Population Aging and Migrant Workers: Bottlenecks in Tuberculosis Control in Rural China

Bele, Sumedh; Jiang, Wei; Lü, Hui; You, Hua; Hong, Fan; Huang, Lifang; Wang, Qungang; Shen, Hongbing; Wang, Jianming

doi:10.1371/journal.pone.0088290

Cited by 37 publications

(46 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the city is heavily urbanized, a large influx of migrant workers consistently cycle in and out of the city. 17 Infectious disease control regulation in China designates that all patients with presumptive TB should be referred to TB-specialized hospitals. Presumptive TB patients are commonly classified when they have symptoms characteristic of TB (prolonged cough for ≥ 2 weeks, hemoptysis, fatigue, weight loss, etc.)…”

Section: Methodsmentioning

confidence: 99%

Delays and Pathways to Final Tuberculosis Diagnosis in Patients from a Referral Hospital in Urban China

Martínez

Chen

et al. 2017

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. China is among the countries with the largest epidemic of drug susceptible and resistant tuberculosis globally. We investigated the locations tuberculosis patients visited before being diagnosed, total diagnostic delay, and risk factors associated with total delay from a large tuberculosis referral hospital in Nanjing, China. We conducted a retrospective cohort study among tuberculosis patients who initiated anti-tuberculosis treatment within 3 months prior to the study date. Patient information regarding time and locations visited while seeking care for tuberculosis-related symptoms was collected through face-to-face interviews. Crude and adjusted Cox proportional hazard ratios of factors associated with time to diagnosis were calculated. Of 179 bacteriologically confirmed patients, 37% were women and median age was 41 (interquartile range [IQR], 26-62). Public hospitals were the most commonly visited health-care institution and repeated visits to them were common. The mean days to tuberculosis diagnosis were 50.3. Female patients (hazard ratio [HR], 1.29; 95% confidence interval [CI], 1.04-1.48) or patients who contacted a health-care provider 2 weeks after becoming symptomatic (HR, 1.59; 95% CI, 1.43-1.70) were significantly less likely to have a timely diagnosis. In a referral hospital in urban China, we found that female tuberculosis patients took significantly more time to reach diagnosis than males and patients often cycled in public hospitals for multiple visits before reaching final diagnosis. Health professionals at public hospitals in Nanjing should be encouraged to refer potential tuberculosis patients as soon as possible to avoid nosocomial transmission.

show abstract

Section: Methodsmentioning

confidence: 99%

Delays and Pathways to Final Tuberculosis Diagnosis in Patients from a Referral Hospital in Urban China

Martínez

Chen

et al. 2017

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…[75][76][77][78][79] This is applicable also to internal migrants or IDPs who may not have the right to access health care in a different state or province within the same country. 80,81 Without national identification or proof of residency, many An overview of TB and migration migrants may seek care in the private sector where they feel safer. 82,83 Access to health care for refugees and asylum seekers can also be varied and influence their access to TB care.…”

Section: Transitmentioning

confidence: 99%

An overview of tuberculosis and migration

Dhavan

Dias

Creswell³

et al. 2017

int j tuberc lung dis

View full text Add to dashboard Cite

With nearly one billion migrants worldwide, migration is both a dynamic and a divisive phenomenon facing the world today. Migrants are a heterogeneous group, and the conditions surrounding migration pathways often pose risks to the physical, mental and social well-being of migrants, with certain subgroups being more vulnerable than others. Several determinants of health and tuberculosis (TB) interplay to increase the vulnerability of migrants to tuberculous infection, TB disease and poor treatment outcomes, making them a key population for TB. This article is the first in the State-of-the-Art series of the International Journal of Tuberculosis and Lung Disease on TB and migration. It provides an overview of migration trends, migration pathways and social determinants, and impact on TB. This article outlines a framework for the prevention and reduction of the TB burden among migrants, adapted from the World Health Organization's End TB Strategy, and in accordance with the Stop TB Partnership's Global Plan and the Sustainable Development Goals (SDGs) agenda. The framework highlights the need for migrant-inclusive national TB plans, and calls for action across all three pillars of the End TB Strategy for migrant-sensitive care and prevention, bold intersectoral policies and systems supportive of migrants, and operational research. More research is needed on the TB burden and challenges faced by migrants and on the feasibility and effectiveness of approaches proposed here and the scaling up of models already underway. Political commitment at the highest national and international levels will be critical to intensify action for promoting the health of migrants on the road to achieving the end TB targets.

show abstract

“…7 The continuous movement of floating population of TB cases, who move back and forth between their homes and workplaces, posed a great difficulty in treating TB. 8,9 As noted above, cross-regional population of TB has become an important part of the prevention and control of TB in…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis cases in cross-regional floating population from 2009 to 2017 in Shaanxi Province, China

Men

Zhang

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

Background : The cross-regional population of tuberculosis (TB) has become an important part of the prevention and control of TB cases in China with the gradually increasing of floating population. The aim of our study was to explore the main epidemiological characteristics and provide reference for the treatment and management of TB cases in cross-regional floating population in Shaanxi Province. Methods: The data of TB cases in cross-regional floating population from 2009 to 2017 were derived from the National Tuberculosis Management Information Registration System. Descriptive analysis was applied for the baseline demographical, continuous data are expressed as means ± standard deviation and categorical in percentage. The χ2 test, which was implemented as Fisher’s exact test in this study, was applied to categorical variable comparisons. Results: A total of 613 floating TB cases consisting of 413 males (67.4%) and 200 females (32.6%) were registered in Shaanxi province from 2009 to 2017. The difference of gender distribution was statistically significant ( P =0.039). Of the total, 190 cases (31.0%) were smear-positive and 175 cases (28.5%) were negative. From 2009 to 2017, the difference of the gender distribution was not statistically significant ( P =0.732), but the difference in the rate of transferred into original was found statistically significant ( P =0.000). Conclusion: The number of TB cases in cross-regional floating population in Shaanxi Province showed a relatively stable trend from 2009 to 2017. Young males should be given more attentions in TB control because they counted most of the TB cases.

show abstract

Population Aging and Migrant Workers: Bottlenecks in Tuberculosis Control in Rural China

Cited by 37 publications

References 31 publications

Delays and Pathways to Final Tuberculosis Diagnosis in Patients from a Referral Hospital in Urban China

Delays and Pathways to Final Tuberculosis Diagnosis in Patients from a Referral Hospital in Urban China

An overview of tuberculosis and migration

Tuberculosis cases in cross-regional floating population from 2009 to 2017 in Shaanxi Province, China

Contact Info

Product

Resources

About