Tuberculosis among migrant workers in Taiwan

Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact...
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Autor*in:	Lu, Chia-Wen [verfasserIn] Lee, Yi-Hsuan Pan, Yu-Hao Chang, Hao-Hsiang Wu, Yi-Chun Sheng, Wang-Huei Huang, Kuo-Chin

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Tuberculosis Migrant workers Latent tuberculosis infection Foreigner workers

Anmerkung:	© The Author(s). 2019

Übergeordnetes Werk:	Enthalten in: Globalization and health - London : BioMed Central, 2005, 15(2019), 1 vom: 28. Feb.
Übergeordnetes Werk:	volume:15 ; year:2019 ; number:1 ; day:28 ; month:02

Links:	Volltext

DOI / URN:	10.1186/s12992-019-0461-2

Katalog-ID:	SPR029337275

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520			\|a Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted.
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allfields	10.1186/s12992-019-0461-2 doi (DE-627)SPR029337275 (SPR)s12992-019-0461-2-e DE-627 ger DE-627 rakwb eng Lu, Chia-Wen verfasserin aut Tuberculosis among migrant workers in Taiwan 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. Tuberculosis (dpeaa)DE-He213 Migrant workers (dpeaa)DE-He213 Latent tuberculosis infection (dpeaa)DE-He213 Foreigner workers (dpeaa)DE-He213 Lee, Yi-Hsuan aut Pan, Yu-Hao aut Chang, Hao-Hsiang aut Wu, Yi-Chun aut Sheng, Wang-Huei aut Huang, Kuo-Chin (orcid)0000-0002-6029-5520 aut Enthalten in Globalization and health London : BioMed Central, 2005 15(2019), 1 vom: 28. Feb. (DE-627)484837001 (DE-600)2185774-X 1744-8603 nnns volume:15 year:2019 number:1 day:28 month:02 https://dx.doi.org/10.1186/s12992-019-0461-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2019 1 28 02
spelling	10.1186/s12992-019-0461-2 doi (DE-627)SPR029337275 (SPR)s12992-019-0461-2-e DE-627 ger DE-627 rakwb eng Lu, Chia-Wen verfasserin aut Tuberculosis among migrant workers in Taiwan 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. Tuberculosis (dpeaa)DE-He213 Migrant workers (dpeaa)DE-He213 Latent tuberculosis infection (dpeaa)DE-He213 Foreigner workers (dpeaa)DE-He213 Lee, Yi-Hsuan aut Pan, Yu-Hao aut Chang, Hao-Hsiang aut Wu, Yi-Chun aut Sheng, Wang-Huei aut Huang, Kuo-Chin (orcid)0000-0002-6029-5520 aut Enthalten in Globalization and health London : BioMed Central, 2005 15(2019), 1 vom: 28. Feb. (DE-627)484837001 (DE-600)2185774-X 1744-8603 nnns volume:15 year:2019 number:1 day:28 month:02 https://dx.doi.org/10.1186/s12992-019-0461-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2019 1 28 02
allfields_unstemmed	10.1186/s12992-019-0461-2 doi (DE-627)SPR029337275 (SPR)s12992-019-0461-2-e DE-627 ger DE-627 rakwb eng Lu, Chia-Wen verfasserin aut Tuberculosis among migrant workers in Taiwan 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. Tuberculosis (dpeaa)DE-He213 Migrant workers (dpeaa)DE-He213 Latent tuberculosis infection (dpeaa)DE-He213 Foreigner workers (dpeaa)DE-He213 Lee, Yi-Hsuan aut Pan, Yu-Hao aut Chang, Hao-Hsiang aut Wu, Yi-Chun aut Sheng, Wang-Huei aut Huang, Kuo-Chin (orcid)0000-0002-6029-5520 aut Enthalten in Globalization and health London : BioMed Central, 2005 15(2019), 1 vom: 28. Feb. (DE-627)484837001 (DE-600)2185774-X 1744-8603 nnns volume:15 year:2019 number:1 day:28 month:02 https://dx.doi.org/10.1186/s12992-019-0461-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2019 1 28 02
allfieldsGer	10.1186/s12992-019-0461-2 doi (DE-627)SPR029337275 (SPR)s12992-019-0461-2-e DE-627 ger DE-627 rakwb eng Lu, Chia-Wen verfasserin aut Tuberculosis among migrant workers in Taiwan 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. Tuberculosis (dpeaa)DE-He213 Migrant workers (dpeaa)DE-He213 Latent tuberculosis infection (dpeaa)DE-He213 Foreigner workers (dpeaa)DE-He213 Lee, Yi-Hsuan aut Pan, Yu-Hao aut Chang, Hao-Hsiang aut Wu, Yi-Chun aut Sheng, Wang-Huei aut Huang, Kuo-Chin (orcid)0000-0002-6029-5520 aut Enthalten in Globalization and health London : BioMed Central, 2005 15(2019), 1 vom: 28. Feb. (DE-627)484837001 (DE-600)2185774-X 1744-8603 nnns volume:15 year:2019 number:1 day:28 month:02 https://dx.doi.org/10.1186/s12992-019-0461-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2019 1 28 02
