{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T13:03:10Z","timestamp":1776862990170,"version":"3.51.2"},"reference-count":49,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p> Objectives. We evaluated the efficacy of a mobile medical clinic (MMC) screening program for detecting latent tuberculosis infection (LTBI) and active tuberculosis. <\/jats:p><jats:p> Methods. A LTBI screening program in a MMC in New Haven, Connecticut, used medical surveys to examine risk factors and tuberculin skin test (TST) screening eligibility. We assessed clinically relevant correlates of total (prevalent; n\u2009=\u20094650) and newly diagnosed (incident; n\u2009=\u20094159) LTBI from 2003 to 2011. <\/jats:p><jats:p> Results. Among 8322 individuals, 4159 (55.6%) met TST screening eligibility criteria, of which 1325 (31.9%) had TST assessed. Similar to LTBI prevalence (16.8%; 779 of 4650), newly diagnosed LTBI (25.6%; 339 of 1325) was independently correlated with being foreign-born (adjusted odds ratio [AOR]\u2009=\u20098.49; 95% confidence interval [CI]\u2009=\u20095.54, 13.02), Hispanic (AOR\u2009=\u20093.12; 95% CI\u2009=\u20091.88, 5.20), Black (AOR\u2009=\u20092.16; 95% CI\u2009=\u20091.31, 3.55), employed (AOR\u2009=\u20091.61; 95% CI\u2009=\u20091.14, 2.28), and of increased age (AOR\u2009=\u20091.04; 95% CI\u2009=\u20091.02, 1.05). Unstable housing (AOR\u2009=\u20094.95; 95% CI\u2009=\u20093.43, 7.14) and marijuana use (AOR\u2009=\u20091.57; 95% CI\u2009=\u20091.05, 2.37) were significantly correlated with incident LTBI, and being male, heroin use, interpersonal violence, employment, not having health insurance, and not completing high school were significantly correlated with prevalent LTBI. <\/jats:p><jats:p> Conclusions. Screening for TST in MMCs successfully identifies high-risk foreign-born, Hispanic, working, and uninsured populations and innovatively identifies LTBI in urban settings. <\/jats:p>","DOI":"10.2105\/ajph.2014.301897","type":"journal-article","created":{"date-parts":[[2014,6,12]],"date-time":"2014-06-12T20:17:23Z","timestamp":1402604243000},"page":"1508-1515","source":"Crossref","is-referenced-by-count":20,"title":["Latent Tuberculosis Infection Screening in Foreign-Born Populations: A Successful Mobile Clinic Outreach Model"],"prefix":"10.2105","volume":"104","author":[{"given":"Jamie P.","family":"Morano","sequence":"first","affiliation":[{"name":"Jamie P. Morano, Alexei Zelenev, Mary R. Walton, R. Douglas Bruce, and Frederick L. Altice are with the Yale School of Medicine, Department of Infectious Diseases, Yale University AIDS Program, New Haven, CT. R.\u2009D. Bruce and F.\u2009L. Altice are also affiliated with the Yale School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven. F.\u2009L. Altice is also associated with the Centre of Excellence in Research in AIDS, University of Malaya, Kuala Lumpur, Malaysia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexei","family":"Zelenev","sequence":"additional","affiliation":[{"name":"Jamie P. Morano, Alexei Zelenev, Mary R. Walton, R. Douglas Bruce, and Frederick L. Altice are with the Yale School of Medicine, Department of Infectious Diseases, Yale University AIDS Program, New Haven, CT. R.\u2009D. Bruce and F.\u2009L. Altice are also affiliated with the Yale School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven. F.\u2009L. Altice is also associated with the Centre of Excellence in Research in AIDS, University of Malaya, Kuala Lumpur, Malaysia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary R.","family":"Walton","sequence":"additional","affiliation":[{"name":"Jamie P. Morano, Alexei Zelenev, Mary R. Walton, R. Douglas Bruce, and Frederick L. Altice are with the Yale School of Medicine, Department of Infectious Diseases, Yale University AIDS Program, New Haven, CT. R.\u2009D. Bruce and F.\u2009L. Altice are also affiliated with the Yale School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven. F.\u2009L. Altice is also associated with the Centre of Excellence in Research in AIDS, University of Malaya, Kuala Lumpur, Malaysia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Douglas","family":"Bruce","sequence":"additional","affiliation":[{"name":"Jamie P. Morano, Alexei Zelenev, Mary R. Walton, R. Douglas Bruce, and Frederick L. Altice are with the Yale School of Medicine, Department of Infectious Diseases, Yale University AIDS Program, New Haven, CT. R.\u2009D. Bruce and F.\u2009L. Altice are also affiliated with the Yale School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven. F.\u2009L. Altice is also associated with the Centre of Excellence in Research in AIDS, University of Malaya, Kuala Lumpur, Malaysia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick L.","family":"Altice","sequence":"additional","affiliation":[{"name":"Jamie P. Morano, Alexei Zelenev, Mary R. Walton, R. Douglas Bruce, and Frederick L. Altice are with the Yale School of Medicine, Department of Infectious Diseases, Yale University AIDS Program, New Haven, CT. R.\u2009D. Bruce and F.