caa a22 4500 397516223 CHVBK 20180308164619.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/eurpub/5.4.253 doi (NATIONALLICENCE)oxford-10.1093/eurpub/5.4.253 Incidence of tuberculosis among drug addicts in Amsterdam methadone programmes [Elektronische Daten] [G. H. A. van, M. C. A. Buster, K. Nasseri, J. vam Limbeek, H. van Deutekom, W. van den Brink] The objective was to determine the tuberculosis incidence and related factors among drug users in 3 methadone maintenance programmes in Amsterdam to see whether the present screening procedures are adequate. The study population was selected from the Central Methadone Register (CMR). Cases were identified during hospitalization and during routine screening of ambulatory methadone clients. The data were generated by the drug and tuberculosis departments of the Amsterdam Municipal Health Service (MHS). From 5,044 clients, 43 new cases were identified. The incidence of tuberculosis was 386 per 100,000 person years (py) and increased with age and period of registration with the CMR. After correction for age, sex and period of registration, the incidence among clients of general practitioners (GP) was the lowest. The incidence among the general MHS clients is 9 times this and in the MHS programme for prostitutes and illegal foreigners 27 times higher than in the GP population. The increased risk for drug users treated at the MHS indicates lifestyle as a risk factor; MHS clients are more involved in the drugscene than GP clients. On the basis of this study, periodic screening limited to clients of the MHS would seem to be adequate for the present. © Copyright European Journal of Public Health ORIGINAL ARTICLES nationallicence tuberculosis nationallicence narcotic addiction nationallicence van G. H. A. Drug Department aut Buster M. C. A. Department of Social and Psychistric Epidemlology aut Nasseri K. Department of Social and Psychistric Epidemlology aut Limbeek J. vam Department of Social and Psychistric Epidemlology aut Deutekom H. van Department of Tuberculosis, Municipal Health Service of Amsterdam Amsterdam, The Netherlands aut Brink W. van den Amsterdam Institute for Addiction Research Amsterdam, The Netherlands aut The European Journal of Public Health Oxford University Press 5/4(1995-12), 253-258 1101-1262 5:4<253 1995 5 eurpub https://doi.org/10.1093/eurpub/5.4.253 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/eurpub/5.4.253 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van G. H. A. Drug Department aut NATIONALLICENCE 700 1- Buster M. C. A. Department of Social and Psychistric Epidemlology aut NATIONALLICENCE 700 1- Nasseri K. Department of Social and Psychistric Epidemlology aut NATIONALLICENCE 700 1- Limbeek J. vam Department of Social and Psychistric Epidemlology aut NATIONALLICENCE 700 1- Deutekom H. van Department of Tuberculosis, Municipal Health Service of Amsterdam Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Brink W. van den Amsterdam Institute for Addiction Research Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- The European Journal of Public Health Oxford University Press 5/4(1995-12), 253-258 1101-1262 5:4<253 1995 5 eurpub Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford