title: Tuberculosis among homeless population from Medellín, Colombia: associated mental disorders and socio-demographic characteristics.
abstract: Homeless people are highly susceptible to tuberculosis. It has been suggested that this population have high rates of mental disorders associated with tuberculosis. We assessed tuberculosis incidence, its transmission patterns and association with socio-demographic factors and mental disorders in Colombian homeless people. Prospective study which socio-demographic characteristics and mental disorders were assessed through interviews. Sputa from patients with respiratory symptoms were processed and clinical isolates analyzed by IS6110-RFLP. Multivariate analysis performed by logistic regression model. From 426 homeless studied, tuberculosis incidence found was 7.9 %. 44 % of isolates were clustering. It was found high risk of having tuberculosis associated with income from drugs trade (OR: 3.40 [95 % CI: 1.28-9.05]), dysthymia (OR: 2.54 [95 % CI: 1.10-5.86]) and receiving food from other homeless (OR: 2.47 [95 % CI: 1.16-5.25]). Tuberculosis incidence and degree of transmission are high in homeless studied. Implementing programs to better control tuberculosis among homeless population must consider socio-demographic factors and mental disorders associated with the disease.
authors: School of Health Sciences, Universidad Pontificia Bolivariana (UPB), Medellín, Colombia. jhernandez@cib.org.co
authors: José Mauricio
authors: JM
authors: Hernández Sarmiento
authors: Nidia
authors: N
authors: Correa
authors: Marta
authors: M
authors: Correa
authors: José Gabriel
authors: JG
authors: Franco
authors: Matilde
authors: M
authors: Alvarez
authors: Clara
authors: C
authors: Ramírez
authors: Lina M
authors: LM
authors: Gómez
authors: Antonio Carlos
authors: AC
authors: Toro
authors: Nora Helena
authors: NH
authors: Londoño
authors: Milton
authors: M
authors: Martínez
authors: Mary Alejandra
authors: MA
authors: Restrepo
authors: Elsa
authors: E
authors: Zapata
authors: Gloria Isabel
authors: GI
authors: Mejía
authors: Jaime
authors: J
authors: Robledo
mesh_terms: D000328:Adult; D000367:Age Factors; D003105:Colombia / Q000453:epidemiology; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D015999:Multivariate Analysis; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011446:Prospective Studies; D012737:Sex Factors; D014376:Tuberculosis / Q000453:epidemiology* / Q000635:transmission