Tuberculosis and gender in the Asia‐Pacific region

Mason, Paul H.; Snow, Kathryn; Asugeni, Rowena; Massey, Peter; Viney, Kerri

doi:10.1111/1753-6405.12619

Cited by 26 publications

(21 citation statements)

References 25 publications

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“…The 1:1.1 ratio of female to male TB cases identified in this study differs from the PNG national, South‐East Asia and Western Pacific Region ratios, which in 2016 had estimated female:male incidence ratios of 1:1.7, 1:1.9 and 1:2.1, respectively . Various factors could contribute to these differences, including TB contacts, health‐seeking behaviour and smoking . In PNG, the prevalence of tobacco smoking in males is 37.3% vs. only 14.5% in females .…”

Section: Discussionmentioning

confidence: 99%

The epidemiology of tuberculosis in the rural Balimo region of Papua New Guinea

Diefenbach-Elstob

Graves

Dowi³

et al. 2018

Tropical Med Int Health

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Section: Discussionmentioning

confidence: 99%

The epidemiology of tuberculosis in the rural Balimo region of Papua New Guinea

Diefenbach-Elstob

Graves

Dowi³

et al. 2018

Tropical Med Int Health

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“…Enabling people affected by TB to have a real say in finding new ways to control TB is not a new idea; it has been undertaken through decolonising research with Aboriginal communities in Canada12 126 and remote Solomon Islands 127. The approach has also been proposed in other TB contexts such as for young people who have a different, but often unrecognised, experience of TB,128 and to understand and address how gender influences TB 129…”

Section: Discussionmentioning

confidence: 99%

The missing voices of Indigenous Australians in the social, cultural and historical experiences of tuberculosis: a systematic and integrative review

et al. 2019

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IntroductionDisparities in tuberculosis (TB) rates exist between Indigenous and non-Indigenous populations in many countries, including Australia. The social determinants of health are central to health inequities including disparities in TB rates. There are limitations in the dominant biomedical and epidemiological approaches to representing, understanding and addressing the unequal burden of TB for Indigenous peoples represented in the literature. This paper applies a social determinants of health approach and examines the structural, programmatic and historical causes of inequities for TB in Indigenous Australia.MethodsAboriginal Australians’ families in northern New South Wales who are affected by TB initiated this investigation. A systematic search of published literature was conducted using PubMed, PsycINFO, Scopus and Informit ATSIhealth databases, the Australian Indigenous Health, InfoNet and Google. Ninety-five records published between 1885 and 2019 were categorised and graphed over time, inductively coded and thematically analysed.ResultsIndigenous Australians’ voices are scarce in the TB literature and absent in the development of TB policies and programmes. Epidemiological reports are descriptive and technical and avoid analysis of social processes involved in the perpetuation of TB. For Indigenous Australians, TB is more than a biomedical diagnosis and treatment; it is a consequence of European invasion and a contributor to dispossession and the ongoing fight for justice. The introduction and spread of TB has resulted in the stealing of lives, family, community and cultures for Indigenous Australians. Racist policies and practices predominate in the experiences of individuals and families as consequences of, and resulting in, ongoing structural and systematic exclusion.ConclusionDevelopment of TB policies and programmes requires reconfiguration. Space must be given for Indigenous Australians to lead, be partners and to have ownership of decisions about how to eliminate TB. Shared knowledge between Indigenous Australians, policy makers and service managers of the social practices and structures that generate TB disparity for Indigenous Australians is essential.A social determinant of health approach will shift the focus to the social structures that cause TB. Collaboration with Indigenous partners in research is critical, and use of methods that amplify Indigenous peoples' voices and reconfigure power relations in favour of Indigenous Australians in the process is required.

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“…However, the fact that incidence continues to rise despite better case identification suggests that such standardized strategies may not be well suited to local conditions. [2][3][4] There is, for example, marked variations by gender in tuberculosis incidence across countries, 5 which is a clear indication that cultural factors influence the spread and control of tuberculosis. Standardized strategies also fail to meet the educational needs of different populations, such as basic tuberculosis health education programs that are tailored to local understandings of infectious disease and attitudes toward preventive, screening and treatment programs.…”

Section: Global Approaches To Tuberculosis Control: How Standardizatimentioning

confidence: 99%

The Global in Global Health is Not a Given

Mason

Kerridge

Lipworth

2017

The American Society of Tropical Medicine and Hygiene

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Abstract. The process of globalization is commonly espoused as a means for promoting global health. Efforts to "go global" can, however, easily go awry as a result of lack of attention to local social, economic, and political contexts and/or as a result of commercial and political imperatives that allow local populations to be exploited. Critical analysis of the processes of globalization is necessary to better understand the local particularities of global projects and confront challenges more transparently. We illustrate the potential adverse impacts of globalization in the global health setting, through examination of international tuberculosis control, global mental health, and the establishment of transnational biobank networks.

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Tuberculosis and gender in the Asia‐Pacific region

Cited by 26 publications

References 25 publications

The epidemiology of tuberculosis in the rural Balimo region of Papua New Guinea

The epidemiology of tuberculosis in the rural Balimo region of Papua New Guinea

The missing voices of Indigenous Australians in the social, cultural and historical experiences of tuberculosis: a systematic and integrative review

The Global in Global Health is Not a Given

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