Poster presentation of “Screening of tuberculosis in Barcelona's immigrant population (Catalonia, Spain)” by Olga Hladun, Albert Grau, M. Esther Esteban, Maria Villanueva, and Vanessa Alvarez at the 6th European Congress on Tropical Medicine and International Health 2009, Verona, Italy, 6–10 September, 2009.
Results From Screening Immigrants of Low-Income Countries: Data From a Public Primary Health Care
Article first published online: 20 NOV 2013
© 2013 International Society of Travel Medicine
Journal of Travel Medicine
Volume 21, Issue 2, pages 92–98, March/April 2014
How to Cite
Hladun, O., Grau, A., Esteban, E. and Jansà, J. M. (2014), Results From Screening Immigrants of Low-Income Countries: Data From a Public Primary Health Care. Journal of Travel Medicine, 21: 92–98. doi: 10.1111/jtm.12083
Poster presentation of “Gender differences among the immigrant population attended in Primary Care in downtown Barcelona” by M. Esther Esteban, Olga Hladun, Robert Carreras-Torres, and Albert Grau at the European Population Conference 2012, Stockholm, 13–16 June, 2012.
- Issue published online: 4 MAR 2014
- Article first published online: 20 NOV 2013
- Manuscript Accepted: 17 SEP 2013
- Manuscript Revised: 6 SEP 2013
- Manuscript Received: 13 MAY 2013
A total of 3,132 immigrants from low- and middle-income countries were involved in a cross-sectional observational study to screen for infectious diseases among immigrants attending public primary health care (PHC) centers. The study was conducted to clarify the degree of demographic differences and risk predictors of these diseases.
Demographic and clinical variables, screening for infectious diseases [hepatitis B and C, human immunodeficiency virus infection, syphilis, and tuberculosis (TB)], and analytical data (anemia, hematuria, and liver function) were recorded from immigrants attending a public PHC unit in Barcelona.
Global hepatitis B, including chronic and previous, reached 18.1%; Morocco as the country of origin [odds ratio (OR) 2.1, 95% confidence interval (CI) 1.07–4.14] and gastrointestinal symptoms (OR 1.9, CI 1.18–3.02) were risk factors. Hepatitis C prevalence was 3.3% with elevated hepatic transaminase levels as a risk factor (OR 26.1, CI 8.68–78.37). Positive syphilis was 3.1%; latent and active TB rates were 28.1 and 5.8%, respectively. Concerning TB, we found remarkable differences both among WHO regions of origin (the Eastern Mediterranean region showed the highest rate of active TB, 8%) and the three categories of years of residence in Spain (6.5% for <1 year, 12.8% for 1–5 years, and 10% for >5 years).
The data allowed recommendation of a minimal screening of TB in immigrants from low-income countries regardless of the years of residence in Spain, hepatitis C in patients with altered transaminase levels, and hepatitis B in patients with gastrointestinal symptoms and/or from Morocco.