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Título : Tuberculosis in migrant populations. A systematic review of the qualitative literature.
Autor : Abarca Tomás, Bruno
Pell, Christopher
Bueno Cavanillas, Aurora
Guillén Solvas, José
Pool, Robert
Roura, María
Filiación: [Abarca Tomás,B; Bueno Cavanillas,A; Guillén Solvas,J] Department of Preventive Medicine and Public Health, University of Granada, Spain. [Pell,C; Pool,R; Roura,M] Centre for International Health Research (CRESIB), Hospital Clínic, Universitat de Barcelona, Spain. [Pell,C; Pool,R] Centre for Social Science and Global Health, University of Amsterdam, The Netherlands. [Bueno Cavanillas,A; Guillén Solvas,J] Service of Preventive Medicine, San Cecilio University Hospital, Granada, Spain. [Guillén Solvas,J] Consorcio de Investigación Biomédica en Red en Epidemiología y Salud Pública, (CIBERESP), Madrid, Spain.
Palabras clave : Aceptación de la atención de salud
Emigrantes e inmigrantes
Conocimientos, actitudes y práctica en salud
MeSH: Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Health Knowledge, Attitudes, Practice
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Information Science::Information Science::Data Collection::Vital Statistics::Morbidity::Incidence
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Patient Acceptance of Health Care
Medical Subject Headings::Named Groups::Persons::Transients and Migrants
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Tuberculosis, Pulmonary
Medical Subject Headings::Named Groups::Persons::Emigrants and Immigrants
Fecha de publicación : Dec-2013
Editorial : Public Library of Science
Cita Bibliográfica: Abarca Tomás B, Pell C, Bueno Cavanillas A, Guillén Solvas J, Pool R, Roura M. Tuberculosis in migrant populations. A systematic review of the qualitative literature. PLoS ONE. 2013; 8(12):e82440
Abstract: BACKGROUND The re-emergence of tuberculosis (TB) in low-incidence countries and its disproportionate burden on immigrants is a public health concern posing specific social and ethical challenges. This review explores perceptions, knowledge, attitudes and treatment adherence behaviour relating to TB and their social implications as reported in the qualitative literature. METHODS Systematic review in four electronic databases. Findings from thirty selected studies extracted, tabulated, compared and synthesized. FINDINGS TB was attributed to many non-exclusive causes including air-born transmission of bacteria, genetics, malnutrition, excessive work, irresponsible lifestyles, casual contact with infected persons or objects; and exposure to low temperatures, dirt, stress and witchcraft. Perceived as curable but potentially lethal and highly contagious, there was confusion around a condition surrounded by fears. A range of economic, legislative, cultural, social and health system barriers could delay treatment seeking. Fears of deportation and having contacts traced could prevent individuals from seeking medical assistance. Once on treatment, family support and "the personal touch" of health providers emerged as key factors facilitating adherence. The concept of latent infection was difficult to comprehend and while TB screening was often seen as a socially responsible act, it could be perceived as discriminatory. Immigration and the infectiousness of TB mutually reinforced each another exacerbating stigma. This was further aggravated by indirect costs such as losing a job, being evicted by a landlord or not being able to attend school. CONCLUSIONS Understanding immigrants' views of TB and the obstacles that they face when accessing the health system and adhering to a treatment programme-taking into consideration their previous experiences at countries of origin as well as the social, economic and legislative context in which they live at host countries- has an important role and should be considered in the design, evaluation and adaptation of programmes.
Descripción : Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review;
Versión del editor :
DOI: 10.1371/journal.pone.0082440
ISSN : 1932-6203 (Online)
Appears in Collections:01- Artículos - Hospital San Cecilio

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