The role of tuberculosis control institutes in delivering tuberculosis information to domestic migrants in China: A multi-level analysis of a nationwide cross-sectional survey

Abstract

The aim of this study was to understand how tuberculosis (TB) control institutes raise awareness of TB among domestic migrants in China, specifically whether migrants have received TB information and how they received it. Methods: This multi-level analysis included both county-level data and individual-level data covering 31 provinces in mainland China. Multi-level logistic models were used to explore the factors associated with receiving TB information. Results: This analysis included 205 990 migrants from 31 provinces and municipalities. Only 77 460 (37.60%) migrants reportedly received any TB information in mainland China. The center for disease control and prevention (CDC), the center for tuberculosis control (CTC), and the center for prevention and treatment of chronic diseases (CPTCD) were the most likely to provide TB information for migrants in comparison to other types of TB control institutes, such as general hospitals, specialized hospitals, and community healthcare centers. The odds ratios were calculated as: 1.563 (95% confidence interval (CI) 1.246-1.959) for CDCs, 1.385 (95% CI 1.063-1.804) for CTCs, and 1.723 (95% CI 1.424-2.085) for CPTCDs. Conclusions: China has not achieved universal coverage of TB awareness. TB awareness levels are higher in regions with CDC, CTC, and CPTCD institutes. Domestic migrants who have moved to western areas are more likely to have received TB information.

Notifiable Respiratory Infectious Diseases in China: A Spatial–Temporal Epidemiology Analysis

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Epidemiological characteristics of seven notifiable respiratory infectious diseases in the mainland of China: an analysis of national surveillance data from 2017 to 2021

“…Consistent with other research, adults bore the highest burden of PTB, with individuals aged 65 and above exhibiting the highest incidence rates [ 9 , 23 ]. Our results also indicate that farmers faced a higher risk of PTB, a trend potentially influenced by limited health services and patient management in rural areas [ 23 ], compounded by a lack of disease prevention awareness contributing to PTB transmission [ 26 ].…”

Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017

“…To our knowledge, available literature showed that the prevention and control of active TB in MP meant an enormous challenge globally. MP typically has lower awareness of TB, causing potential delay diagnosis [ 31 – 33 ]. Besides, Non-adherence to anti-TB treatment is common among MP, which may increase the risk of TB transmission and the development of drug resistance [ 34 ].…”