{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T15:47:52Z","timestamp":1769615272924,"version":"3.49.0"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>\n                    BACKGROUND: Rates of latent tuberculosis infection (LTBI) and tuberculosis (TB) disease are elevated in the rural southeastern United States and among US- and foreign-born Black residents. To prevent TB and reduce TB transmission, community-based strategies are essential.OBJECTIVE: To describe a community-based participatory intervention for improving the detection and treatment of LTBI and TB and reducing TB incidence.DESIGN: In rural Florida, we carried out a community educational TB campaign from 1997 to 2000, including presentations at community events, a media campaign and working with local community groups to develop culturally appropriate prevention messages. The campaign was implemented concurrently with a population-based LTBI survey.RESULTS: The annual TB incidence rate in the intervention area decreased from 81 per 100\u2009000 in 1994\u20131997, to 42\/100\u2009000 in 1998\u20132001, and to 25\/100\u2009000 in 2002\u20132005 (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.001). This decrease was not observed in communities where the intervention was not implemented. There was no decrease in the TB incidence rate ratio between Blacks and non-Blacks in either region during the study period.CONCLUSIONS: We conclude that community participation in LTBI screening and TB education was associated with a substantial reduction in TB rates. Although the TB incidence rate ratio did not decrease between Blacks and non-Blacks, TB incidence fell in all racial groups.\n                  <\/jats:p>","DOI":"10.5588\/pha.11.0023","type":"journal-article","created":{"date-parts":[[2012,3,12]],"date-time":"2012-03-12T17:52:50Z","timestamp":1331574770000},"page":"23-26","source":"Crossref","is-referenced-by-count":4,"title":["Sustained reduction in tuberculosis incidence following a community-based participatory intervention"],"prefix":"10.5588","volume":"2","author":[{"given":"M. R.","family":"O'Donnell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Chamblee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. F.","family":"von Reyn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. J.","family":"Marsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. D.","family":"Moreland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Narita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. S.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. R.","family":"Horsburgh Jr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2012,3,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.11.0023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:11:24Z","timestamp":1768410684000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.11.0023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2012,3,1]]},"published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.5588\/pha.11.0023"],"URL":"https:\/\/doi.org\/10.5588\/pha.11.0023","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3]]}}}