American Medical Association
Vol. 7, Issue 9
Date of Publication:
September 2024
Importance: Despite significant progress made toward tuberculosis (TB) elimination, racial and ethnic disparities persist in TB incidence and case-fatality rates in the US.
Objective: To estimate the health outcomes and economic cost of TB disparities among US-born persons from 2023 to 2035.
Design, setting, and participants: Generalized additive regression models projecting trends in TB incidence and case-fatality rates from 2023 to 2035 were fit based on national TB surveillance data for 2010 to 2019 in the 50 US states and the District of Columbia among US-born persons. This baseline scenario was compared with alternative scenarios in which racial and ethnic disparities in age- and sex-adjusted incidence and case-fatality rates were eliminated by setting rates for each race and ethnicity to goal values. Additional scenarios were created examining the potential outcomes of delayed reduction of racial and ethnic disparities. The potential benefits of eliminating disparities from differences between baseline and alternative scenario outcomes were quantified. Data were analyzed from January 2010 to December 2019."
Citations
Swartwood NA, Li Y, Regan M, Marks SM, Barham T, Beeler Asay GR, Cohen T, Hill AN, Horsburgh CR Jr, Khan AD, McCree DH, Myles RL, Salomon JA, Self JL, Menzies NA. Estimated Health and Economic Outcomes of Racial and Ethnic Tuberculosis Disparities in US-Born Persons. JAMA Netw Open. 2024 Sep 3;7(9):e2431988. doi: 10.1001/jamanetworkopen.2024.31988. PMID: 39254977; PMCID: PMC11388029.