Free Content Epidemiology of AIDS and tuberculosis among United States Veterans

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Abstract:

Setting: US veterans.

Objective: To evaluate the frequency of the acquired immune-deficiency syndrome (AIDS) and tuberculosis (TB) among US veterans.

Design: Analysis of statistics for 1984–1993 from the Department of Veterans Affairs and the Centers for Disease Control and Prevention (CDC).

Results: For the first time in the available literature the incidence of AIDS and TB per 100000 were calculated for US veterans receiving health care from Veterans Administration Medical Centers (VAMC). Among these veterans, the incidence of AIDS in 1993 was 2.5-fold ( P < 0.001) and the incidence of TB at least 1.3-fold (P < 0.001) higher than among the corresponding general population. The higher the incidences of AIDS and TB among general population of a state, the higher are the incidences of the diseases among veterans of this state (P < 0.001). A high correlation (r = 0.6, P < 0.001) between AIDS and TB among veterans was found.

Conclusion: The study shows that US veterans receiving health care at VAMC are a high risk group for both AIDS and TB, and increased preventive measures are recommended. The spread of AIDS and TB among veterans of a state is probably determined by the spread of these diseases among the general population of that state.

Keywords: AIDS; VA Medical Centers; tuberculosis

Document Type: Regular Paper

Affiliations: Indiana Health Center at Kokomo, Kokomo, Indiana, USA

Publication date: May 1, 1998

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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