A strategy for reducing tuberculosis among Oglala Sioux Native Americans.

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  • Author(s): Breault JL;Breault JL; Hoffman MG
  • Source:
    American journal of preventive medicine [Am J Prev Med] 1997 May-Jun; Vol. 13 (3), pp. 182-8.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8704773 Publication Model: Print Cited Medium: Print ISSN: 0749-3797 (Print) Linking ISSN: 07493797 NLM ISO Abbreviation: Am J Prev Med Subsets: MEDLINE
    • Publication Information:
      Publication: Amsterdam : Elsevier Science
      Original Publication: [New York, NY] : Oxford University Press, [c1985-
    • Subject Terms:
      Indians, North American*; Diabetes Mellitus/*ethnology ; Tuberculosis/*ethnology ; Tuberculosis/*prevention & control; Adolescent ; Adult ; Age Factors ; Aged ; Antitubercular Agents/therapeutic use ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Isoniazid/therapeutic use ; Male ; Middle Aged ; Prevalence ; Risk ; Risk Factors ; Sex Factors ; South Dakota/epidemiology ; United States ; United States Indian Health Service
    • Abstract:
      Background: The Oglala Sioux people, who live on the second largest Native American reservation in the United States, the Pine Ridge Reservation in South Dakota, have a history of high rates of tuberculosis.
      Methods: To determine a strategy for reducing tuberculosis in this population, Pine Ridge Reservation tuberculosis cases since 1968 were analyzed. Diabetic patients were identified through chart reviews and characterized for tuberculosis status. Age-specific tuberculosis rates and age-specific relative risks (RRs) were calculated and compared with those of South Dakota excluding Pine Ridge.
      Results: Between 1968 and 1994, the RR for tuberculosis was 18.9 for a Pine Ridge Native American compared with rates for the rest of South Dakota. The age-specific RR was 65.7 for the Pine Ridge population 65 and older from 1985-1994. Tuberculin tests were positive in 70% of diabetic patients on the reservation. Diabetic patients comprise 23% of the population 45 and older at Pine Ridge. Fifty-five percent of all the tuberculosis disease in the 45 and older age group can be prevented by eliminating it in the diabetic population.
      Conclusions: A major stride toward reducing tuberculosis can be made by targeting high-risk groups such as diabetic patients, especially in a time of dwindling resources and personnel for tuberculosis control.
    • Accession Number:
      0 (Antitubercular Agents)
      V83O1VOZ8L (Isoniazid)
    • Publication Date:
      Date Created: 19970501 Date Completed: 19970721 Latest Revision: 20131121
    • Publication Date:
      20231215
    • Accession Number:
      9181205