Dwellings, crowding, and tuberculosis in Montreal
The association of tuberculosis (TB) with poverty has long been recognized, yet it may reflect not only characteristics of poor individuals, but also housing and neighborhood features which promote airborne spread. We sought to determine whether dwelling and building features, residential density and crowding are independently associated with TB occurrence in a low-incidence setting. We used residential addresses to geocode active TB cases reported in Montreal in 1996-2000. These "case dwellings" were linked to the municipal dwelling geodatabase from 2000, and to Canadian census data from 1996. We compared them with randomly selected Montreal dwellings ("controls," in a 1:10 ratio), using the same data sources. From multivariate logistic regression, the 595 case dwellings were more likely than the 5950 control dwellings to be in buildings >5 stories tall (adjusted odds ratios [OR] 1.6; 95% CI: 1.0-2.5), constructed since 1970 (adjusted OR 2.5; 1.8-3.6), in the lowest quartile for resale valuation (adjusted OR 1.3; 1.0-1.6), and on blocks where lot coverage exceeded the median value (adjusted OR 1.3; 1.0-1.6). Case dwellings were also more often found in census tracts with more persons per room, and a higher proportion of inhabitants who had arrived in Canada within the last 5 years. We conclude that dwelling and building features--notably dwellings in taller and new buildings, with lower resale value, and dwellings on blocks with high residential density--as well as crowding, were associated with TB occurrence, after adjustment for sociodemographic factors.
Volume (Year): 63 (2006)
Issue (Month): 2 (July)
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Klovdahl, A. S. & Graviss, E. A. & Yaganehdoost, A. & Ross, M. W. & Wanger, A. & Adams, G. J. & Musser, J. M., 2001. "Networks and tuberculosis: an undetected community outbreak involving public places," Social Science & Medicine, Elsevier, vol. 52(5), pages 681-694, March.
- Ross, Nancy A. & Tremblay, Stéphane & Graham, Katie, 2004. "Neighbourhood influences on health in Montréal, Canada," Social Science & Medicine, Elsevier, vol. 59(7), pages 1485-1494, October.
- Elender, Frances & Bentham, Graham & Langford, Ian, 1998. "Tuberculosis mortality in England and Wales during 1982-1992: its association with poverty, ethnicity and AIDS," Social Science & Medicine, Elsevier, vol. 46(6), pages 673-681, March.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:63:y:2006:i:2:p:501-511. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.