The Department of Public Health, Graduate School of Public Health, Building 220, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 08826, Republic of Korea.
The Department of Health Care Management and Policy, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
BMC Public Health. 2022 Mar 30;22(1):622. doi: 10.1186/s12889-022-12879-6.
Tuberculosis (TB) is a global health issue that has long threatened and continues to threaten human health. While previous studies are important in the search for a cure for TB, to eradicate the disease it is also crucial to analyze environmental influences. Therefore, this study determined the potential effect of inadequate housing on TB and the magnitude of the effect.
This is a systematic review of the effects of inadequate housing on TB. Between Jan 1, 2011 and Oct 25, 2020, we searched four electronic databases using the search terms "housing AND tuberculosis" or "housing AND TB". The target population comprised residents of inadequate housing and the homeless.
We found 26 eligible studies. The distribution of the studies across continents was uneven, and the housing issues of interest seemed to vary depending on the economic level of the country. The eight steps identified in TB development and the consequences thereof were more strongly associated with housing affordability than with housing quality.
This is the first systematic review to identify the effects of inadequate housing on TB and to categorize inadequate-housing-related exposure to TB in terms of affordability and quality. The steps identified in TB development and the consequences thereof had a greater association with housing affordability than with housing quality. Therefore, public health interventions regarding housing affordability could be more diverse, and interventions that support affordable housing for residents of inadequate housing and the homeless should proceed simultaneously to improve housing quality.
结核病（TB）是一个全球性的健康问题，长期以来一直威胁着人类健康，并且仍在继续威胁着人类健康。虽然之前的研究对于寻找结核病的治疗方法很重要，但要消除这种疾病，分析环境影响也至关重要。因此，本研究旨在确定住房不足对结核病的潜在影响及其影响程度。
这是一项关于住房不足对结核病影响的系统评价。在 2011 年 1 月 1 日至 2020 年 10 月 25 日期间，我们使用“住房和结核病”或“住房和 TB”等搜索词在四个电子数据库中进行了搜索。目标人群包括住房不足的居民和无家可归者。
我们发现了 26 项符合条件的研究。这些研究在各大洲的分布不均，而且所关注的住房问题似乎因国家的经济水平而异。结核病发展的八个步骤及其后果与住房可负担性的关系比与住房质量的关系更为密切。
这是第一项确定住房不足对结核病影响并根据可负担性和质量对与住房不足相关的结核病暴露进行分类的系统评价。结核病发展的步骤及其后果与住房可负担性的关系比与住房质量的关系更为密切。因此，公共卫生干预措施在住房可负担性方面可能会更加多样化，同时应支持为住房不足的居民和无家可归者提供负担得起的住房，以改善住房质量。
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