Epidemiology and Infection



Completion of screening for latent tuberculosis infection among immigrants


A. C. C. CARVALHO a1c1, N. SALERI a1, I. EL-HAMAD a1a2, S. TEDOLDI a1, S. CAPONE a1, M. C. PEZZOLI a1, M. ZACCARIA a2, A. PIZZOCOLO a2, C. SCARCELLA a2 and A. MATTEELLI a1
a1 Institute of Infectious and Tropical Diseases, University of Brescia, Spedali Civili, Brescia, Italy
a2 District Health Department, Brescia, Italy

Article author query
carvalho ac   [PubMed][Google Scholar] 
saleri n   [PubMed][Google Scholar] 
el-hamad i   [PubMed][Google Scholar] 
tedoldi s   [PubMed][Google Scholar] 
capone s   [PubMed][Google Scholar] 
pezzoli mc   [PubMed][Google Scholar] 
zaccaria m   [PubMed][Google Scholar] 
pizzocolo a   [PubMed][Google Scholar] 
scarcella c   [PubMed][Google Scholar] 
matteelli a   [PubMed][Google Scholar] 

Abstract

The objective of our study was to evaluate the sociodemographic factors associated with completion of screening for latent tuberculosis infection (LTBI) among undocumented immigrants in Brescia, Italy. Screening for LTBI was offered to 649 immigrants; 213 (33%) immigrants completed the first step of screening; only 44% (55/124) of individuals with a positive tuberculin skin test result started treatment for LTBI. The univariate analysis showed that being unmarried, of Senegalese nationality and being interviewed by a health-care worker with the same native language as the immigrant were significantly associated with completion of screening for LTBI. In the multiple logistic regression, being interviewed in the native language of the health-care worker (OR 2·5, 95% CI 1·3–4·8, P=0·004) and being of Senegalese origin (OR 2·3, 95% CI 1·4–3·6, P=0·0005) were independently associated with adherence to LTBI screening. Our results suggest that knowledge of the sociodemographic characteristics of immigrants, and the participation of health-care workers of the same cultural origin as the immigrant during the visits, can be an important tool to improve completion of screening for LTBI.

(Accepted July 19 2004)


Correspondence:
c1 Dr A. C. C. Carvalho, Institute of Infectious and Tropical Diseases, University of Brescia, Piazza Spedali Civili, 1. 25125, Brescia, Italy. (Email: A.Carvalho@libero.it)


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