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Volume 21, Number 3—March 2015
Dispatch

Prisons as Reservoir for Community Transmission of Tuberculosis, Brazil

Flávia P.C. Sacchi, Renata M. Praça, Mariana B. Tatara, Vera Simonsen, Lucilaine Ferrazoli, Mariana G. Croda, Philip N. Suffys, Albert I. Ko, Jason R. Andrews, and Julio CrodaComments to Author 
Author affiliations: Federal University of Grande Dourados, Dourados, Brazil (F.P.C. Sacchi, R.M. Praça, M.B. Tatara, M.G. Croda, J. Croda); Adolfo Lutz Institute, São Paulo, Brazil (V. Simonsen, L. Ferrazoli); Oswaldo Cruz Foundation, Rio de Janeiro, Brazil (P.N. Suffys); Yale University School of Public Health, New Haven, Connecticut, USA (A.I. Ko); Stanford University School of Medicine, Stanford, California, USA (J.R. Andrews)

Main Article

Table

Risk factors for TB in community and prison populations, Dourados, Brazil, June 2009–August 2011*

Variable Community, n = 183, no. asked/no.responded (%)
 Prison, n = 108, no. asked/no. responded (%)
TB cases, n = 61 Controls, n = 122 Crude OR (95% CI) Adjusted OR (95% CI) TB cases, 
n = 36 Controls, 
n = 72 Crude OR (95% CI)
Male sex 41/61 (67) 42/122 (34) 3.9 
(2.0–7.5) 6.6 
(2.4–18.1) NA NA NA
Income ≤$100† 19/61 (31) 22/122 (18) 2.1 
(1.0–4.2) 3.4 
(1.1–10.6) NA NA NA
No primary school 15/61 (25) 25/122 (21) 1.3 
(0.6–2.6) NA 11/36 (31) 14/72 (19) 1.82 
(0.73–4.57)
Smoked 20/61 (33) 24/122 (20) 2.0 
(1.0–4.0) NA 17/36 (47) 36/72 (50) 0.89 
(0.40–1.99)
Alcohol use 14/61 (23) 7/122 (6) 4.9 
(1.9–12.9) 11.5 
(2.0–67.0) 6/36 (17) 12/72 (17) 1.00 
(0.34–2.93)
Drug use 15/61 (25) 2/122 (2) 19.6 
(4.3–88.9) NA 26/36 (72) 48/72 (67) 1.30 
(0.54–3.13)
Diabetes 7/61 (12) 13/122 (11) 1.1 
(0.4–2.9) NA 1/36 (3) 1/72 (1) 2.03 
(0.12–33.40)
Contact with person with TB 18/61 (30) 15/122 (12) 3.0 
(1.4–6.5) 5.6 
(1.4–22.0) 23/36 (64) 54/72 (75) 0.59 
(0.25–1.40)
Mycobacterium bovis BCG vaccine scar 41/61 (67) 96/122 (79) 0.6 
(0.3–1.1) NA 28/36 (78) 54/72 (75) 1.17 
(0.45–3.02)
Prior incarceration 14/61 (23) 1/122 (0.8) 36.0 
(4.6–281.8) 24.5 
(2.4–254.6) NA NA NA

*TB, tuberculosis; OR, odds ratio; NA, not applicable; BCG, Bacillus Calmette-Guérin.
†Monthly individual income in US dollars.

Main Article

Page created: February 18, 2015
Page updated: February 18, 2015
Page reviewed: February 18, 2015
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