Full Citation
Title: Age-Period-Cohort Analyses of Tuberculosis Incidence Rates by Nativity, United States, 1996–2016
Citation Type: Journal Article
Publication Year: 2018
ISBN:
ISSN:
DOI: 10.2105/AJPH.2018.304687
NSFID:
PMCID:
PMID:
Abstract: Objectives. To assess changes in US tuberculosis (TB) incidence rates by age, period, and cohort effects, stratified according to race/ethnicity and nativity. Methods. We used US National Tuberculosis Surveillance System data for 1996 to 2016 to estimate trends through age-period-cohort models. Results. Controlling for cohort and period effects indicated that the highest rates of TB incidence occurred among those 0 to 5 and 20 to 30 years of age. The incidence decreased by age for successive birth cohorts. There were greater estimated annual percentage decreases among US-born individuals (–7.3%; 95% confidence interval [CI] = –7.5, –7.1) than among non–US-born individuals (–4.3%; 95% CI = –4.5, –4.1). US-born individuals older than 25 years exhibited the largest decreases, a pattern that was not reflected among non–US-born adults. In the case of race/ethnicity, the greatest decreases by nativity were among US-born Blacks (–9.3%; 95% CI = –9.6, –9.1) and non– US-born Hispanics (–5.7%; 95% CI = –6.0, –5.5). Conclusions. TB has been decreasing among all ages, races and ethnicities, and consecutive cohorts, although these decreases are less pronounced among non–US-born individuals. (Am J Public Health. 2018;108:S315–S320. doi:10.2105/AJPH.2018.304687)
Url: https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2018.304687
User Submitted?: No
Authors: Iqbal, Shareen A; Winston, Carla A; Bardenheier, Barbara H; Armstrong, Lori R; Navin, Thomas R
Periodical (Full): Public Health
Issue: S4
Volume: 108
Pages: 315-320
Data Collections: IPUMS CPS
Topics: Health, Other, Population Health and Health Systems
Countries: