关于肺结核负担和英国移民中的相关因素的系统审查
Uzair Ahmad Saleem1, Ali Sina Karimi2, Hedayatullah Ehsan2,3
1Faculty of Health, Medicine & Life Sciences, University of Maastricht, Maastricht, the Netherlands.
Infection and drug resistance
|January 1, 2024
概括
国际移民到英国增加了结核病 (TB) 的风险. 虽然移民中的结核病负担正在下降,但诸如耻辱和医疗保健等因素仍然是结核病控制的挑战.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 英国有大量的移民人口,其中许多人来自高结核病负担的国家.
- 国际移民是英国结核病病例增加的一个关键因素.
- 移民是一个易受伤害的人口群体,患结核病的风险更高.
研究的目的:
- 评估英国移民中肺结核的流行率和负担.
- 在移民人口中确定与结核病发展和传播相关的因素.
- 审查目前针对英国移民的结核病管理策略.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 在PubMed和EMBASE数据库中搜索了2000-2022年的研究.
- 包括对有关结核病管理策略的政府数据的分析.
主要成果:
- 包括19项研究,报告了移民中的结核病患病率从0.04%到52.1%,呈下降趋势.
- 来自亚洲 (特别是南亚) 和撒哈拉以南非洲的移民中,结核病例数量较高.
- 结核病管理的关键障碍包括耻辱,误解,语言,保密问题以及不欢迎的医疗保健系统.
结论:
- 英国结核病控制工作取得进展,医疗保健和结核病计划得到改善.
- 解决耻辱感,提高患者保密性和改善医疗保健的可访问性对于减少移民中的结核病至关重要.
- 持续警和有针对性的干预措施是必要的,以管理这一群体的结核病.
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