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

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    13 Citas (Scopus)

    Resumen

    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.

    Idioma originalInglés
    Páginas (desde-hasta)693-699
    Número de páginas7
    PublicaciónJournal of Immigrant and Minority Health
    Volumen15
    N.º4
    DOI
    EstadoPublicada - ago. 2013

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