Tuberculosis among homeless population from medellíN, Colombia: Associated mental disorders and socio-demographic characteristics

José Mauricio Hernández Sarmiento, Nidia Correa, Marta Correa, José Gabriel Franco, Matilde Alvarez, Clara Ramírez, Lina M. Gómez, Antonio Carlos Toro, Nora Helena Londoño, Milton Martínez, Mary Alejandra Restrepo, Elsa Zapata, Gloria Isabel Mejía, Jaime Robledo

    Research output: Contribution to journalArticlepeer-review

    8 Scopus citations

    Abstract

    Homeless people are highly susceptible to tuberculosis. It has been suggested that this population have high rates of mental disorders associated with tuberculosis. We assessed tuberculosis incidence, its transmission patterns and association with socio-demographic factors and mental disorders in Colombian homeless people. Prospective study which socio-demographic characteristics and mental disorders were assessed through interviews. Sputa from patients with respiratory symptoms were processed and clinical isolates analyzed by IS6110-RFLP. Multivariate analysis performed by logistic regression model. From 426 homeless studied, tuberculosis incidence found was 7.9 %. 44 % of isolates were clustering. It was found high risk of having tuberculosis associated with income from drugs trade (OR: 3.40 [95 % CI: 1.28-9.05]), dysthymia (OR: 2.54 [95 % CI: 1.10-5.86]) and receiving food from other homeless (OR: 2.47 [95 % CI: 1.16-5.25]). Tuberculosis incidence and degree of transmission are high in homeless studied. Implementing programs to better control tuberculosis among homeless population must consider socio-demographic factors and mental disorders associated with the disease.

    Original languageEnglish
    Pages (from-to)693-699
    Number of pages7
    JournalJournal of Immigrant and Minority Health
    Volume15
    Issue number4
    DOIs
    StatePublished - Aug 2013

    Keywords

    • Homeless population
    • Mental disorders
    • Socio-demographic characteristics
    • Tuberculosis

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