The Tuberculosis Behavioral and Social Science Research Forum Proceedings

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Appendix C: TB Behavioral and Social Science Research Gaps and Needs: Major Research Topics, Subtopics, and Research Questions

Major Research Topics, Subtopics, and Research Questions

I. Background

A. Health disparities

Vast disparities exist in TB case rates, treatment outcomes, and TB mortality among many different population strata. Historically, these disparities have often been based on socioeconomic status and within racial and ethnic minorities, the incarcerated, substance abusers, and homeless populations--populations especially vulnerable to poorer TB outcomes. In 2002, TB case rates among non-Hispanic blacks continued to be eight times greater than non-Hispanic whites.¹ In addition, the past decade has seen disparities emerge between U.S-born and foreign-born populations in the United States. Identifying and eliminating disparities in TB case rates, as well as determining effective measures to reduce existing disparities, are important steps toward controlling and eventually eliminating TB.

During the breakout sessions, Forum participants identified the need to better understand and address disparities in TB case rates and treatment outcomes.

• What types of research on disparities in TB should be conducted at the community level? Why do the disparities exist, and what can be done to reduce them?