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Free Content Tuberculosis testing in correctional officers: a national random survey of jails in the United States

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Abstract:

SETTING: The correctional system in the United States is large and growing. The Centers for Disease Control and Prevention recommend baseline and annual testing of employees in correctional facilities for latent tuberculosis infection (LTBI).

OBJECTIVE: To describe the extent of and factors associated with LTBI testing practices for jail correctional officers.

DESIGN: A national survey of 1760 randomly selected jails was conducted. We used multivariable logistic regression models to examine factors associated with testing officers in a guideline-concordant manner and having a written policy.

RESULTS: A total of 1174 (67%) surveys were returned. Only 52% of jails had a written policy on LTBI testing of officers, and 51% screened officers at least annually (guideline concordance). Large jails (OR 2.41, 95%CI 1.67–3.49) and jails in states with a high tuberculosis incidence (OR 1.67, 95%CI 1.17–2.38) and in the Midwest (OR 1.58, 95%CI 1.07–2.33) were more likely to screen in a guideline-concordant manner.

CONCLUSION: Screening for LTBI among correctional officers in the United States was inconsistent. Strategies to improve LTBI testing among correctional officers are needed.

Keywords: correctional officers; jails; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Division of General Internal Medicine and Division of Substance Dependence, University of Colorado Denver School of Medicine, Aurora, Colorado, USA 2: Division of Correctional Medicine, Denver Health and Hospital Authority, Denver, Colorado, USA 3: Colorado Health Outcomes Program, University of Colorado Denver School of Medicine, Aurora, Colorado, USA 4: Denver Public Health Department, Denver, Colorado, USA; and Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA 5: Division of General Internal Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA

Publication date: 2010-04-01

More about this publication?
  • 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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