Dwellings, Croeding, and Tuberulosis in Montreal  

Oleh:

Wanyeki, Ian ; Olson, Sherry ; Brassard, Paul ; Menzies, Dick ; Ross, Nancy ; Behr, Marcel ; Schwartzman, Kevin

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 2 (Jul. 2006), page 501-511.
Topik: tuberculosis; canada; tuberculosis; housing; crowding; geographic information systems

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

The association of tuberculosis (TB) with poverty has long been recognized, yet it may reflect not only characteristics of poor individuals, but also housing and neighborhood features which promote airborne spread. We sought to determine whether dwelling and building features, residential density and crowding are independently associated with TB occurence in a low incidence setting. We used residential addresses to geocode active TB cases reported in montreal in 1996 - 2000. These case dwelling were linked to the municipal dwelling geodatabase from 2000, and to canadian census data from 1996. We compared them with randomly selected montreal dwellings (controls in a 1 : 10 ratio), using the same data sources. From multivariate logistic regression, the 595 case dwellings were more likely than the 5950 control dwelling to be in buildings > 5 stories tall (adjusted odds ratios [OR] 1,6 ; 95% CI : 1,0 - 2,5 ; constructed since 1970 (adjusted OR 2,5 ; 1,8 - 3,6), in the lowest quartile for resale valuation (adjusted [OR] 1,3 : 1,0 - 1,6), and on blocks where lot coverage exceed the median value (adjusted OR 1,3 : 1,0 - 1,6). Case dwellings were also more often found in census tracts with more persons per room and a higher proportion of inhabitants who had arrived in canada within the last 5 years. We conclude that dwelling and building features notably dwellings in taller and new buildings, with lower resale value, and dwellings on blocks with high residential density, as well as crowding, were associated with TB occurence, after adjustment for sociodemographic factors.

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