Tuberculosis incidence and the seroprevalence of HIV infection in the United States.
cross_sectional · Level IV
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Abstract
Unlike other available studies, this article not only recognizes a human immunodeficiency virus-tuberculosis (HIV-TB) correlation but also shows its strength, statistical significance, and the method of calculation. These results increase comparability of the data on the HIV-TB relationship and allow more accurate analysis for developing better control of the two diseases. This population-based study compares data by states on HIV seroprevalence among 1,799,771 military recruits and the incidence of TB in the general population of the United States in 1987. The corresponding correlation coefficient was 0.8 (P less than .001). Although military recruits do not constitute a random sampling of the population at risk for TB, the high correlation suggests that HIV infection contributes substantially to population-based rates of TB.