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Journal article
Neighborhood Poverty and the Resurgence of Tuberculosis in New York City, 1984–1992
American journal of public health (1971), v 91(9), pp 1487-1493
01 Sep 2001
PMID: 11527786
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives
. The resurgence of tuberculosis (TB) in New York City has been attributed to AIDS and immigration; however, the role of poverty in the epidemic is unclear. We assessed the relation between neighborhood poverty and TB at the height of the epidemic and longitudinally from 1984 through 1992.
Methods
. Census block groups were used as proxies for neighborhoods. For each neighborhood, we calculated TB and AIDS incidence in 1984 and 1992 with data from the Bureaus of Tuberculosis Control and AIDS Surveillance and obtained poverty rates from the census.
Results
. For 1992, 3343 TB cases were mapped to 5482 neighborhoods, yielding a mean incidence of 46.5 per 100 000. Neighborhood poverty was associated with TB (relative risk = 1.33; 95% confidence interval = 1.30, 1.36 per 10% increase in poverty). This association persisted after adjustment for AIDS, proportion foreign-born, and race/ethnicity. Neighborhoods with declining income from 1980 to 1990 had larger increases in TB incidence than did neighborhoods with increasing income.
Conclusions
. Leading up to and at the height of the TB epidemic in New York City, neighborhood poverty was strongly associated with TB incidence. Public health interventions should target impoverished areas.
Metrics
Details
- Title
- Neighborhood Poverty and the Resurgence of Tuberculosis in New York City, 1984–1992
- Creators
- R. Graham Barr - Columbia UniversityAna V. Diez-Roux - Columbia UniversityCharles A. Knirsch - Columbia UniversityAriel Pablos-Méndez - Columbia University
- Publication Details
- American journal of public health (1971), v 91(9), pp 1487-1493
- Publisher
- American Public Health Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics; Drexel University
- Web of Science ID
- WOS:000170650400041
- Scopus ID
- 2-s2.0-0034877355
- Other Identifier
- 991020111966404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health