Prevalence of Tuberculosis Disease Among Adult US-Bound Refugees with Chronic Kidney Disease

Author/s:
Barbara Bardenheir, Meda Pavkov, Carla Winston, Alex Klosovsky, Catherine Yen, Stephen Benoit, Stefan Gravenstein, Drew Posey, Christina Phares

Year:
2019

Language:
English

Publication Type:
Scientific reports (Journal)
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Migration Health Research Podcast No. 1
Dr. Alexander Klosovsky discusses the association between chronic kidney disease and tuberculosis among adult refugees going to the United States.

 

Description: 

The association between chronic kidney disease (CKD) and tuberculosis disease (TB) has been recognized for decades. Recently CKD prevalence is increasing in low- to middle-income countries with high TB burden. Using data from the required overseas medical exam and the recommended US follow-up exam for 444,356 US-bound refugees aged ≥ 18 during 2009–2017, we ran Poisson regression to assess the prevalence of TB among refugees with and without CKD, controlling for sex, age, diabetes, tobacco use, body mass index ( kg/m2), prior residence in camp or non-camp setting, and region of birth country. Of the 1117 (0.3%) with CKD, 21 (1.9%) had TB disease; of the 443,239 who did not have CKD, 3380 (0.8%) had TB. In adjusted analyses, TB was significantly higher among those with than without CKD (prevalence ratio 1.93, 95% CI: 1.26, 2.98, p < 0.01). Healthcare providers attending to refugees need to be aware of this association.

 

IOM Contributors: Alex Klosovsky and Catherine Yen

Publisher: 
Journal of Immigrant and Minority Health