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Migratory journeys and tuberculosis risk.

Ming-Jung Ho1

  • 1Institute of Social and Cultural Anthropology, Oxford University.

Medical Anthropology Quarterly
|January 14, 2004
PubMed
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Tuberculosis (TB) cases in NYC immigrants surged, challenging the notion that TB is solely imported. The study highlights risks during migration, suggesting a broader understanding of TB risk factors.

Area of Science:

  • Public Health
  • Epidemiology
  • Medical Sociology

Background:

  • Tuberculosis (TB) case rates in New York City tripled from 1978-1992.
  • Post-1992, US-born TB cases declined, but immigrant TB cases rose to 58% by 1999.

Purpose of the Study:

  • To question the biomedical explanation of immigrant tuberculosis being solely imported from their countries of origin.
  • To explore the migratory process as a potential risk factor for tuberculosis in immigrants.

Main Methods:

  • Analysis of tuberculosis case data in New York City.
  • Qualitative analysis of illness narratives from undocumented Chinese immigrants with tuberculosis.

Main Results:

  • Illness narratives revealed risks associated with the migratory journey itself.

Related Experiment Videos

  • Biomedical approaches may inaccurately identify immigrants as inherently at higher risk.

    • Conclusions:

    • The dominant biomedical explanation for immigrant tuberculosis is insufficient.
    • Incorporating the migratory process as a risk factor can modify the understanding of immigrant tuberculosis.