title: Screening for tuberculosis at an adult education center: results of a community-based participatory process.
abstract: OBJECTIVE
  We used a community-based participatory research (CBPR) approach to plan and implement free TB skin testing at an adult education center to determine the efficacy of CBPR with voluntary tuberculosis (TB) screening and the prevalence of TB infection among immigrant and refugee populations.
  
  
  METHODS
  We formed a CBPR partnership to address TB screening at an adult education center that serves a large immigrant and refugee population in Rochester, Minnesota. We conducted focus groups involving educators, health providers, and students of the education center, and used this input to implement TB education and TB skin testing among the center's students.
  
  
  RESULTS
  A total of 259 adult learners volunteered to be skin-tested in April 2009; 48 (18.5%) had positive TB skin tests.
  
  
  CONCLUSIONS
  Our results imply that TB skin testing at adult education centers that serve large foreign-born populations may be effective. Our findings also show that a participatory process may enhance the willingness of foreign-born persons to participate in TB skin-testing efforts.
authors.affiliation: Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN 55904, USA. wieland.mark@mayo.edu
authors.forename: Mark L
authors.initials: ML
authors.lastname: Wieland
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Weis
authors.forename: Marilynn W
authors.initials: MW
authors.lastname: Olney
authors.forename: Marty
authors.initials: M
authors.lastname: Alemán
authors.forename: Susan
authors.initials: S
authors.lastname: Sullivan
authors.forename: Kendra
authors.initials: K
authors.lastname: Millington
authors.forename: Connie
authors.initials: C
authors.lastname: O'Hara
authors.forename: Julie A
authors.initials: JA
authors.lastname: Nigon
authors.forename: Irene G
authors.initials: IG
authors.lastname: Sia
mesh_terms: D000293:Adolescent; D000328:Adult; D055812:Community-Based Participatory Research; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000458:organization & administration; D008875:Middle Aged; D008910:Minnesota; D015995:Prevalence; D012574:Schools; D014374:Tuberculin Test; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult