{"title":"[Tuberculosis and socioeconomic factors in spanish population: a systematic review.]","authors":"Ana María Ruiz-Tornero, Raquel Sánchez-Recio","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>There are different socioeconomic variables which determine tuberculosis's epidemiology, diagnosis and treatment. The objective of this paper was to analize these effects in the last years in Spain.</p><p><strong>Methods: </strong>A systematic review was conducted. Screened studies were original articles written in English or Spanish and published between 2007 and 2020. Searching was performed in Pubmed and Web of Science databases. STROBE criteria were followed to analyze studies's quality, and studies included in the review had 15 points or more.</p><p><strong>Results: </strong>23 articles were selected, and were classified in different topics. Foreigners's proportion with tuberculosis changed in different autonomous communities between 10%-50%. There were diagnostic delay for this group compared to natives. This group had higher incidence of resistance to isoniazid, but without a clear increase in multidrug resistance. There were less adherence to tuberculosis's treatment in case of immigration, drug addiction, HIV coinfection, or lack of family support. Under-reporting of tuberculosis cases varied between 18%-28%, and it was higher in cases of social marginality, HIV coinfection, Spanish nationality or male sex. There were also other social risk groups in which the diagnostic approach to tuberculosis was relevant, such as in schools and health centers. Tuberculosis was one of the most frequent HIV associated diseases, although screening tests were not performed in almost 18%, depending on the concurrence of social risk factors.</p><p><strong>Conclusions: </strong>Tuberculosis's incidence, diagnosis, and treatment are influenced by a lot of social and economic factors, which determine the approach to this disease.</p>","PeriodicalId":47152,"journal":{"name":"Revista Espanola De Salud Publica","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espanola De Salud Publica","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: There are different socioeconomic variables which determine tuberculosis's epidemiology, diagnosis and treatment. The objective of this paper was to analize these effects in the last years in Spain.
Methods: A systematic review was conducted. Screened studies were original articles written in English or Spanish and published between 2007 and 2020. Searching was performed in Pubmed and Web of Science databases. STROBE criteria were followed to analyze studies's quality, and studies included in the review had 15 points or more.
Results: 23 articles were selected, and were classified in different topics. Foreigners's proportion with tuberculosis changed in different autonomous communities between 10%-50%. There were diagnostic delay for this group compared to natives. This group had higher incidence of resistance to isoniazid, but without a clear increase in multidrug resistance. There were less adherence to tuberculosis's treatment in case of immigration, drug addiction, HIV coinfection, or lack of family support. Under-reporting of tuberculosis cases varied between 18%-28%, and it was higher in cases of social marginality, HIV coinfection, Spanish nationality or male sex. There were also other social risk groups in which the diagnostic approach to tuberculosis was relevant, such as in schools and health centers. Tuberculosis was one of the most frequent HIV associated diseases, although screening tests were not performed in almost 18%, depending on the concurrence of social risk factors.
Conclusions: Tuberculosis's incidence, diagnosis, and treatment are influenced by a lot of social and economic factors, which determine the approach to this disease.
目的:不同的社会经济变量决定了结核病的流行病学、诊断和治疗。本文的目的是分析西班牙过去几年的这些影响。方法:进行系统评价。筛选的研究是2007年至2020年间发表的用英语或西班牙语撰写的原创文章。在Pubmed和Web of Science数据库中进行检索。按照STROBE标准分析研究质量,纳入评价的研究得分为15分或以上。结果:入选23篇文章,按不同主题分类。在不同的自治区,外国人患肺结核的比例在10%-50%之间变化。与当地人相比,这一群体的诊断延迟。该组异烟肼耐药发生率较高,但多药耐药无明显增加。在移民、吸毒成瘾、艾滋病合并感染或缺乏家庭支持的情况下,结核病治疗的依从性较低。结核病病例的漏报率在18%-28%之间,在社会边缘、艾滋病合并感染、西班牙国籍或男性的病例中,漏报率更高。还有一些其他的社会风险群体,如学校和保健中心,对结核病采取诊断方法是有意义的。结核病是最常见的艾滋病毒相关疾病之一,尽管近18%的人没有进行筛查测试,这取决于社会风险因素的共同作用。结论:结核病的发病、诊断和治疗受多种社会经济因素的影响,这些因素决定了结核病的防治途径。