Tuberculosis in San Bernardino County, 1993-2004 : Lifestyle and Environmental Factors

<p>An observational retrospective study was conducted for tuberculosis (TB) cases between San Bernardino County (SBC), Riverside County, and the state of California from 1996 to 2004. A univariate comparison between San Bernardino County and California indicated a higher proportion of U.S. born cases in SBC. Additionally, it was found that San Bernardino had a higher proportion of non-injection drug using TB cases, compared with California in 1996. Further comparisons were made along country of birth between TB cases in San Bernardino County from 1993 to 2004. Notable differences were observed for injection drug use, non injection drug use, alcohol abuse, homelessness, incarceration in a correctional facility, certain age groups, occupations, and type of health care provider. A multivariate logistic regression analysis for San Bernardino County indicated that several factors influenced TB cases from inside the U.S. These included correctional facility residence, age, living in the desert region of San Bernardino County, and unemployment. Several notable factors were associated with people infected with TB who were born outside the U.S. These included Hispanic or non- Latino white race and unemployment. An additional logistic regression analysis, based upon drug use, resulted in a number of significant indicators. These included homelessness, incarceration in a correctional facility, abusing alcohol, U.S. birth, and working in an occupation classified as “other.”</p> <p>Although this study supported the focusing of preventive methods towards certain sections of the population in San Bernardino County, more research is still needed. This would help to better understand the risk factors related to the onset of the disease as well as the preventive care measures that could effectively limit the incidence of TB within San Bernardino County as well as the state of California. Moreover, more detailed surveillance information within the Report of a Verified Cases of Tuberculosis (RVCT) form would contribute toward more clearly determining the indicative lifestyle factors related to TB cases in San Bernardino County.</p>

Name thesis:degree_name

Doctor of Public Health (DrPH)

Level thesis:degree_level

Dissertation

Year

2009

Author dc:creator

• Bhatia, Anuj

Contributors dc:contributor

• Lee Berk
• Larry Beeson
• Susanne Montgomery

• Community Health and Preventive Medicine
• Epidemiology
• Pathology
• Public Health
• Public Health Education and Promotion
• Tuberculosis; Tuberculosis -- prevention & control; Public Health; Health Behavior; Social Environment; Socioeconomic Factors; Life Style; Cross-Cultural Studies; Analysis of Variance.

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/1306

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-2098