allfieldsSound	10.1186/s12992-019-0461-2 doi (DE-627)SPR029337275 (SPR)s12992-019-0461-2-e DE-627 ger DE-627 rakwb eng Lu, Chia-Wen verfasserin aut Tuberculosis among migrant workers in Taiwan 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. Tuberculosis (dpeaa)DE-He213 Migrant workers (dpeaa)DE-He213 Latent tuberculosis infection (dpeaa)DE-He213 Foreigner workers (dpeaa)DE-He213 Lee, Yi-Hsuan aut Pan, Yu-Hao aut Chang, Hao-Hsiang aut Wu, Yi-Chun aut Sheng, Wang-Huei aut Huang, Kuo-Chin (orcid)0000-0002-6029-5520 aut Enthalten in Globalization and health London : BioMed Central, 2005 15(2019), 1 vom: 28. Feb. (DE-627)484837001 (DE-600)2185774-X 1744-8603 nnns volume:15 year:2019 number:1 day:28 month:02 https://dx.doi.org/10.1186/s12992-019-0461-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2019 1 28 02
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topic_title	Tuberculosis among migrant workers in Taiwan Tuberculosis (dpeaa)DE-He213 Migrant workers (dpeaa)DE-He213 Latent tuberculosis infection (dpeaa)DE-He213 Foreigner workers (dpeaa)DE-He213
topic	misc Tuberculosis misc Migrant workers misc Latent tuberculosis infection misc Foreigner workers
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title	Tuberculosis among migrant workers in Taiwan
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title_sort	tuberculosis among migrant workers in taiwan
title_auth	Tuberculosis among migrant workers in Taiwan
abstract	Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. © The Author(s). 2019
abstractGer	Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. © The Author(s). 2019
abstract_unstemmed	Background Although the worldwide incidence of tuberculosis (TB) has been slowly decreasing, the migrant workers remains an important gap for regional TB control. In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. Further investigation and health screening are warranted. © The Author(s). 2019
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In Taiwan, the numbers of the migrant workers from countries with high TB incidence increase significantly in past decades and the impact on public health remains unknown. This study aimed to explore the difference of TB incidence between Taiwanese and the migrant workers. Methods The migrant workers are obligated to receive pre-arrival, post-arrival and regular chest X-ray screening during their stay in Taiwan. We retrospectively collected these data extracted from the Alien Workers Health Database in Centers for Disease Control, Taiwan from Jan. 1, 2004 to Dec. 31, 2013. Poisson regression models were used to compare the hazard ratios of TB between Taiwanese and the migrant workers after adjusting gender and age groups. Results The total migrant workers in Taiwan reached 314,034 persons in 2004 and 489,134 persons in 2013, accounting for 2% of Taiwan population. The TB incidence of migrant workers was similar to Taiwanese (53–73.7 per $ 10^{5} $ vs 45.5–76.8 per $ 10^{5} $). Comparing with Taiwanese, the TB risk was significantly lower in male migrant workers (HR: 0.76; 95% CI: 0.70–0.83, P < 0.001), but higher in female migrant workers (HR: 1.40; 95% CI: 1.35–1.46, P < 0.001). Besides, we found that the TB risk in migrant workers was 5.30-fold (95% CI: 4.83–5.83, P < 0.001) in youngest group (≤24 year-old) comparing with Taiwanese. Conclusions Migrant workers in Taiwan have higher TB incidence than Taiwanese in young groups, especially in females. The mainstay young laborers with latent tuberculosis infection risk is an important vulnerability for public health. 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Tuberculosis among migrant workers in Taiwan

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