在墨西哥巴哈加利福尼亚州蒂华纳的移民中,愿意接受潜在结核病感染治疗
Richard S Garfein1,2, Marva Seifert3, Daniela Abramovitz3
1Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, San Diego, USA. rgarfein@health.ucsd.edu.
Journal of immigrant and minority health
|March 8, 2026
概括
蒂华纳的大多数移民都愿意完成短期潜伏结核病感染 (LTBI) 治疗. 然而,那些患结核病风险较高的人,特别是健康状况良好或使用海洛因的人,表现出更低的意愿,突出了完成治疗的障碍.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 潜伏性结核感染 (LTBI) 的重新激活占美国结核病例的80%以上,主要是外国出生的个人.
- 较短的LTBI治疗方案提高了包括移民在内的弱势群体的完成率.
研究的目的:
- 评估墨西哥蒂华纳的移民是否愿意完成为期一个月的LTBI治疗课程.
- 在这个人群中确定与不愿接受LTBI治疗相关的因素.
主要方法:
- 一项涉及墨西哥蒂华纳595名国内和国际移民的横截面研究.
- 在结核病皮肤测试 (TST) 之前,参与者被调查了他们是否愿意接受LTBI治疗.
- 招募发生在移民避难所和减少伤害服务办公室.
主要成果:
- 总体而言,11.9%的参与者不愿接受LTBI治疗,而18.3%的参与者有积极的TST结果.
- 与避难所 (1.8%) 相比,从减少伤害办公室招募的参与者中 (64.6%) 的不愿意显着更高.
- 在减少危害的参与者中,随着健康状况良好 (PR=2.37) 和最近的海洛因使用 (PR=1.70),愿意度较低;不稳定的住房是报告中的障碍.
结论:
- 蒂华纳的大多数移民表示愿意接受短期的LTBI治疗.
- 在患结核病风险较高的人群中观察到更低的愿意度,这表明治疗坚持存在重大障碍.
- 需要进一步的研究和有针对性的干预措施来克服障碍,并改善弱势移民群体中LTBI治疗的普及率.
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