\u2009L. Altice are also affiliated with the Yale School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven. F.\u2009L. Altice is also associated with the Centre of Excellence in Research in AIDS, University of Malaya, Kuala Lumpur, Malaysia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"issue":"11","key":"bib1","first-page":"201","volume":"62","author":"Centers for Disease Control and Prevention","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"5","key":"bib2","first-page":"506","volume":"12","author":"Lobato MN","year":"2008","journal-title":"Int J Tuberc Lung Dis"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.4.405"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.10.0518"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2003.019620"},{"issue":"9","key":"bib6","first-page":"1","volume":"55","author":"Centers for Disease Control and Prevention","year":"2006","journal-title":"MMWR Recomm Rep"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.11.0447"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3549(04)50036-5"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.3109\/00952990903447741"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-010-9338-4"},{"issue":"06","key":"bib13","first-page":"1","volume":"49","author":"Centers for Disease Control and Prevention","year":"2000","journal-title":"MMWR Recomm Rep"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-468"},{"issue":"8","key":"bib16","first-page":"878","volume":"12","author":"Heldal E","year":"2008","journal-title":"Int J Tuberc Lung Dis"},{"issue":"2","key":"bib17","first-page":"59","volume":"9","author":"Heimer R","year":"1994","journal-title":"AIDS Public Policy J"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181938e7e"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9336-2"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1086\/521166"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1086\/421400"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31820a8226"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318209751e"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-010-9438-4"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1086\/508183"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2011.11.002"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-011-0080-2"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0372-1"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0362-3"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0042416"},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0038335"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1108\/IJPH-03-2013-0011"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301553"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1093\/jurban\/jti016"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0064321"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1446.2002.19504.x"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000248338.74943.85"},{"key":"bib38","unstructured":"Guidelines for intensified tuberculosis case-finding and isoniazid preventative therapy for people living with HIV in resource-constrained settings. Geneva, Switzerland: World Health Organization; 2011. Available at:http:\/\/whqlibdoc.who.int\/publications\/2011\/9789241500708_eng.pdf. Accessed May 20, 2013."},{"key":"bib39","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-013-9704-y"},{"key":"bib40","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0472-6"},{"key":"bib41","doi-asserted-by":"publisher","DOI":"10.1016\/0740-5472(92)90062-S"},{"key":"bib42","volume-title":"Econometric Analysis","author":"Greene W","year":"2012","edition":"7"},{"key":"bib43","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200612-1877OC"},{"key":"bib44","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cki203"},{"issue":"11","key":"bib45","first-page":"181","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"9","key":"bib46","first-page":"1104","volume":"14","author":"Hirsch-Moverman Y","year":"2010","journal-title":"Int J Tuberc Lung Dis"},{"key":"bib47","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-008-9204-9"},{"key":"bib48","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0060130"},{"key":"bib49","author":"Desale M","year":"2012","journal-title":"J Imm Minor Health"},{"key":"bib50","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1104875"},{"key":"bib51","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.12.0638"},{"key":"bib52","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-3157"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2014.301897","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T00:00:46Z","timestamp":1652140846000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2014.301897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8]]},"references-count":49,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.2105\/AJPH.2014.301897"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2014.301897","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8]]}}}