The rural-to-urban migrant population in China: Gloomy prospects for tuberculosis control

Tobe, Ruoyan Gai; Xu, Lingzhong; Song, Peipei; Huang, Yong

doi:10.5582/bst.2011.v5.6.226

Cited by 31 publications

(17 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The percentage of non-adherence found in our study was higher than the 10% which was required to achieve treatment success of 85%, one of the health-related indicators of the Millennium Development Goals (MDGs) [21]. It was also higher than the 8.9% reported in the patients among permanent residents in the same province [22], which is similar to the findings conducted in Jiangsu Province of China [11]. The high percentage of non-adherence among migrants may reflect the fact that there are more quality problems in DOTS implementation among migrants than permanent residents.…”

Section: Discussionsupporting

confidence: 82%

“…TB treatment presents particular challenges for adherence because a standard treatment lasts 6 or 8 months and involves taking a number of medications, and side-effects are common during the treatment [10]. Studies conducted in Jiangsu Province and Fujian Province of China indicated that the percentage of non-adherence among permanent residents was lower than that among migrants [11]–[12]. Compared to the permanent residents, migrant PTB patients’ “migratory” nature affects negatively the adherence [13].…”

Section: Introductionmentioning

confidence: 99%

“…Studies conducted in China show that a number of factors associated with non-adherence include the health system, patient-related and socio-economic factors [11], [16]–[17]. Most of the studies have been done only among permanent patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study

et al. 2012

Self Cite

View full text Add to dashboard Cite

Adherence to TB treatment is the most important requirement for efficient TB control. Migrant TB patients’ “migratory” nature affects the adherence negatively, which presents an important barrier for National TB Control Program in China. Therefore, TB control among migrants is of high importance.The aim of this study is to describe adherence to TB treatment among migrant TB patients and to identify factors associated with adherence. A total of 12 counties/districts of Shandong Province, China were selected as study sites. 314 confirmed smear positive TB patients were enrolled between August 2nd 2008 and October 17th 2008, 16% of whom were non-adherent to TB therapy. Risk factors for non-adherence were: the divorced or bereft of spouse, patients not receiving TB-related health education before chemotherapy, weak incentives for treatment adherence, and self supervision on treatment. Based on the risk factors identified, measures are recommended such as implementing health education for all migrant patients before chemotherapy and encouraging primary care workers to supervise patients.

show abstract

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study

et al. 2012

Self Cite

View full text Add to dashboard Cite

show abstract

“…Other measures, such as comprehensive health education prior to starting chemotherapy and special attention to adherence by primary health workers, especially during the intensive phase of treatment, are recommended as a better TB control strategy for migrant workers [20]. Identifying TB cases among the migrant population is crucial because factors such as their migratory nature, worse living conditions, poor financial status, and low awareness of TB lead to poor outcomes and result in increased numbers of TB cases, thereby helping the TB epidemic to thrive [22], [23]. Migrant workers coming from rural parts of China present a gloomy prospect for TB control in China [23].…”

Section: Discussionmentioning

confidence: 99%

“…Identifying TB cases among the migrant population is crucial because factors such as their migratory nature, worse living conditions, poor financial status, and low awareness of TB lead to poor outcomes and result in increased numbers of TB cases, thereby helping the TB epidemic to thrive [22], [23]. Migrant workers coming from rural parts of China present a gloomy prospect for TB control in China [23].…”

Section: Discussionmentioning

confidence: 99%

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

Bele

Jiang²,

Lü

et al. 2014

PLoS ONE

View full text Add to dashboard Cite

BackgroundTuberculosis is a serious global health problem. Its paradigms are shifting through time, especially in rapidly developing countries such as China. Health providers in China are at the forefront of the battle against tuberculosis; however, there are few empirical studies on health providers' perspectives on the challenges they face in tuberculosis control at the county level in China. This study was conducted among health providers to explore their experiences with tuberculosis control in order to identify bottlenecks and emerging challenges in controlling tuberculosis in rural China.MethodsA qualitative approach was used. Semi-structured, in-depth interviews were conducted with 17 health providers working in various positions within the health system of one rural county (ZJG) of China. Data were analyzed based on thematic content analysis using MAXQDA 10 qualitative data analysis software.ResultsHealth providers reported several problems in tuberculosis control in ZJG county. Migrant workers and the elderly were repeatedly documented as the main obstacles in effective tuberculosis control in the county. At a personal level, doctors showed their frustration with the lack of new drugs for treating tuberculosis patients, and their opinions varied regarding incentives for referring patients.ConclusionThe results suggest that several problems still remain for controlling tuberculosis in rural China. Tuberculosis control efforts need to make reaching the most vulnerable populations a priority and encourage local health providers to adopt innovative practices in the local context based on national guidelines to achieve the best results. Considerable changes in China's National Tuberculosis Control Program are needed to tackle these emerging challenges faced by health workers at the county level.

show abstract

Systems Principles in the Real World: Understanding Drug-Resistant TB

Mobus

Kalton

2014

Understanding Complex Systems

View full text Add to dashboard Cite

The rural-to-urban migrant population in China: Gloomy prospects for tuberculosis control

Cited by 31 publications

References 23 publications

Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study

Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study

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

Systems Principles in the Real World: Understanding Drug-Resistant TB

Contact Info

Product

Resources

About