangYanyong FuXiexiu WangThe high incidence of tuberculosis (TB) among prisoners calls for interventions to identify latent tuberculosis infection (LTBI) before disease onset. To identify LTBI prevalence among prisoners and factors associated with it, we conducted a cross-sectional study in Tianjin. We randomly sampled 959 HIV-negative adult prisoners by ward clusters in 5 prisons and determined LTBI by seropositivity using an interferon-γ release assay. The overall rate of LTBI was 52.0% (499/959) in the 5 facilities and ranged from 41.9% (72/172) to 60.9% (106/174). Age (adjusted odds ratio [aOR] 1.7, 95% CI 1.4–2.0 per 10 years), duration of imprisonment (aOR 1.2, 95 CI% 1.1–1.2 per year), previous incarceration (aOR 2.0, 95% CI 1.5–2.7), and facility-specific TB incidence (aOR 1.9, 95% CI 1.3–2.8) were risk factors for LTBI. These findings indicate possible TB transmission within prisons and suggest the necessity for early TB case detection, as well as prophylaxis.https://wwwnc.cdc.gov/eid/article/26/3/19-0891_articletuberculosis and other mycobacteriatuberculosisTBlatent tuberculosisrespiratory infectionsprevalence
spellingShingle Guoqin Zhang
Yuhua Zhang
Da Zhong
Sukai Meng
Liqun An
Wenliang Wei
Zhi Zhang
Yanyong Fu
Xiexiu Wang
High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China
Emerging Infectious Diseases
tuberculosis and other mycobacteria
tuberculosis
TB
latent tuberculosis
respiratory infections
prevalence
title High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China
title_full High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China
title_fullStr High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China
title_full_unstemmed High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China
title_short High Prevalence of and Risk Factors for Latent Tuberculosis Infection among Prisoners, Tianjin, China
title_sort high prevalence of and risk factors for latent tuberculosis infection among prisoners tianjin china
topic tuberculosis and other mycobacteria
tuberculosis
TB
latent tuberculosis
respiratory infections
prevalence
url https://wwwnc.cdc.gov/eid/article/26/3/19-0891_article
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