Impact of socio-economic inequities on tuberculosis in a Southern European city: what is the effect of the recession?

被引:5
作者
Prats-Uribe, A. [1 ,2 ]
Orcau, A. [1 ,3 ,4 ]
Millet, J. P. [1 ,3 ,4 ]
Cayla, J. A. [1 ,3 ]
机构
[1] Agencia Salut Publ Barcelona, Epidemiol Serv, Pl Lesseps 1, Barcelona 08023, Spain
[2] Univ Pompeu Fabra, Agencia Salut Publ Barcelona, Unitat Docent Med Prevent & Salut Publ, Parc Salut Mar, Barcelona, Spain
[3] Fdn TB Res Unit Barcelona, Barcelona, Spain
[4] CIBER Epidemiol & Salud Publ, Barcelona, Spain
关键词
economic recession; health equity; poverty socio-economic status; transients and migrants; TB; IMMIGRANTS; HEALTH;
D O I
10.5588/ijtld.18.0110
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
INTRODUCTION: Economic crises affect a population's health, particularly among the most deprived. The increase in health inequalities in the latest recession may have influenced the incidence of tuberculosis (TB). We analysed the effect of socio-economic inequities and recession on TB incidence in Barcelona, Spain. METHODS : We conducted a population-based incidence study of TB cases in Barcelona of patients who started treatment between 2003 and 2015. A multilevel interrupted time-series analysis was performed to analyse differences in incidence trends between the prerecession (until 2008) and recession periods. RESULTS : We found differences in TB incidence according to deprivation and immigration status. TB incidence among the most deprived neighbourhoods was 2.72 times higher than the least deprived neighbour-hoods. Compared with native-born persons, incidence was nine times higher among those born in Africa, and six times higher among those born in Asia and Oceania. The previous decreasing trend in incidence (4%) was accentuated during the recession (7%). CONCLUSIONS : TB incidence decreased during the recession, probably due to a reduction in the number of new immigrants and the TB programme. However, incidence was highly unequal between districts with different levels of deprivation, and between foreign-born persons from different geographic regions. Social measures are important to reduce inequalities and TB incidence in Barcelona.
引用
收藏
页码:45 / 51
页数:7
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