Table 2.
Demographic, clinical, and social characteristics of tuberculosis (TB) cases identified as contacts (contact cases) to infectious TB cases (index cases) by prevalence statusa, New York City, 1997–2007
| Prevalent contact cases | Incident contact cases | ||||
|---|---|---|---|---|---|
| N | % | N | % | P valueb | |
| Total | 70 | 100 | 48 | 100 | |
| Age group (years) at TB diagnosis | |||||
| 0–4 | 6 | 9 | 1 | 2 | 0·238 |
| 5–17 | 7 | 10 | 4 | 8 | 1·000 |
| 18–44 | 37 | 53 | 31 | 65 | 0·205 |
| 45–64 | 18 | 26 | 8 | 17 | 0·244 |
| ⩾65 | 2 | 3 | 4 | 8 | 0·223 |
| Median age in years at TB diagnosis (range) | 33 (0–95) | 32·5 (4–81) | 0·850 | ||
| Female sex | 33 | 47 | 19 | 40 | 0·417 |
| US-bornc | 37 | 53 | 19 | 40 | 0·156 |
| Race/ethnicity (among US-born) | |||||
| Black non-Hispanic | 29 | 78 | 14 | 74 | 0·694 |
| White non-Hispanic | 6 | 16 | 2 | 11 | 0·565 |
| Hispanic | 1 | 3 | 1 | 5 | 0·625 |
| Asian | 1 | 3 | 2 | 11 | 0·218 |
| Household exposure setting | 52 | 74 | 29 | 60 | 0·111 |
| Tuberculin skin test (TST) resultd | |||||
| Positive | 48 | 69 | 24 | 50 | 0·042 |
| Negative | 6 | 9 | 10 | 21 | 0·056 |
| No TST administered: prior TB diagnosis | 4 | 6 | 1 | 2 | 0·647 |
| No TST administered: prior positive TST | 8 | 11 | 4 | 8 | 0·759 |
| Window negative | 3 | 4 | 3 | 6 | 0·686 |
| Not tested | 1 | 1 | 6 | 13 | 0·018 |
| TST converted from negative to positive | |||||
| Eligiblee | 8 | 11 | 14 | 29 | n.a. |
| Converted (among eligible) | 5 | 63 | 8 | 57 | n.a. |
| Initial genotype concordance statusf | |||||
| Exact match | 55 | 78 | 28 | 58 | 0·018 |
| Non-exact match | 15 | 21 | 20 | 42 | |
| Final genotype concordance statusg | |||||
| Exact or near-match | 61 | 87 | 36 | 75 | 0·090 |
| Discordant | 9 | 13 | 12 | 25 | |
| HIV status at TB diagnosis | |||||
| Infected | 15 | 21 | 8 | 17 | 0·638 |
| Not infected | 46 | 66 | 31 | 65 | 0·899 |
| Unknown | 9 | 13 | 9 | 19 | 0·381 |
| History of homelessness ever | |||||
| Yes | 1 | 1 | 7 | 15 | 0·008 |
| No | 6 | 9 | 21 | 44 | <0·001 |
| Missing | 63 | 90 | 20 | 42 | <0·001 |
| History of illicit drug use ever | |||||
| Yes | 12 | 17 | 7 | 15 | 0·710 |
| No | 56 | 80 | 40 | 83 | 0·648 |
| Missing | 2 | 3 | 1 | 2 | 0·793 |
n.a., Not applicable.
Prevalent contact cases were diagnosed within 9 months of the date of diagnosis of the associated index case. Incident contact cases were diagnosed >9 months after the date of diagnosis of the associated index case.
P values generated by Pearson's χ2 or Fisher's exact tests for proportions, Wilcoxon rank sum test for medians.
Includes birth in US territories.
TST result when contact case was originally evaluated as a contact. Contacts that had a negative TST result in the window period (within 8 weeks of last known date of exposure) but did not have a subsequent test were assigned a window negative TST result.
Contacts were eligible for TST conversion if they either had a known TST induration result within 2 years of the first TST after being identified as a contact, or if they had a negative (<5 mm induration) TST during the window period and then a second TST after the window period. An increase of 10 mm induration between the TST qualifies as a conversion.
Contact case and index case genotypes are comprised of both spoligotype and IS6110 restriction fragment length polymorphism (RFLP) results. Genotype concordance was determined by comparing the genotypes of case-pairs (consisting of the contact case and the associated index case). Initially, genotypes that matched exactly were considered exact matches and all others were categorized as non-exact matches.
In non-exact matches, contact cases were further categorized as either near-match (case-pair with the same spoligotype and RFLP patterns differing by ⩽2 bands). Non-exact matches that did not meet the near-match definition were classified as discordant.