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Indigenous populations are generally reported to suffer greater active tuberculosis (TB) disease burden. The objective of this study was to examine ecological associations between cases of active adult and pediatric TB reported from 2002 to 2004 and community characteristics in

Indigenous populations are generally reported to suffer greater active tuberculosis (TB) disease burden. The objective of this study was to examine ecological associations between cases of active adult and pediatric TB reported from 2002 to 2004 and community characteristics in indigenous communities of the Paraguayan Chaco. Adult and pediatric models were examined by negative binomial and Poisson GLM regression, respectively. Active TB prevalence in indigenous people was eight times higher than the nonindigenous population. Communities with a health post were more than twice as likely to report active adult TB (RR = 2.07, 95% confidence interval (CI) [1.14–3.83], and p < 0.05). Each additional average year of education in the community was associated with nearly 50% less likelihood of active pediatric TB (RR = 0.53, 95% CI [0.38–0.73], and p < 0.001). Although nonsignificant, the presence of nonindigenous community members had a strong protective association in both the adult (RR = 0.56, 95% CI [0.30–1.03], and p = 0.6) and pediatric models (RR = 0.64, 95% CI [0.34–1.14], and p = 0.14). These results reinforce the importance of increasing epidemiologic surveillance and investigating the social determinants of TB disease among vulnerable indigenous populations.

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    Title
    • High Tuberculosis Disease Burden Among Indigenous People of the Paraguayan Chaco and Associated Community Characteristics, 2002–2004: An Ecological Study
    Date Created
    2015-11-10
    Resource Type
  • Text
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    Identifier
    • Digital object identifier: 10.1155/2015/841289
    • Identifier Type
      International standard serial number
      Identifier Value
      2090-2972
    • Identifier Type
      International standard serial number
      Identifier Value
      2090-2980
    Note
    • View the article as published at https://www.hindawi.com/journals/eri/2015/841289/

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    Vansteelandt, A., Hurtado, A. M., Rolón, M., Arias, A. R., & Jara, J. C. (2015). High Tuberculosis Disease Burden among Indigenous People of the Paraguayan Chaco and Associated Community Characteristics, 2002–2004: An Ecological Study. Epidemiology Research International, 2015, 1-8. doi:10.1155/2015/841289

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