Risk Perceptions Regarding Tuberculosis Among Hispanic Adults — United States,2020–2022

Abstract

Purpose

Risk perception for tuberculosis (TB) and previous receipt of a TB test and/or vaccine were assessed to inform TB prevention efforts.

Design

Cross-sectional.

Setting

The 2020, 2021, and 2022 Estilos survey data.

Subjects

2837 U.S. Hispanic adults (≥18 years).

Measures

Self-reported receipt of a TB test and/or vaccine, perceived risk for TB, and demographic characteristics.

Analysis

Weighted proportions and 95% Confidence Intervals (CIs) were calculated. Associations between demographic characteristics and TB questions were assessed using chi-square tests. Multinomial logistic regression was used to examine perceived risk for TB among those who received a TB test and/or vaccine vs those who did not.

Results

Overall, 7.2% (95%CI [4.8, 10.5]) of U.S. Hispanic adults reported receiving a TB test but not a vaccine, 15.3% (95%CI [12.5, 18.7]) reported receiving a vaccine but not a test, and 28.3% (95%CI [24.7, 32.2]) reported receiving both a TB test and TB vaccine. Respondents who reported previous receipt of a TB test, with or without previous receipt of a TB vaccine, had a significantly higher odds of feeling any risk for TB than those without previous receipt of a TB test or vaccine (aOR = 2.79, 95% CI = 1.19-6.52 for those tested but not vaccinated; aOR = 1.89, 95% CI = 1.11-3.20 for those both tested and vaccinated).

Conclusion

Findings can help inform education and interventions to raise awareness and encourage TB testing for those at risk for TB.