The incidence of pulmonary tuberculosis among the homeless in north-eastern Poland

Romaszko, Jerzy; Buciński, Adam; Kuchta, Robert D.; Bednarski, Krzysztof; Zakrzewska, Magdalena

doi:10.2478/s11536-012-0114-9

Cited by 26 publications

(33 citation statements)

References 3 publications

(2 reference statements)

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“…The increase in TB among children demonstrates, therefore, that health services are not performing the early diagnosis 9 and the adequate treatment of smear-positive cases in adults 10 . A high number of cases of TB among homeless people has also been demonstrated in other studies 11,12 , including in the state of São Paulo 13 . This population is considered an important source of infection 11 , and its illness is associated with the presence of other morbidities (such as HIV, liver diseases, mental illness and substance dependence), and difficult access to health services.…”

Section: Discussionsupporting

confidence: 71%

“…A high number of cases of TB among homeless people has also been demonstrated in other studies 11,12 , including in the state of São Paulo 13 . This population is considered an important source of infection 11 , and its illness is associated with the presence of other morbidities (such as HIV, liver diseases, mental illness and substance dependence), and difficult access to health services. In addition, this group presents a high proportion of death due to TB 12 and a strong relation with treatment failure 13 .…”

Section: Discussionsupporting

confidence: 71%

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Perfil epidemiológico da tuberculose no município de São Paulo de 2006 a 2013

Pinto¹,

Silveira²,

Rujula³

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Background: Tuberculosis is a serious public health problem that still persists in the world and in Brazil. The municipality of São Paulo, Brazil, is among the prioritized ones in the country for disease control. Objective: To describe the epidemiological profile of all new tuberculosis cases in São Paulo municipality reported between the years 2006 and 2013. Methods: The variables selected for the study were: socioeconomic, demographic and clinical-epidemiologic obtained through the online information system TB-WEB. A descriptive analysis of the data was performed to undertake the comparison among the years. To study the historical series, linear trend analysis was held. Results and discussion: There was an increase in the tuberculosis incidence rate in children under 15 years and in homeless people. The cure rate has improved as the proportion of completion of supervised treatment and the proportion of cases diagnosed by primary care clinics. The disease is unevenly distributed within the municipality of São Paulo and there are districts that were not able to improve the tuberculosis control. Conclusion: The municipal tuberculosis program control needs to target the vulnerable groups and the regions of the city where the incidence rates are higher.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionsupporting

confidence: 71%

Perfil epidemiológico da tuberculose no município de São Paulo de 2006 a 2013

Pinto¹,

Silveira²,

Rujula³

et al. 2017

Rev. bras. epidemiol.

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“…TB risk is 28.7 times higher, if a person is homeless -OR = 28.65 (95% CI = 22.35 to 36.72, p <0.001). This is a much higher score compared to the results of the Polish study [28] (OR = 7.8). The difference in results may be due to the fact that there are 4.3% of the homeless people among the TB patients in the Polish study, whereas in Latvia the number of the homeless people among the TB patients is higher -8.5%.…”

Section: Living and Working Risk Conditionscontrasting

confidence: 64%

“…The risk of getting TB, if a person smokes, is 5.6 times higher in Latvia -this complies with the interval estimated by the French scientist K. Slama (2.3-9.3) [38]. However, the risk in Latvia is higher, if compared to other European countries (in Estonia the risk of getting TB, if the person smokes, is 4.6 times higher [23], in Spain -2.1 times higher [40], while in Poland smoking is not recognized to be a statistically significant risk factor [28]). This can be related to the overall smoking tendency in Latvia -35.5% of the Latvian population were regular smokers in 2012 -the number of smokers in Latvia is higher than in Estonia, Lithuania, Finland [51] and almost the higher among all European countries [52].…”

Section: Lifestyle Risk Factorsmentioning

confidence: 99%

The Impact of Socioeconomic Factors on Tuberculosis Prevalence in Latvia

Ivanovs¹,

Salmane-Kulikovska²,

Vīksna³

2016

ujph

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Tuberculosis (TB) is commonly linked to poverty, overcrowding and malnutrition. It was known earlier that TB more frequently attacks the most vulnerable part of the society-people who have lower socioeconomic status and harmful habits. Being aware of determinants of TB, attenuation of morbidity can be accomplished. This paper identifies impact of socioeconomic risk factors and risk conditions on prevalence of TB in Latvia, using the Four Layers of Health Determinants Model. The impact of risk factors and risk conditions is analysed in two levelsindividual and societal. The results of the study show that the strongest risk factors and risk conditions are HIV positive, homelessness, experience of imprisonment and underweight. BMI, drug abuse and unemployment are the strongest TB predictors. TB prevention programmes should be redesigned to involve additional factors that may contribute to the onset of TB.

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“…5,6 Thus, TB has become the commonest HIV-associated opportunistic disease in the world, 6,7 and it affects PLWHAs by accelerating HIV disease progression, by showing increased infectivity, and by reducing HIV treatment efficacy. 6,8,9 While some risk factors are known, 3,7,[10][11][12][13][14][15][16][17][18] there is still a need to investigate TB risk factors among PLWHAs. Such a list of risk factors cannot be exhaustive and new risk factors are added on a continuous basis and even in specific settings.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Tuberculosis Infection Among HIV/AIDS Patients in Burkina Faso

Mèda¹,

Sombié

Sanon³

et al. 2013

AIDS Research and Human Retroviruses

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Tuberculosis (TB) and HIV coinfection is the leading cause of mortality among TB patients and people living with HIV/AIDS (PLWHAs). There is still a need to look for cognitive and behavioral determinants of TB among PLWHAs. This study aims at identifying risk factors of TB infection among PLWHAs in Burkina Faso. A cross-sectional study design and consecutive recruitment method were employed. Adult patients attending TB hospitals or HIV clinics were recruited in two main regions (Hauts-Bassins and Centre) of Burkina Faso from August to October 2010. Stepwise logistic regression models were used for statistical analysis. In total, 734 PLWHAs, including 181 (24.7%) coinfected with TB, participated in this study. Of the latter, 53.4% were from the Hauts-Bassins region and 46.6% from the Centre region. Adjusted TB risk factors among PLWHAs were urban setting, TB history, higher number of persons living in the household, and poor geographic access to care. Moreover adjusted TB risk factors among PLWHAs consisted of CD4 cell counts below 200/μl, a history of sexually transmissible infections, and a past or present history of pulmonary asthma. In addition, lack of education and arterial hypertension were additional risk factors in the Hauts-Bassins region; for PLWHAs in the Centre region, male gender, jobs not in the private and public sector, and past or present history of cardiovascular disease were additional risk factors for TB. Common and different risk factors for TB were identified for PLWHAs in the Hauts-Bassins and Centre regions. This information will be incorporated into the HIV/TB control programs in the future.

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The incidence of pulmonary tuberculosis among the homeless in north-eastern Poland

Cited by 26 publications

References 3 publications

Perfil epidemiológico da tuberculose no município de São Paulo de 2006 a 2013

Perfil epidemiológico da tuberculose no município de São Paulo de 2006 a 2013

The Impact of Socioeconomic Factors on Tuberculosis Prevalence in Latvia

Risk Factors of Tuberculosis Infection Among HIV/AIDS Patients in Burkina Faso

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