TB risk by time since U.S. entry among non-U.S.-born residents of Washington State, USA

2021 ◽  
Vol 25 (7) ◽  
pp. 560-566
Author(s):  
D. A. Black ◽  
S. W. McBrien ◽  
J. Gersh ◽  
B. Ghassemieh ◽  
M. Narita ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Washington State ◽  
First Year ◽  
Region Of Origin ◽  
Screening Guidelines ◽  
Targeted Testing ◽  
Latent Tb ◽  
Latent Tb Infection ◽  
Country Specific

BACKGROUND: Progress towards TB elimination in the United States will require improved detection and treatment of latent TB infection among non-U.S.-born residents who remain at disproportionate risk of TB disease. To inform targeted testing efforts, we evaluated risk of TB disease among non-U.S.-born residents of Washington State, USA, by region of origin and time from U.S. entry.METHODS: We conducted a retrospective cohort study among non-U.S.-born residents diagnosed with TB disease in Washington State from 2005 to 2014, for which country-specific population estimates were also available. The risk of TB disease among non-U.S.-born residents was estimated by time since U.S. entry, World Bank region of origin, and WHO TB incidence category.RESULTS: Risk of TB disease for non-U.S.-born residents was highest within the first year after U.S. entry. Among persons from countries with high TB incidence who had resided in the United States for more than 20 years, risk for TB remained elevated.CONCLUSION: Elevated risk of developing TB disease among individuals not born in the United States persisted long after U.S. entry, particularly among persons originating from certain regions and from high-burden countries. These findings contribute to evidence supporting a refinement of existing screening guidelines.

Latent TB Infection Treatment Acceptance and Completion in the United States and Canada

CHEST Journal ◽  
2010 ◽  
Vol 137 (2) ◽  
pp. 401-409 ◽  
Author(s):  
C. Robert Horsburgh ◽  
Stefan Goldberg ◽  
James Bethel ◽  
Shande Chen ◽  
Paul W. Colson ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Infection Treatment ◽  
Latent Tb ◽  
Latent Tb Infection ◽  
Treatment Acceptance

Is Distance to Drop Box an Appropriate Proxy for Drop Box Treatment? A Case Study of Washington State

2021 ◽  
pp. 1532673X2110221
Author(s):  
Loren Collingwood ◽  
Benjamin Gonzalez O’Brien
Keyword(s):  
United States ◽  
Voter Turnout ◽  
The United States ◽  
Washington State ◽  
Individual Level ◽  
Primary 52 ◽  
The One ◽  
Vote By Mail

In the United States, drop box mail-in voting has increased, particularly in the all vote by mail (VBM) states of Washington, Colorado, Utah, and Oregon. To assess if drop boxes improve voter turnout, research proxies box treatment by voters’ residence distance to nearest drop box. However, no research has tested the assumption that voters use drop boxes nearest their residence more so than they do other drop boxes. Using individual-level voter data from a 2020 Washington State election, we show that voters are more likely to use the nearest drop box to their residence relative to other drop boxes. In Washington’s 2020 August primary, 52% of drop box voters in our data used their nearest drop box. Moreover, those who either (1) vote by mail, or (2) used a different drop box from the one closest to their residence live further away from their closest drop box. Implications are discussed.

scholarly journals Spatial Disparities of COVID-19 Cases and Fatalities in United States Counties

2021 ◽  
Vol 18 (16) ◽  
pp. 8259
Author(s):  
Sarah L. Jackson ◽  
Sahar Derakhshan ◽  
Leah Blackwood ◽  
Logan Lee ◽  
Qian Huang ◽  
...  
Keyword(s):  
United States ◽  
Great Plains ◽  
Explanatory Power ◽  
Temporal Trends ◽  
The United States ◽  
First Year ◽  
Significant Case ◽  
Urban Rural ◽  
Spatial And Temporal Trends ◽  
Mitigation Policies

This paper examines the spatial and temporal trends in county-level COVID-19 cases and fatalities in the United States during the first year of the pandemic (January 2020–January 2021). Statistical and geospatial analyses highlight greater impacts in the Great Plains, Southwestern and Southern regions based on cases and fatalities per 100,000 population. Significant case and fatality spatial clusters were most prevalent between November 2020 and January 2021. Distinct urban–rural differences in COVID-19 experiences uncovered higher rural cases and fatalities per 100,000 population and fewer government mitigation actions enacted in rural counties. High levels of social vulnerability and the absence of mitigation policies were significantly associated with higher fatalities, while existing community resilience had more influential spatial explanatory power. Using differences in percentage unemployment changes between 2019 and 2020 as a proxy for pre-emergent recovery revealed urban counties were hit harder in the early months of the pandemic, corresponding with imposed government mitigation policies. This longitudinal, place-based study confirms some early urban–rural patterns initially observed in the pandemic, as well as the disparate COVID-19 experiences among socially vulnerable populations. The results are critical in identifying geographic disparities in COVID-19 exposures and outcomes and providing the evidentiary basis for targeting pandemic recovery.

“Painful, yet Beautiful, Moments”: Pathways Through Infant Feeding and Dynamic Conceptions of Breastfeeding Success

2021 ◽  
pp. 104973232110321
Author(s):  
Mackenzie D. M. Whipps ◽  
Hirokazu Yoshikawa ◽  
Jill R. Demirci ◽  
Jennifer Hill
Keyword(s):  
United States ◽  
Infant Feeding ◽  
The United States ◽  
High Income ◽  
First Year ◽  
Cultural Narratives ◽  
Structured Interviews ◽  
Written Narratives ◽  
Intensive Mothering ◽  
First Time

What is breastfeeding “success”? In this article, we challenge the traditional biomedical definition, instead centering visions of success described by breastfeeding mothers themselves. Using semi-structured interviews, quantitative surveys, and written narratives of 38 first-time mothers in the United States, we describe five common pathways through the first-year postpartum, a taxonomic distinction far more complex than a success–failure dichotomy: sustained breastfeeding, exclusive pumping, combination feeding, rapid weaning, and grinding back to exclusivity. We also explore the myriad ways in which mothers define and experience breastfeeding success, and in the process uncover the ways that cultural narratives—especially intensive mothering—color those experiences. Finally, we discuss how these experiences are shaped by infant feeding pathway. In doing so, we discover nuance that has gone unexplored in the breastfeeding literature. These findings have implications for supporting, promoting, and protecting breastfeeding in the United States and other high-income countries.

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