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Atkins, S., Heimo, L, Carter, DJ, Ribas Closa, M., Vanleeuw, L., Chenciner, L., Wambi, P., Sidney-Annerstedt, K., Egere, Uzochukwu 
ORCID: https://orcid.org/0000-0002-0282-6004, Verkuijl, S, Brands, A, Masini, T, Viney, K, Wingfield, Tom ORCID: https://orcid.org/0000-0001-8433-6887, Lönnroth, K and Boccia, D.
(2022)
'The socioeconomic impact of tuberculosis on children and adolescents: a scoping review and conceptual framework'. BMC Public Health, Vol 22, Issue 1, e2153.
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12889_2022_Article_14579.pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview |
Abstract
Background: Tuberculosis (TB) has been repeatedly shown to have socioeconomic impacts in both individual-level and ecological studies; however, much less is known about this effect among children and adolescents and the extent to which being affected by TB during childhood and adolescence can have life-course implications. This paper describes the results of the development of a conceptual framework and scoping review to review the evidence on the short- and long-term socioeconomic impact of tuberculosis on children and adolescents.
Objectives: To increase knowledge of the socioeconomic impact of TB on children and adolescents. Methods: We developed a conceptual framework of the socioeconomic impact of TB on children and adolescents, and used scoping review methods to search for evidence supporting or disproving it. We searched four academic databases from 1 January 1990 to 6 April 2021 and conducted targeted searches of grey literature. We extracted data using a standard form and analysed data thematically.
Results: Thirty-six studies (29 qualitative, five quantitative and two mixed methods studies) were included in the review. Overall, the evidence supported the conceptual framework, suggesting a severe socioeconomic impact of TB on children and adolescents through all the postulated pathways. Effects ranged from impoverishment, stigma, and family separation, to effects on nutrition and missed education opportunities. TB did not seem to exert a different socioeconomic impact when directly or indirectly affecting children/adolescents, suggesting that TB can affect this group even when they are not affected by the disease. No study provided sufficient follow-up to observe the long-term socioeconomic effect of TB in this age group.
Conclusion: The evidence gathered in this review reinforces our understanding of the impact of TB on children and adolescents and highlights the importance of considering effects during the entire life course. Both ad-hoc and sustainable social protection measures and strategies are essential to mitigate the socioeconomic consequences of TB among children and adolescents.
| Item Type: | Article |
|---|---|
| Subjects: | WA Public Health > WA 30 Socioeconomic factors in public health (General) WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General) WS Pediatrics > By Age Groups > WS 440 Preschool child WS Pediatrics > By Age Groups > WS 460 Adolescence (General) |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1186/s12889-022-14579-7 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 20 Dec 2022 15:16 |
| Last Modified: | 20 Dec 2022 15:16 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/21539 |
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