Cerrar

No. de sistema: 000060423

LDR _ _ 00000nab^^22^^^^^za^4500
008 _ _ 200513m20199999xx^^r^p^o^^^^z0^^^a0eng^d
040 _ _ a| ECO
c| ECO
043 _ _ a| n-mx-cp
044 _ _ a| xx
245 0 0 a| Diabetes, undernutrition, migration and indigenous communities
b| tuberculosis in Chiapas, Mexico
506 _ _ a| Acceso en línea sin restricciones
520 1 _ a| We investigated the distribution of comorbidities among adult tuberculosis (TB) patients in Chiapas, the poorest Mexican state, with a high presence of indigenous population, and acorridor for migrants from Latin America. Secondary analysis on 5508 new adult TB patients diagnosed between 2010 and 2014 revealed that the most prevalent comorbidities were diabetes mellitus (DM; 19.1%) and undernutrition (14.4%). The prevalence of DM in these TB patients was significantly higher among middle aged (41–64 years) compared witholder adults (>65 years) (38.6% vs. 23.2%; P< 0.0001). The prevalence of undernutrition was lower among those with DM, and higher in communities with high indigenous presence. Immigrants only comprised 2% of all TB cases, but were more likely to have unfavourable TB treatment outcomes (treatment failure, death and default) when compared with those born in Chiapas (29.5% vs. 11.1%; P< 0.05). Unfavourable TB outcomes were also more prevalent among the TB patients with undernutrition, HIV or older age, but not DM (P< 0.05). Our study in Chiapas illustrates the challenges of other regions worldwide where social (e.g. indigenous origin, poverty, migration) and host factors (DM, undernutrition, HIV, older age) are associated with TB. Further understanding of these critical factors will guide local policy makers and health providers to improve TB management.
530 _ _ a| Disponible en línea
533 _ _ a| Reproducción electrónica en formato PDF
538 _ _ a| Adobe Acrobat profesional 6.0 o superior
650 _ 4 a| Diabetes
650 _ 4 a| Tuberculosis pulmonar
650 _ 4 a| Desnutrición
650 _ 4 a| Grupos étnicos
650 _ 4 a| Inmigrantes
650 _ 4 a| Riesgos para la salud
650 _ 4 a| Aspectos sociodemográficos
651 _ 4 a| Chiapas (México)
700 1 _ a| Rashak, H. A.
e| autor
700 1 _ a| Sánchez Pérez, Héctor Javier
d| 1960-
e| autor
700 1 _ a| Abdelbary, B. E.
e| autor
700 1 _ a| Bencomo Alerm, Alied
e| autora
700 1 _ a| Enriquez Ríos, N.
e| autor
700 1 _ a| Gómez Velasco, A.
e| autor
700 1 _ a| Colorado, A.
e| autor
700 1 _ a| Castellanos Joya, M.
e| autor
700 1 _ a| Rahbar, M. H.
e| autor
700 1 _ a| Restrepo, B. I.
e| autor
773 0 _
t| Epidemiology and Infection
g| Volumen 147, e71 (2019), p. 1–12
x| 1469-4409
856 4 1 u| https://www.ncbi.nlm.nih.gov/pubmed/30869023
z| Artículo electrónico
902 _ _ a| BG / MM
904 _ _ a| Mayo 2020
905 _ _ a| Artecosur
905 _ _ a| Biblioelectrónica
LNG eng
Cerrar
Diabetes, undernutrition, migration and indigenous communities: tuberculosis in Chiapas, Mexico
Rashak, H. A. (autor)
Sánchez Pérez, Héctor Javier, 1960- (autor)
Abdelbary, B. E. (autor)
Bencomo Alerm, Alied (autora)
Enriquez Ríos, N. (autor)
Gómez Velasco, A. (autor)
Colorado, A. (autor)
Castellanos Joya, M. (autor)
Rahbar, M. H. (autor)
Restrepo, B. I. (autor)
Nota: Disponible en línea
Acceso en línea sin restricciones
Contenido en: Epidemiology and Infection. Volumen 147, e71 (2019), p. 1–12. ISSN: 1469-4409
No. de sistema: 60423
Tipo: Artículo
PDF
  • Consulta (1)




Inglés

"We investigated the distribution of comorbidities among adult tuberculosis (TB) patients in Chiapas, the poorest Mexican state, with a high presence of indigenous population, and acorridor for migrants from Latin America. Secondary analysis on 5508 new adult TB patients diagnosed between 2010 and 2014 revealed that the most prevalent comorbidities were diabetes mellitus (DM; 19.1%) and undernutrition (14.4%). The prevalence of DM in these TB patients was significantly higher among middle aged (41–64 years) compared witholder adults (>65 years) (38.6% vs. 23.2%; P< 0.0001). The prevalence of undernutrition was lower among those with DM, and higher in communities with high indigenous presence. Immigrants only comprised 2% of all TB cases, but were more likely to have unfavourable TB treatment outcomes (treatment failure, death and default) when compared with those born in Chiapas (29.5% vs. 11.1%; P< 0.05). Unfavourable TB outcomes were also more prevalent among the TB patients with undernutrition, HIV or older age, but not DM (P< 0.05). Our study in Chiapas illustrates the challenges of other regions worldwide where social (e.g. indigenous origin, poverty, migration) and host factors (DM, undernutrition, HIV, older age) are associated with TB. Further understanding of these critical factors will guide local policy makers and health providers to improve TB management."


  • Adobe Acrobat profesional 6.0 o superior