 |
|
Tuberculosis, Vulnerability, and Access to Quality Care
Philip C. Hopewell, MD;
Madhukar Pai, MD, PhD
JAMA. 2005;293:2790-2793.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
As with most infectious diseases, tuberculosis (TB) is not randomly distributed; it thrives in specific groups and under specific conditions in association with identified and unidentified factors that confer vulnerability to the disease. Available information on the association between TB and the many known conditions and circumstances that influence vulnerability to the disease has been reviewed recently and is summarized in the Box.1-2 These conditions and circumstances mainly include 3 broad categories of factors: individual biological factors (eg, immunodeficiency states), social and economic circumstances (eg, crowding, poverty, poor nutrition), and environmental and institutional factors (eg, silica dust, poor ventilation).
| Box. Factors That Increase Vulnerability to Tuberculosis*
Individual Level: Biological and Disease-Related Factors
- Age
- Sex ratio
- Pregnancy
- Genetic influences on infection or disease vulnerability
- Interaction with other conditions (eg, human immunodeficiency virus infection)
Household and Community Level: Social and Economic Factors
- Gender
- . . . [Full Text of this Article]
|
|
Author Affiliations: Division of Pulmonary and Critical Care Medicine, Francis J. Curry National Tuberculosis Center, San Francisco General Hospital, University of California, San Francisco (Drs Hopewell and Pai); and Division of Epidemiology, School of Public Health, University of California, Berkeley (Dr Pai).
RELATED ARTICLES
Effect of Routine Isoniazid Preventive Therapy on Tuberculosis Incidence Among HIV-Infected Men in South Africa: A Novel Randomized Incremental Recruitment Study
Alison D. Grant, Salome Charalambous, Katherine L. Fielding, John H. Day, Elizabeth L. Corbett, Richard E. Chaisson, Kevin M. De Cock, Richard J. Hayes, and Gavin J. Churchyard
JAMA. 2005;293(22):2719-2725.
ABSTRACT
| FULL TEXT
Drug-Resistant Tuberculosis, Clinical Virulence, and the Dominance of the Beijing Strain Family in Russia
Francis Drobniewski, Yanina Balabanova, Vladyslav Nikolayevsky, Micheal Ruddy, Sergey Kuznetzov, Svetlana Zakharova, Alexander Melentyev, and Ivan Fedorin
JAMA. 2005;293(22):2726-2731.
ABSTRACT
| FULL TEXT
Tuberculosis and Homelessness in the United States, 1994-2003
Maryam B. Haddad, Todd W. Wilson, Kashef Ijaz, Suzanne M. Marks, and Marisa Moore
JAMA. 2005;293(22):2762-2766.
ABSTRACT
| FULL TEXT
Evolution of Tuberculosis Control and Prospects for Reducing Tuberculosis Incidence, Prevalence, and Deaths Globally
Christopher Dye, Catherine J. Watt, Daniel M. Bleed, S. Mehran Hosseini, and Mario C. Raviglione
JAMA. 2005;293(22):2767-2775.
ABSTRACT
| FULL TEXT
|
