{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T11:23:24Z","timestamp":1745234604897},"reference-count":18,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"Italian Ministry of Education, University and Research","award":["2005060582"],"award-info":[{"award-number":["2005060582"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Scientific World Journal"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>The authors show the results of an integrated model for risk management of tuberculosis in a sample of sheltered homeless in Rome. Tuberculin skin test (TST) was used for evaluating the prevalence of latent infection (LTBI). In TST positives, expectorate was collected and chest X-ray was achieved. Multiple logistic regression analysis was performed to investigate determinants of infection. Out of 288 recruited subjects, 259 returned for the TST reading; 45.56% were positive and referred to a specialized center; 70 accessed the health facility and completed the clinical pathway. The risk factors associated to LTBI were male gender (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>3.72<\/mml:mn><\/mml:math>), age over 60 years (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>3.59<\/mml:mn><\/mml:math>), immigrant status (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>3.73<\/mml:mn><\/mml:math>), and obesity (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>2.19<\/mml:mn><\/mml:math>). This approach, based on an integrated social network, guarantees high adherence to screening (89.93%), allowing patients testing positive for latent tuberculosis infection to be diagnosed and rapidly referred to a specialized center.<\/jats:p>","DOI":"10.1100\/2012\/396302","type":"journal-article","created":{"date-parts":[[2012,2,6]],"date-time":"2012-02-06T02:16:04Z","timestamp":1328494564000},"page":"1-7","source":"Crossref","is-referenced-by-count":14,"title":["Tuberculosis in Sheltered Homeless Population of Rome: An Integrated Model of Recruitment for Risk Management"],"prefix":"10.1100","volume":"2012","author":[{"given":"Patrizia","family":"Laurenti","sequence":"first","affiliation":[{"name":"Department of Hygiene, Universit\u00e0 Cattolica del Sacro Cuore, Largo Francesco Vito, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Universit\u00e0 Cattolica del Sacro Cuore, Largo Francesco Vito, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluigi","family":"Quaranta","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Universit\u00e0 Cattolica del Sacro Cuore, Largo Francesco Vito, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"La Torre","sequence":"additional","affiliation":[{"name":"Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio G.","family":"Cairo","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Universit\u00e0 Cattolica del Sacro Cuore, Largo Francesco Vito, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierangela","family":"Nardella","sequence":"additional","affiliation":[{"name":"Department of Hygiene, 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