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Undocumented Migrants in Switzerland: Geographical Origin Versus Legal Status as Risk Factor for Tuberculosis

Wolff, H. ; Janssens, J. ; Bodenmann, P. ; Meynard, A. ; Delhumeau, C. ; Rochat, T. ; Sudre, P. ; Costanza, M. ; Gaspoz, J. ; Morabia, A.

In: Journal of Immigrant and Minority Health, 2010, vol. 12, no. 1, p. 18-23

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    Titre
    • Undocumented Migrants in Switzerland: Geographical Origin Versus Legal Status as Risk Factor for Tuberculosis
    Auteur
    • Wolff, H.. Department of Primary Care and Community Medicine, University Hospitals of Geneva, University of Geneva, 9, Avenue Champel, 1211, Geneva 4, Switzerland
    • Janssens, J.. Division of Pulmonary Diseases, University Hospitals of Geneva, University of Geneva, Geneva, Switzerland
    • Bodenmann, P.. Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland
    • Meynard, A.. Department of Primary Care and Community Medicine, University Hospitals of Geneva, University of Geneva, 9, Avenue Champel, 1211, Geneva 4, Switzerland
    • Delhumeau, C.. Department of Primary Care and Community Medicine, University Hospitals of Geneva, University of Geneva, 9, Avenue Champel, 1211, Geneva 4, Switzerland
    • Rochat, T.. Division of Pulmonary Diseases, University Hospitals of Geneva, University of Geneva, Geneva, Switzerland
    • Sudre, P.. Department of Economy and Health, General Directorate of Health, Geneva, Switzerland
    • Costanza, M.. Department of Primary Care and Community Medicine, University Hospitals of Geneva, University of Geneva, 9, Avenue Champel, 1211, Geneva 4, Switzerland
    • Gaspoz, J.. Department of Primary Care and Community Medicine, University Hospitals of Geneva, University of Geneva, 9, Avenue Champel, 1211, Geneva 4, Switzerland
    • Morabia, A.. Queens College, City University of New York, New York, NY, USA
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Journal of Immigrant and Minority Health, 2010, vol. 12, no. 1, p. 18-23. Springer US; http://www.springer-ny.com
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:314763
    Summary
    Undocumented migrants, meaning migrants without a legal residency permit, come to Geneva from countries with high tuberculosis (TB) incidence. We estimate here whether being undocumented is a determinant of TB, independently of origin. Cross-sectional study including undocumented migrants in a TB screening program in 2002; results were compared to 12,904 age and frequency matched participants in a general TB screening program conducted at various workplaces in Geneva, Switzerland from 1992 to 2002. A total of 206 undocumented migrants (36% male, 64% female, mean age 37.8 years (SD 11.8), 82.5% from Latin America) participated in the TB screening program. Compared to legal residents, undocumented migrants had an adjusted OR for TB-related fibrotic signs of 1.7 (95% CI 0.8;3.7). The OR of TB-related fibrotic signs for Latin American (vs. other) origin was 2.7 (95% CI 1.6;4.7) among legal residents and 5.5 (95% CI 2.8;10.8) among undocumented migrants. Chest X-ray screening identified a higher proportion of TB-related fibrotic signs among Latin Americans, independently of their residency status