Expected vs Reported Chronic Hepatitis B Infection Cases in Persons with Active Tuberculosis - California, 2016-2020.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Management and Practice Pub Date : 2024-09-01 Epub Date: 2024-07-22 DOI:10.1097/PHH.0000000000001955

J Bradford Bertumen, Lisa Pascopella, Emily Han, Rosie Glenn-Finer, Robert John Wong, Amit Chitnis, Devan Jaganath, Mirna Ponce Jewell, Prabhu Gounder, Sara McElroy, Lauren Stockman, Pennan Barry

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引用次数: 0

Abstract

Epidemiologic data regarding persons with active tuberculosis (TB) and chronic hepatitis B virus (cHBV) infection are limited because of lack of routine surveillance of cHBV in persons with TB. Potential underdiagnosis of cHBV in California among those with TB is concerning. We matched TB and cHBV registries to identify cHBV infections among persons diagnosed with TB during 2016-2020 and described their demographic characteristics. We calculated expected cHBV cases among persons with TB for each demographic characteristic using published cHBV prevalence estimates for the locations of birth for persons with TB. Estimates were from general or emigrant adult and teen populations. Reported cHBV infection among persons with TB were 23% lower than expected, particularly among Asian persons, persons living in the two healthiest Healthy Places Index quartiles, and residents of less populated jurisdictions in California. Results show the possibility exists for underdiagnosis of cHBV in persons with TB in California.

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2016-2020 年加利福尼亚州活动性肺结核患者慢性乙型肝炎感染病例的预期与报告情况。

由于缺乏对肺结核患者中 cHBV 的常规监测，有关活动性肺结核（TB）患者和慢性乙型肝炎病毒（cHBV）感染者的流行病学数据非常有限。加利福尼亚州的结核病患者中可能存在 cHBV 诊断不足的情况，这令人担忧。我们对结核病和 cHBV 登记进行了比对，以确定 2016-2020 年期间确诊为结核病患者的 cHBV 感染情况，并描述了他们的人口统计学特征。我们利用已公布的结核病患者出生地的 cHBV 流行率估算值，计算了每种人口统计学特征下结核病患者中的预期 cHBV 病例。估计值来自普通或移民成人和青少年人群。肺结核患者中报告的 cHBV 感染率比预期低 23%，尤其是亚裔、生活在健康场所指数最健康的两个四分位数的人群以及加利福尼亚州人口较少辖区的居民。结果表明，加利福尼亚州肺结核患者中的 cHBV 可能存在诊断不足的情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.40

自引率

9.10%

发文量

287

期刊介绍： Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.