Screening Latino adolescents for latent tuberculosis infection ( XXXX ).

@entity1 @entity281 @entity8668 @entity272
OBJECTIVES: To investigate the rates of @entity281 ( @entity281 ) in a sample of young @entity1 in San Diego County and examine potential predictors of a positive @entity272 ( @entity272 ). METHODS: Latino and foreign-born students from ten public middle and high schools were invited to screenings along with a random 10% sample of all other students. After obtaining parental consent, Mantoux tests were placed (N=2,698) and read (n=2,667 [98.9%]) in 48-72 hours. A positive @entity272 was defined as > or =10 mm induration. The mean age of the sample was 14.34 years (SD=1.81); 50.1% were female (n=1,353); 78.5% were Latino (n=2,108); 35.7% were foreign-born (n=939); and 44.3% were uninsured (n=930). RESULTS: The positive @entity272 rate for Latinos was 21.8% vs. 5.6% for non-Latinos, p<0.001. Foreign-born Latinos had the highest @entity281 rate (31.3%), followed by foreign-born non-Latinos (20.4%), U.S.-born Latinos (15.4%), and U.S.-born non-Latinos (1.0%), p<0.001. Logistic regression was conducted to determine predictors of @entity272 positivity. Being Latino (odds ratio [OR]=3.27), uninsured (OR=1.60), foreign-born (OR=3.90), and living in the south county region closest to the U.S./Mexico border (OR=2.72) were significant predictors. CONCLUSIONS: Results suggest that Latino youth near the @entity8668 are at high risk for @entity281 , for remaining undiagnosed, and for being under-treated for @entity281 .
