Self-reported tuberculosis disease and tuberculin skin testing in the New York City House Ballroom community.
OBJECTIVE
We sought to describe the history of tuberculosis disease and tuberculin skin testing among the New York City House Ballroom community--a social network of diverse sexual and gender identities or expressions.


METHODS
Members of the House Ballroom community were convenience sampled, surveyed, and tested for HIV in 2004. We identified characteristics associated with history of tuberculosis, tuberculin skin testing, and test positivity and described the timing of skin testing.


RESULTS
Of 504 participants, 1.4% (n=7) reported a history of tuberculosis and 81.1% (n=404 of 498) had received a tuberculin skin test. Of those tested, 16 (4%) had positive results, which indicated latent infection, and 68% had received a test in the 2 years prior to the survey. Participants with health insurance were more likely and those with little education were less likely to have received a skin test. HIV-infected participants (16%) were not more likely to have received a tuberculin skin test compared with non-HIV-infected individuals. Foreign-born participants and self-identified heterosexuals and bisexuals were more likely to have had positive skin tests.


CONCLUSIONS
Self-reported history of tuberculosis was high among the House Ballroom community. Although many community members had a recent skin test, further efforts should target services to those who are HIV infected, have low education, lack health insurance, or are foreign born.
Division of Tuberculosis Elimination and Division of HIV/AIDS Prevention, US Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. smarks@cdc.gov
Suzanne M
SM
Marks
Chris
C
Murrill
Travis
T
Sanchez
Kai-Lih
KL
Liu
Teresa
T
Finlayson
Vincent
V
Guilin
D000293:Adolescent; D000328:Adult; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior; D014374:Tuberculin Test / Q000706:statistics & numerical data*; D014376:Tuberculosis / Q000453:epidemiology*