ASSOCIATION BETWEEN TUBERCULOSIS AND DIABETES IN THE MEXICAN BORDER AND NON-BORDER REGIONS OF TEXAS

ADRIANA PÉREZ Division of Biostatistics, Division of Management, Policy and Community Health Sciences and Division of Epidemiology, School of Public Health, The University of Texas at Houston Health Science Center, Brownsville, Texas; Hispanic Health Research Center at the Lower Rio Grande Valley, Brownsville, Texas

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H. SHELTON BROWN III Division of Biostatistics, Division of Management, Policy and Community Health Sciences and Division of Epidemiology, School of Public Health, The University of Texas at Houston Health Science Center, Brownsville, Texas; Hispanic Health Research Center at the Lower Rio Grande Valley, Brownsville, Texas

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BLANCA I. RESTREPO Division of Biostatistics, Division of Management, Policy and Community Health Sciences and Division of Epidemiology, School of Public Health, The University of Texas at Houston Health Science Center, Brownsville, Texas; Hispanic Health Research Center at the Lower Rio Grande Valley, Brownsville, Texas

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The association between tuberculosis and underlying risk factors was evaluated in Texas patients hospitalized in the 15 counties along the Mexico border within the remaining non-border counties. A case control analysis of the hospital discharge dataset from the Texas Health Care Information Council was performed for the years 1999–2001. A discharge diagnosis of tuberculosis identified cases (N = 4,915). Deep venous thrombosis, pulmonary embolism, and acute appendicitis conditions identified controls (N = 70,808). Risk factors associated with tuberculosis were identified by logistic regression. Diabetes patients were almost twice as likely to have tuberculosis after adjusting by sex, age, and race/ethnicity. The association was strong for the population in the Texas border region, where there are higher incidence rates of tuberculosis (odds ratio [OR]adj = 1.82; 95% CI = 1.57–2.12) compared with non-border counties (ORadj = 1.51; 95% CI = 1.36–1.67).

Author Notes

Reprints requests: Adriana Pérez, The University of Texas at Houston Health Science Center, School of Public Health. Division of Biostatistics, 80 Fort Brown SPH RAHC Building Rm N. 200, Brownsville, TX 78520.
  • 1

    Pablos-Mendez A, Blustein J, Knirsch CA, 1997. The role of diabetes mellitus in the higher prevalence of tuberculosis among hispanics. Am J Public Health 87 :574–579.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Rieder HL, Cauthen GM, Comstock GW, Snider DE Jr, 1989. Epidemiology of tuberculosis in the United States. Epidemiol Rev 11 :79–98.

  • 3

    Small PM, Fujiwara PI, 2001. Management of tuberculosis in the United States. N Engl J Med 345 :189–200.

  • 4

    Boucot KR, Cooper DA, Dillon ES, Meier P, Richardson R, 1952. Tuberculosis among diabetics: The Philadelphia survey. Am Rev Tuberc 65 (suppl ):1–50.

  • 5

    Oscarsson N, Silwer H, 1958. Incidence of pulmonary tuberculosis among diabetics. Acta Med Scand 160 (suppl 335):23–48.

  • 6

    Ponce-De-Leon A, Garcia-Garcia ML, Garcia-Sancho MC, Gomez-Perez FJ, Valdespino-Gomez JL, Olaiz-Fernandez G, Rojas R, Ferreyra-Reyes L, Cano-Arellano B, Bobadilla M, Small PM, Sifuentes-Osornio J, 2004. Tuberculosis and diabetes in southern Mexico. Diabetes Care 27 :1584–1590.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Texas Department of Health, 1999. Texas action plan to control and eliminate tuberculosis. Available at http://www.tdh.state.tx.us/tb/publications.htm. Accessed December 2, 2004.

    • PubMed
    • Export Citation
  • 8

    Texas Department of Health, 2001, Diabetes in Texas. A risk factor report—1996–1999 survey data. Available at http://www.tdh.state.tx.us/chs/brfss/Reports/Diabe_n.pdf. Accessed January 12, 2004.

    • PubMed
    • Export Citation
  • 9

    Texas Department of Health-TB Elimination Division, 2004. TB cases and rates for 14 Texas-Mexico border counties. Available at http://www.tdh.state.tx.us/tb/BorderStatsByCounty.htm. Accessed December 1, 2004.

    • PubMed
    • Export Citation
  • 10

    The Department of State Health Services, 2004. Tuberculosis cases for Texas counties, 1996–2003. Available at http://www.tdh.state.tx.us/tb/CasesByCounty.htm. Accessed December 3, 2004.

