Tuberculosis Prevalence Among US Crop-Workers, 2000 to 2012: Trends and Contributing Factors

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Abstract

Objective: We intend to study tuberculosis (TB) in one of the poorest communities in the US, hired agriculture workers, for most recent years (2000 to 2012) including the last recession period. Methods: Time-chart, simple mean differences, and logistic regressions were used to describe TB-prevalence and risk factors among US crop-workers. Data were drawn from the National Agricultural Workers Survey (NAWS). Results: A high TB-prevalence was found among crop-workers with a dramatically increasing trend in recent years. Hispanic ethnicity, having farmworker family members, the presence of health insurance, and good spoken English were associated with an increased TB-prevalence. Conclusion: We found risk factors related to ethnicity and poor access to health care, a strong association between agriculture activity and TB, and an increase of TB-cases due to the 2008 downturn in this underserved population. We urge the health authorities to control this epidemic.

Original languageEnglish (US)
Pages (from-to)603-611
Number of pages9
JournalJournal of Occupational and Environmental Medicine
Volume60
Issue number7
DOIs
StatePublished - Jul 1 2018

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Tuberculosis
Agriculture
Health Services Accessibility
Vulnerable Populations
Health Insurance
Hispanic Americans
Logistic Models
Health
Farmers

Keywords

  • 2008 financial crisis
  • agriculture
  • immigrant
  • tuberculosis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{a49662dfc3e84e18a25089e3e4be0ba5,
title = "Tuberculosis Prevalence Among US Crop-Workers, 2000 to 2012: Trends and Contributing Factors",
abstract = "Objective: We intend to study tuberculosis (TB) in one of the poorest communities in the US, hired agriculture workers, for most recent years (2000 to 2012) including the last recession period. Methods: Time-chart, simple mean differences, and logistic regressions were used to describe TB-prevalence and risk factors among US crop-workers. Data were drawn from the National Agricultural Workers Survey (NAWS). Results: A high TB-prevalence was found among crop-workers with a dramatically increasing trend in recent years. Hispanic ethnicity, having farmworker family members, the presence of health insurance, and good spoken English were associated with an increased TB-prevalence. Conclusion: We found risk factors related to ethnicity and poor access to health care, a strong association between agriculture activity and TB, and an increase of TB-cases due to the 2008 downturn in this underserved population. We urge the health authorities to control this epidemic.",
keywords = "2008 financial crisis, agriculture, immigrant, tuberculosis",
author = "Alvaro Medel-Herrero and {Martinez Lopez}, Beatriz and {Silva Del Rio}, Noelia and {De Andrade E Pires}, Alda and Anita Edmondson and Schenker, {Marc B}",
year = "2018",
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language = "English (US)",
volume = "60",
pages = "603--611",
journal = "Journal of Occupational and Environmental Medicine",
issn = "1076-2752",
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T1 - Tuberculosis Prevalence Among US Crop-Workers, 2000 to 2012

T2 - Trends and Contributing Factors

AU - Medel-Herrero, Alvaro

AU - Martinez Lopez, Beatriz

AU - Silva Del Rio, Noelia

AU - De Andrade E Pires, Alda

AU - Edmondson, Anita

AU - Schenker, Marc B

PY - 2018/7/1

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N2 - Objective: We intend to study tuberculosis (TB) in one of the poorest communities in the US, hired agriculture workers, for most recent years (2000 to 2012) including the last recession period. Methods: Time-chart, simple mean differences, and logistic regressions were used to describe TB-prevalence and risk factors among US crop-workers. Data were drawn from the National Agricultural Workers Survey (NAWS). Results: A high TB-prevalence was found among crop-workers with a dramatically increasing trend in recent years. Hispanic ethnicity, having farmworker family members, the presence of health insurance, and good spoken English were associated with an increased TB-prevalence. Conclusion: We found risk factors related to ethnicity and poor access to health care, a strong association between agriculture activity and TB, and an increase of TB-cases due to the 2008 downturn in this underserved population. We urge the health authorities to control this epidemic.

AB - Objective: We intend to study tuberculosis (TB) in one of the poorest communities in the US, hired agriculture workers, for most recent years (2000 to 2012) including the last recession period. Methods: Time-chart, simple mean differences, and logistic regressions were used to describe TB-prevalence and risk factors among US crop-workers. Data were drawn from the National Agricultural Workers Survey (NAWS). Results: A high TB-prevalence was found among crop-workers with a dramatically increasing trend in recent years. Hispanic ethnicity, having farmworker family members, the presence of health insurance, and good spoken English were associated with an increased TB-prevalence. Conclusion: We found risk factors related to ethnicity and poor access to health care, a strong association between agriculture activity and TB, and an increase of TB-cases due to the 2008 downturn in this underserved population. We urge the health authorities to control this epidemic.

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KW - agriculture

KW - immigrant

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