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While there is evidence that TB rates are higher among females among the Danish, the Alaskan Inuit and young American blacks and Puerto Ricans. Murray (1994) provided the evidence that females have higher mortality rates from TB especially among young adults of 15 to 44 years old. A study of Cambodian refugees in Thailand found that tuberculosis was more common among adult females than among adult males (Rieder, 1999). Rieder (1999) also stated that the opportunity of becoming exposed to an infectious case differs for men and women because the differences in the pattern of social interaction for both genders. He states that there might be underlying genetic and maturational factors that impacted on the expression of tuberculosis.