    • PubMed
    • Export Citation
  • 11

    National Center for HIV, STD, and TB Prevention and Division of Tuberculosis Elimination, 2002. Table 17. Tuberculosis cases and case rates per 100,000 population: states, 2002 and 2001. Available at http://www.cdc.gov/nchstp/tb/surv/surv2002/tables/T17.htm. Accessed December 1, 2004.

    • PubMed
    • Export Citation
  • 12

    Centers for Disease Control, 2002. Reported tuberculosis in the United States, 2002. Avialable at http://www.cdc.gov/nchstp/tb/surv/surv2002/PDF/total.pdf. Accessed December 1, 2004.

    • PubMed
    • Export Citation
  • 13

    Sistema Nacional de Información en Salud, 2002. Anuario estadístico 2002. Available at http://www.salud.gob.mx/apps/htdocs/estadisticas/publicaciones/publicaciones.htm. Accessed December 1, 2004.

    • PubMed
    • Export Citation
  • 14

    Centers for Disease Control, 2001. Preventing and controlling tuberculosis along the U.S.-Mexico border. MMWR 50 :RR1.

  • 15

    Texas Health Care Information Council, 2002. Texas Hospital Inpatient Discharge Public Use Data File,1999–2001. Austin, TX: Texas Health Care Information Council.

    • PubMed
    • Export Citation
  • 16

    The Health and Health Service Systems of Texans on the Texas-Mexico Border: Public Policy Implications, 2002, Houston, TX: The University of Texas at Houston Health Science Center, and School of Public Health.

    • PubMed
    • Export Citation
  • 17

    International Classification of Diseases, 1994. Clinical Modification. Los Angeles, CA: Practice Management Information Corporation.

    • PubMed
    • Export Citation
  • 18

    U.S.Census Bureau, 2002. 2000 census of population and housing, summary file 3: technical documentation. Available at http://www.census.gov/prod/cen2000/doc/sf3.pdf. Accessed December 2, 2004.

    • PubMed
    • Export Citation
  • 19

    Kleinbaum DG, 1994. Logistic Regression. A Self Learning Text. New York: Springer Verlag.

    • PubMed
    • Export Citation
  • 20

    Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS, 2003. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289 :76–79.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Centers for Disease Control, 1995. Screening for tuberculosis and tuberculosis infection in high-risk populations. Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR 44 :19–34.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    Centers for Disease Control, American Thoracic Society, 2000. Targeted tuberculin testing and treatment of latent tuberculosis infection. MMWR 49 :1–51.

  • 23

    Mohan V, 2004. Why are Indians more prone to diabetes? J Assoc Physicians India 52 :468–474.

  • 24

    Burlando G, Sanchez RA, Ramos FH, Mogensen CE, Zanchetti A, 2004. Latin American consensus on diabetes mellitus and hypertension. J Hypertens 22 :2229–2241.

  • 25

    Bacakoglu F, Basoglu OO, Cok G, Sayiner A, Ates M, 2001. Pulmonary tuberculosis in patients with diabetes mellitus. Respiration 68 :595–600.

  • 26

    Perez-Guzman C, Torres-Cruz A, Villarreal-Velarde H, Vargas MH, 2000. Progressive age-related changes in pulmonary tuberculosis images and the effect of diabetes. Am J Respir Crit Care Med 162 :1738–1740.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27

    Oursler KK, Moore RD, Bishai WR, Harrington SM, Pope DS, Chaisson RE, 2002. Survival of patients with pulmonary tuberculosis: clinical and molecular epidemiologic factors. Clin Infect Dis. 34 :752–759.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28

    Bashar M, Alcabes P, Rom WN, Condos R, 2001. Increased incidence of multidrug-resistant tuberculosis in diabetic patients on the Bellevue Chest Service, 1987 to 1997. Chest 120 :1514–1519.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29

    Singla R, Khan N, 2003. Does diabetes predispose to the development of multidrug-resistant tuberculosis? Chest 123 :308–309.

  • 30

    Palmer CE, Jablon S, Edwards PQ, 1957. Tuberculosis morbidity of young men in relation to tuberculin sensitivity and body build. Am Rev Tubercul 76 :517–539.

  • 31

    Harries AD, Nkhoma WA, Thompson PJ, Nyangulu DS, Wirima JJ, 1988. Nutritional status in Malawian patients with pulmonary tuberculosis and response to chemotherapy. Eur J Clin Nutr 42 :445–450.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32

    Romano PS, Mark DH, 1994. Bias in the coding of hospital discharge data and its implications for quality assessment. Med Care 32 :81–90.

  • 33

    McMahon MM, Bistrian BR, 1995. Host defenses and susceptibility to infection in patients with diabetes mellitus. Infect Dis Clin North Am 9 :1–9.

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