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Am. J. Respir. Crit. Care Med., Volume 159, Number 3, March 1999, 834-837

A Study of Tuberculosis Among Foreign-Born Hispanic Persons in the U.S. States Bordering Mexico

CHARLES D. WELLS, MIGUEL OCAÑA, KATHLEEN MOSER, DAVID BERGMIRE-SWEAT, JANET C. MOHLE-BOETANI, and NANCY J. BINKIN

Division of Tuberculosis Elimination, National Center for HIV/AIDS, Sexually Transmitted Diseases, and Tuberculosis Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia; San Diego County Department of Health, San Diego, California; Texas Department of Health, Austin, Texas; and California Department of Health Services, Berkeley, California

In 1996, 10% of the 20,973 U.S. tuberculosis (TB) cases were among foreign-born (FB) Hispanic persons, with the four states bordering Mexico accounting for 83% of FBH cases. Limited information is available on this population's health care seeking and migration practices and on differences between FB Hispanic patients in border and nonborder areas. Therefore, we conducted interviews and record reviews for all consenting FB Hispanic TB patients from eight counties bordering Mexico (BC; n = 167) and seven urban nonborder counties (NBC; n = 158) in these States during 1995-1997. BC patients had resided in the U.S. longer than NBC patients (17.4 versus 10.8 yr; p < 0.01), had immigrated more often from Mexican border communities (62.4% versus 25.4%; p < 0.01), and had returned to Mexico more often in the past 12 mo (71.5% versus 47.3%; p < 0.01). TB symptoms were present for >=  6 mo in 37% of BC and 34% of NBC patients. Binational collaboration is essential for improving TB control in both countries and should extend beyond border areas of Mexico.




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