Division TB Elimination and Health System Innovations, KNCV Tuberculosis Foundation, The Hague, The Netherlands.
Division of Infectious Diseases and Clinical Epidemiology, McGill University, Montreal, QC, Canada.
Int J Tuberc Lung Dis. 2023 Mar 1;27(3):182-188. doi: 10.5588/ijtld.22.0662.
International migrants to low TB incidence countries are disproportionately affected by TB compared to the native population: migrants are at increased risk for TB transmission and TB disease due to a variety of personal, environmental and socio-economic determinants experienced during the four phases of migration (pre-departure, transit, arrival and early settlement, return travel). To provide an up-to-date overview of the determinants that drive the TB burden among migrants, as well as effective and feasible interventions to address this for each migration phase. We conducted a literature review by searching PubMed and the grey literature for articles and reports on determinants and interventions addressing migrant health and TB. Lowering the risk of TB transmission and TB disease among migrants would be most effective by improving the socio-economic position of migrants pre-, during and after migration, ensuring universal health coverage, and providing tailored and migrant-sensitive care and prevention activities. In addition to migrant-sensitive health services and cross-border collaboration between low TB incidence countries, there is a need for international financial and technical support for endemic countries.
国际移民到结核病发病率低的国家与当地人口相比，受到结核病的影响不成比例：由于在移民的四个阶段（出发前、过境、抵达和早期定居、返程旅行）中经历的各种个人、环境和社会经济决定因素，移民患结核病传播和结核病的风险增加。为了提供最新的概述，说明推动移民结核病负担的决定因素，以及针对每个移民阶段解决这一问题的有效和可行的干预措施。我们通过搜索 PubMed 和灰色文献，查找有关移民健康和结核病的决定因素和干预措施的文章和报告，进行了文献综述。通过改善移民在移民前、期间和之后的社会经济地位，确保全民健康覆盖，并提供量身定制的、对移民敏感的护理和预防活动，最有效地降低移民中结核病传播和结核病的风险。除了对移民敏感的卫生服务和结核病低发病率国家之间的跨境合作外，还需要为流行国家提供国际财政和技术支持。
