Abstract
Most of the tuberculosis cases in Campania occur in Naples, the biggest city in the South of Italy with the highest unemployment and immigration rates. However, the occurrence of tuberculosis differs between the different neighbourhoods and it is not known whether these differences are associated with poverty or with immigration. We describe tuberculosis incidence and its association with socio-economic status and immigration in the city of Naples during the period 1996–2000. The basic design was an ecological study, correlating the incidence of tuberculosis which was calculated on the basis of notified tuberculosis cases to census data on immigration and socio-economic deprivation per neighbourhood. Immigrants had a high risk for tuberculosis (RR=34 for Africans) but the incidence of TB varied largely by districts and seemed independent of immigration. All socioeconomic factors increased the incidence of TB significantly. In a multivariate Poisson regression analysis only the rate of unemployment (p=0.02) and the population density (p=0.002) remained independently associated with tuberculosis incidence. In this study we showed that deprivation explained differences in tuberculosis incidence in Naples to a greater extent than immigration.
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References
P Sudre HB Ten Dam A Kochi (1992) ArticleTitleTuberculosis: a global overview of the situation today Bull WHO 70 149–159 Occurrence Handle1600578
DP Spence J Hotchkiss CS Williams PD Davies (1993) ArticleTitleTuberculosis and poverty Br Med J 307 759–761
S Squarcione T Troiano A Prete S D’Amato (1995) ArticleTitleTubercolosi: Aspetti normativi ed epidemiologici Lotta Contro la TBC e le malattie polmonari sociali 65 219–227
S Squarcione R Carbini R D’Amato T Troiano (1996) ArticleTitleTuberculosis in Italy during the period 1992–1994: an analysis of the individual case-report forms. (Ministry of Health, Department of Prevention, Rome, Italy) Mediterranean Journal of Infectious and Parasitic Diseases 1 23–28
Caraffa De Stefano D, D’amato S. Tuberculosis: current status in Italy. Rassegna di Patologia dell’Apparato Respiratorio 2002; 17:3 (ed. Scientifiche AIPO)
Ministerial Decree 29/7/1998. Modificazione alla scheda di notifica di caso di tubercolosi e micobatteriosi non tubercolare allegata al decreto ministeriale 15/12/1990. Gazzetta Ufficiale della Repubblica Italiana n° 200, 28/8/1998
Ministerial Decree 31/3/1998. Linee Guida per il controllo della malattia tubercolare. Supplemento Ordinario n° 35 alla Gazzetta Ufficiale della Repubblica Italiana n° 40, 18/2/99
CDC. Case definition for infectious conditions under Public Health Surveillance. MMWR 1997; 46: 1–64 (40–41)
www.ministerosalute.it/promozione/malattie/datidefcons.asp. Accessed October 2002
Immigrazione, Dossier Statistico 2002, XII Rapporto sull’Immigrazione. Caritas Italiana e Fondazione Migrantes, Roma (Italy), Nuova Anterem, 2002
JS Duffield WH Adams M Anderson AG Leitch (1996) ArticleTitleIncreasing incidence of tuberculosis in the young and in the elderly in Scotland Thorax 51 140–142 Occurrence Handle8711644
K Tocque MA Bellis CM Tam et al. (1998) ArticleTitleLong-term trend in Tuberculosis. Comparison of age-choort data between Hong Kong and England and Wales Am J Respir Crit Care Med 158 484–488 Occurrence Handle9700125
JI Hawker SS Bakhshi S Ali CP Farrington (1999) ArticleTitleEcological analysis of ethnic differences in relation between tuberculosis and poverty Br Med J 319 1031–1034
K Siddiqui H Barnes R Williams (2001) ArticleTitleTuberculosis and poverty in the ethnic minority population of West Yorkshire: an ecological study Commun Dis Public Health 4 242–246 Occurrence Handle12109389
N Bhatti MR Law JK Morris R Halliday JM Gillon (1995) ArticleTitleIncreasing incidence of tuberculosis in England and Wales: a study of the likely cause Br Med J 310 967–969
P Mangtani DJ Jolley JM Watson LC Rodrigues (1995) ArticleTitleSocioeconomic deprivation and notification rates for tuberculosis in London during 1982—91 Br Med J 15 963–966
MF Cantwell MT NcKenna E McCray IM Onorato (1997) ArticleTitleTuberculosis and race/ethnicity in the United States. Impact of socioeconomic status Am J Respir Crit Care Med 157 1016–1020
RG Barr AV Diez-Roux CA Knirsch A Pablos-Mendez (2001) ArticleTitleNeighbourhood poverty and the resurgence of tuberculosis in New York city, 1984—1992 Am J Public Health 91 1487–1493 Occurrence Handle11527786
DA Alland GE Kalkut AR Moss et al. (1994) ArticleTitleTransmission of tuberculosis in New York City: an analysis of DANN fingerprinting and conventional epidemiologic methods N Engl J Med 330 1710–1716 Occurrence Handle10.1056/NEJM199406163302403 Occurrence Handle7993412
DA Campbell JM Radford P Burton (1991) ArticleTitleUnemployment rates: an alternative to Jarman index? Br Med J 303 750–755
Bartley M, Owen C. Relation between socioeconomic status, employment, and health during economic change, 1973–1993
K Tocque M Regan T Remmington NJ Beeching I Jamieson Q Syed PDO Davies (1999) ArticleTitleSocial factors associated with increases in tuberculosis notifications Eur Respir J 13 541–545 Occurrence Handle10.1183/09031936.99.13354199 Occurrence Handle10232423
LP Ormerod A Charlett C Gillham JH Darbyshire JM Watson (1998) ArticleTitleGeographical distribution of tuberculosis notifications in natural surveys of England and Wales in 1988 and 1993: report of the Public Health Laboratory Service/British Thoracic Society/Department of Health Collaborative Group Thorax 53 176–181 Occurrence Handle9659351
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Ponticiello, A., Sturkenboom, M.C., Simonetti, A. et al. Deprivation, Immigration and Tuberculosis Incidence in Naples, 1996–2000. Eur J Epidemiol 20, 729–734 (2005). https://doi.org/10.1007/s10654-005-0615-9
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DOI: https://doi.org/10.1007/s10654-005-0615-9