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Tuberculosis in the street population: a systematic review
Paula Hino1, Thais Tiemi Yamamoto2, Shyrlaine Honda Bastos1
1Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Revista Da Escola De Enfermagem Da U S P
|April 7, 2021
Summary
Tuberculosis (TB) is more prevalent and harder to treat in homeless populations. This review highlights the need for targeted interventions to combat TB in this vulnerable group.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Homelessness is a significant social determinant of health.
- Tuberculosis (TB) disproportionately affects vulnerable populations, including those experiencing homelessness.
Purpose of the Study:
- To systematically review and analyze existing literature on the occurrence and outcomes of tuberculosis (TB) among individuals experiencing homelessness.
- To understand the factors associated with TB in the street population.
Main Methods:
- A systematic review of scientific literature was conducted.
- Databases searched included PubMed, EMBASE, LILACS, and SciELO.
- Hermeneutic analysis guided the examination of themes linking TB and the homeless population.
Main Results:
- Seven studies met the inclusion criteria from an initial search of 343 articles.
- Homeless individuals with TB experienced poorer treatment outcomes compared to those with stable housing.
- Substance abuse and comorbidities like HIV were associated with unfavorable outcomes.
Conclusions:
- The current scientific literature underscores the need for further research on TB in the homeless population.
- Future studies should focus not only on disease occurrence but also on effective strategies for TB control and treatment in this group.
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