[Tuberculosis Profile in Chile: Effect of Migration, Overcrowding and Income on Tuberculosis and Its Spatial Distribution].

Valentina Muñoz, Andrés Ayala, Claudio Vargas, Erika Vivanco, Felipe Elorrieta, Matilde Maddaleno
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Abstract

Aim: To analyze tuberculosis (TB) incidence, demographic profiles, and associated risk factors in migrant and national populations, in order to understand the impact of migration, overcrowding, and socioeconomic factors on TB prevalence and care-seeking behaviors.

Material and methods: Data from various communes within the Metropolitan Region and other parts of the national territory were analyzed to assess TB incidence, demographic characteristics, and care-seeking behaviors among migrant and national populations.

Results: TB disproportionately affects males in both migrant and national populations. Migrants exhibit a younger demographic profile, higher proportion of HIV coinfection. Migration and overcrowding positively influence the Risk of Morbidity from TB (RME) in specific communes, whereas socioeconomic income negatively impacts the RME, being the most relevant explanatory factor.

Conclusions: TB remains a significant public health challenge influenced by migration, overcrowding, and socio-economic disparities. Tailored interventions focusing on high-risk groups and specific geographic areas are essential for effective control strategies. Future research should explore the impact of the COVID-19 pandemic on TB dynamics and associated socio-health factors.

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[智利结核病概况:移民、过度拥挤和收入对结核病及其空间分布的影响]。
目的:分析移民和本国人口的结核病发病率、人口统计特征和相关危险因素,以了解移民、过度拥挤和社会经济因素对结核病患病率和求诊行为的影响。材料和方法:分析了来自大都市区和国家领土其他部分的各个社区的数据,以评估移民和本国人口的结核病发病率、人口特征和求诊行为。结果:在移民和本国人口中,结核病对男性的影响不成比例。移民表现出更年轻的人口特征,同时感染艾滋病毒的比例更高。移民和过度拥挤对特定社区的结核病发病风险产生积极影响,而社会经济收入对结核病发病风险产生负面影响,这是最相关的解释因素。结论:结核病仍然是一项重大的公共卫生挑战,受到移民、过度拥挤和社会经济差异的影响。针对高危人群和特定地理区域的量身定制的干预措施对于有效的控制战略至关重要。未来的研究应探讨COVID-19大流行对结核病动态和相关社会卫生因素的影响。
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