Undocumented Migrants in Switzerland: Geographical Origin Versus Legal Status as Risk Factor for Tuberculosis

被引：10

作者：

Wolff, H. ^{[1
]}

Janssens, J. P. ^{[2
]}

Bodenmann, P. ^{[3
]}

Meynard, A. ^{[1
]}

Delhumeau, C. ^{[1
]}

Rochat, T. ^{[2
]}

Sudre, P. ^{[4
]}

Costanza, M. C. ^{[1
]}

Gaspoz, J. M. ^{[1
]}

Morabia, A. ^{[5
]}

机构：

[1] Univ Geneva, Univ Hosp Geneva, Dept Primary Care & Community Med, CH-1211 Geneva 4, Switzerland

[2] Univ Geneva, Univ Hosp Geneva, Div Pulm Dis, CH-1211 Geneva, Switzerland

[3] Univ Lausanne, Dept Ambulatory Care & Community Med, Lausanne, Switzerland

[4] Gen Directorate Hlth, Dept Econ & Hlth, Geneva, Switzerland

[5] CUNY, Queens Coll, New York, NY 10021 USA

来源：

JOURNAL OF IMMIGRANT AND MINORITY HEALTH | 2010年 / 12卷 / 01期

关键词：

Tuberculosis; Screening; Immigrants; Undocumented migrants; LOW-INCIDENCE COUNTRY; MYCOBACTERIUM-TUBERCULOSIS; INFECTION; POVERTY; TRANSMISSION; IMMIGRATION; PREVALENCE; MIGRATION; AREAS;

D O I：

10.1007/s10903-009-9271-6

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Undocumented migrants, meaning migrants without a legal residency permit, come to Geneva from countries with high tuberculosis ( TB) incidence. We estimate here whether being undocumented is a determinant of TB, independently of origin. Cross-sectional study including undocumented migrants in a TB screening program in 2002; results were compared to 12,904 age and frequency matched participants in a general TB screening program conducted at various workplaces in Geneva, Switzerland from 1992 to 2002. A total of 206 undocumented migrants (36% male, 64% female, mean age 37.8 years (SD 11.8), 82.5% from Latin America) participated in the TB screening program. Compared to legal residents, undocumented migrants had an adjusted OR for TB-related fibrotic signs of 1.7 (95% CI 0.8;3.7). The OR of TB-related fibrotic signs for Latin American ( vs. other) origin was 2.7 (95% CI 1.6;4.7) among legal residents and 5.5 (95% CI 2.8;10.8) among undocumented migrants. Chest X-ray screening identified a higher proportion of TB-related fibrotic signs among Latin Americans, independently of their residency status.

引用

页码：18 / 23

页数：6

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