Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 23, Number 3—March 2017

Research Letter

Association of Diabetes and Tuberculosis Disease among US-Bound Adult Refugees, 2009–2014

Stephen R. BenoitComments to Author , Edward W. Gregg, Sasi Jonnalagadda, Christina R. Phares, Weigong Zhou, and John A. Painter
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table

Characteristics of US-bound adult refugees and association of diabetes with TB disease, Electronic Disease Notification System, January 2009–August 2014*

Characteristic Total no. (%), N = 248,850 TB, no. (%), n = 2,262 Odds ratio (95% CI)
Univariate Multivariate
Diabetes
5,767 (2.3)
56 (2.5)
1.1 (0.8–1.4)
1.7 (1.3–2.2)
Region
Africa 40,731 (16.4) 422 (18.7) Reference Reference
East Asia and the Pacific 58,701 (23.6) 971 (42.9) 1.6 (1.4–1.8) 1.7 (1.5–1.9)
Europe and Eurasia 3,867 (1.6) 22 (1.0) 0.5 (0.4–0.8) 0.6 (0.4–1.0)
Near East 76,752 (30.8) 44 (2.0) 0.1 (<0.1–0.1) 0.1 (0.1–0.1)
South and Central Asia 52,677 (21.2) 802 (35.5) 1.5 (1.3–1.7) 1.2 (1.0–1.4)
Western Hemisphere
16,122 (6.5)
1 (<0.1)
<0.1 (<0.1–<0.1)
<0.1 (<0.1–<0.1)
Female sex
115,297 (46.3)
747 (33.0)
0.6 (0.5–0.6)
0.6 (0.5–0.6)
Age group, y
18–44 190,141 (76.4) 1,391 (61.5) Reference Reference
45–64 45,711 (18.4) 600 (26.5) 1.8 (1.6–2.0) 2.6 (2.3–2.8)
65–74 9,397 (3.8) 175 (7.7) 2.6 (2.2–3.0) 3.6 (3.0–4.3)
>75
3,601 (1.5)
96 (4.2)
3.7 (3.0–4.6)
5.0 (4.0–6.3)
BMI category†
Underweight 20,300 (8.6) 390 (18.3) 1.7 (1.5–1.9) 1.6 (1.4–1.8)
Normal 127,033 (53.7) 1,465 (68.8) Reference Reference
Overweight 58,299 (24.7) 233 (10.9) 0.3 (0.3–0.4) 0.5 (0.5–0.6)
Obese
30,731 (13.0)
43 (2.0)
0.1 (0.1–0.2)
0.4 (0.3–0.5)
Lived in refugee camp‡ 88,490 (36.0) 1,448 (64.6) 3.3 (3.0–3.6) 1.2 (1.0–1.3)

*Adults were those >18 years of age. BMI, body mass index; TB, tuberculosis.
†Proportions based on nonmissing data; 5.0% missing data.
‡Proportions based on nonmissing data; 1.2% missing data.

Main Article

TOP