The diabetes-tuberculosis co-epidemic: The role of international migration

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5 Citations (Scopus)

Abstract

ETTING: A tuberculosis (TB) referral centre in Rome, Italy. OBJECTIVE : To identify demographic and epidemiological characteristics associated with diabetes mellitus (DM) among patients with TB and to compare the clinical presentation of TB and TB-DM in the light of the growing worldwide burden of DM. DESIGN: We performed a retrospective study of TB cases diagnosed from 2007 to 2012. RESULT S : Among 971 TB patients, 723 were foreignborn and 63 (6.5%) had DM. DM prevalence was 12.7% (8/63) among those born in countries with DM prevalence 78%, 4.7% (31/660) among patients from countries with DM prevalence ,8% and 9.7% among Italian patients (24/248). In multivariable analysis, DM was independently associated with older age, and with being born in countries other than Italy, compared to Italians; this latter association was stronger in older patients. DM patients were also significantly more likely to be male and less likely to test positive for the human immunodeficiency virus. The presence of cavities was significantly associated with DM. CONCLUS IONS : As individuals born in high TB incidence and high DM prevalence countries emerge as a vulnerable population, greater attention to bidirectional low-cost screening in people from these countries is needed.

Original languageEnglish
Pages (from-to)771-777
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume20
Issue number6
DOIs
Publication statusPublished - Jun 1 2016

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Emigration and Immigration
Diabetes Mellitus
Tuberculosis
Italy
Vulnerable Populations
Referral and Consultation
Retrospective Studies
Demography
HIV
Costs and Cost Analysis

Keywords

  • Bidirectional screening
  • DM-TB comorbidity
  • Foreign-born

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

@article{1967a30b0b38462bbfa30e677b78e1cc,
title = "The diabetes-tuberculosis co-epidemic: The role of international migration",
abstract = "ETTING: A tuberculosis (TB) referral centre in Rome, Italy. OBJECTIVE : To identify demographic and epidemiological characteristics associated with diabetes mellitus (DM) among patients with TB and to compare the clinical presentation of TB and TB-DM in the light of the growing worldwide burden of DM. DESIGN: We performed a retrospective study of TB cases diagnosed from 2007 to 2012. RESULT S : Among 971 TB patients, 723 were foreignborn and 63 (6.5{\%}) had DM. DM prevalence was 12.7{\%} (8/63) among those born in countries with DM prevalence 78{\%}, 4.7{\%} (31/660) among patients from countries with DM prevalence ,8{\%} and 9.7{\%} among Italian patients (24/248). In multivariable analysis, DM was independently associated with older age, and with being born in countries other than Italy, compared to Italians; this latter association was stronger in older patients. DM patients were also significantly more likely to be male and less likely to test positive for the human immunodeficiency virus. The presence of cavities was significantly associated with DM. CONCLUS IONS : As individuals born in high TB incidence and high DM prevalence countries emerge as a vulnerable population, greater attention to bidirectional low-cost screening in people from these countries is needed.",
keywords = "Bidirectional screening, DM-TB comorbidity, Foreign-born",
author = "E. Caraffa and {Sa{\~n}e Schepisi}, M. and G. Gualano and Parracino, {M. P.} and A. Rianda and A. Corpolongo and C. Pinnetti and V. Galati and M. Carballo and G. Ippolito and F. Palmieri and E. Girardi",
year = "2016",
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doi = "10.5588/ijtld.15.0295",
language = "English",
volume = "20",
pages = "771--777",
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TY - JOUR

T1 - The diabetes-tuberculosis co-epidemic

T2 - The role of international migration

AU - Caraffa, E.

AU - Sañe Schepisi, M.

AU - Gualano, G.

AU - Parracino, M. P.

AU - Rianda, A.

AU - Corpolongo, A.

AU - Pinnetti, C.

AU - Galati, V.

AU - Carballo, M.

AU - Ippolito, G.

AU - Palmieri, F.

AU - Girardi, E.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - ETTING: A tuberculosis (TB) referral centre in Rome, Italy. OBJECTIVE : To identify demographic and epidemiological characteristics associated with diabetes mellitus (DM) among patients with TB and to compare the clinical presentation of TB and TB-DM in the light of the growing worldwide burden of DM. DESIGN: We performed a retrospective study of TB cases diagnosed from 2007 to 2012. RESULT S : Among 971 TB patients, 723 were foreignborn and 63 (6.5%) had DM. DM prevalence was 12.7% (8/63) among those born in countries with DM prevalence 78%, 4.7% (31/660) among patients from countries with DM prevalence ,8% and 9.7% among Italian patients (24/248). In multivariable analysis, DM was independently associated with older age, and with being born in countries other than Italy, compared to Italians; this latter association was stronger in older patients. DM patients were also significantly more likely to be male and less likely to test positive for the human immunodeficiency virus. The presence of cavities was significantly associated with DM. CONCLUS IONS : As individuals born in high TB incidence and high DM prevalence countries emerge as a vulnerable population, greater attention to bidirectional low-cost screening in people from these countries is needed.

AB - ETTING: A tuberculosis (TB) referral centre in Rome, Italy. OBJECTIVE : To identify demographic and epidemiological characteristics associated with diabetes mellitus (DM) among patients with TB and to compare the clinical presentation of TB and TB-DM in the light of the growing worldwide burden of DM. DESIGN: We performed a retrospective study of TB cases diagnosed from 2007 to 2012. RESULT S : Among 971 TB patients, 723 were foreignborn and 63 (6.5%) had DM. DM prevalence was 12.7% (8/63) among those born in countries with DM prevalence 78%, 4.7% (31/660) among patients from countries with DM prevalence ,8% and 9.7% among Italian patients (24/248). In multivariable analysis, DM was independently associated with older age, and with being born in countries other than Italy, compared to Italians; this latter association was stronger in older patients. DM patients were also significantly more likely to be male and less likely to test positive for the human immunodeficiency virus. The presence of cavities was significantly associated with DM. CONCLUS IONS : As individuals born in high TB incidence and high DM prevalence countries emerge as a vulnerable population, greater attention to bidirectional low-cost screening in people from these countries is needed.

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