Abstract
To understand use of tuberculosis (TB) services for migrant workers, we conducted a cross-sectional census of 95 migrant workers with TB from Armenia by using medical record reviews and face-to-face interviews. Prolonged time between diagnosis and treatment, treatment interruption, and treatment defaults caused by migrant work might increase the risk for multidrug-resistant TB.
Highlights
To understand use of tuberculosis (TB) services for migrant workers, we conducted a cross-sectional census of 95 migrant workers with TB from Armenia by using medical record reviews and face-to-face interviews
A study participant had to be a migrant worker outside Armenia for ≥3 months during 2008–2011, Author affiliation: American University of Armenia School of Public Health, Yerevan, Armenia
After adjusting for confounding, we found that persons who had multidrug-resistant TB (MDR TB) had 2 times greater odds of having ≥2 TB treatments than persons who had TB (Table 3, http://wwwnc.cdc.gov/EID/ article/21/3/14-0474-T3.htm)
Summary
The mean duration for the first inpatient TB treatment for participants who received TB treatment in Armenia was 78 days (range 40–425 days). For those who received their first inpatient treatment in the host country of work, the mean duration was 164 days (range 20–912 days) Those workers who received treatment in the host country of work were 3.9 times more likely to have a failed or defaulted treatment outcome than those who received treatment in Armenia (95% CI 11.4–74.1, p = 0.001). Only 13.7% (13/95) of respondents received treatment outside Armenia Of those reporting, 9.3% (8/86) experienced an interruption of prescribed TB treatment for ≥1 day during the inpatient phase of their first treatment (mean duration of interruption 7 days, range 1–30 days).
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