Tuberculosis Prevalence Among US Crop-Workers, 2000 to 2012: Trends and Contributing Factors

J Occup Environ Med. 2018 Jul;60(7):603-611. doi: 10.1097/JOM.0000000000001257.

Abstract

Objective: We intend to study tuberculosis (TB) in one of the poorest communities in the US, hired agriculture workers, for most recent years (2000 to 2012) including the last recession period.

Methods: Time-chart, simple mean differences, and logistic regressions were used to describe TB-prevalence and risk factors among US crop-workers. Data were drawn from the National Agricultural Workers Survey (NAWS).

Results: A high TB-prevalence was found among crop-workers with a dramatically increasing trend in recent years. Hispanic ethnicity, having farmworker family members, the presence of health insurance, and good spoken English were associated with an increased TB-prevalence.

Conclusion: We found risk factors related to ethnicity and poor access to health care, a strong association between agriculture activity and TB, and an increase of TB-cases due to the 2008 downturn in this underserved population. We urge the health authorities to control this epidemic.

MeSH terms

  • Adolescent
  • Adult
  • Agriculture / statistics & numerical data*
  • Databases, Factual
  • Economic Recession
  • Female
  • Health Services Accessibility
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Insurance, Health
  • Language
  • Male
  • Medically Underserved Area
  • Prevalence
  • Risk Factors
  • Surveys and Questionnaires
  • Tuberculosis, Pulmonary / epidemiology*
  • Tuberculosis, Pulmonary / ethnology
  • United States
  • Young Adult