Evidence-based review of the intervention strategies on the TB prevention and treatment among migrants in China

Chen, T., Wang, Y., Tang, X. J., Zeng, H., Liu, X. X., Liu, Q., Long, Q. and Thomson, Rachael (2009) 'Evidence-based review of the intervention strategies on the TB prevention and treatment among migrants in China'. Chinese Journal of Evidence-Based Medicine, Vol 9, Issue 4, pp. 371-375.

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Abstract

Objective: We investigated and analyzed past and ongoing welfare programs related to health equity, and the relevant policies, documents, and interventions measures for improving China's migrant worker population' s accessibility and utilization of tuberculosis (TB) control services in TB control programs. Then we evaluated their impactin order to provide evidence and suggestions for the further TB prevention and treatment. Methods: We retrieved published documents about TB prevention and treatment of the migrant worker population dating from 1998 to 2008 from MEDLINE, PubMed, CNKI, CBMdisc CDDB, and VIP electronically. Simultaneously, a series of interviews was conducted with patients who used the programs. Results: Totally, 58 documents were retrieved. Of these documents 13 passed eligibility criteria: eight have been published, five have not been published, and only one of them is RCT with B degree for quality of evidence. Secondary document research has suggested that the intervention measures that have been adopted concerning TB in China, including health promotion, providing incentive, patient tracking and supervision management. Although tuberculosis cure rates have improved, the scene interviews show that the majority of TB and suspected cases of patients don't have enough knowledge on TB prevention and free treatment policies. It is often difficult to track the migrant population. TB detection and treatment still need to be enhanced. Conclusions: There it is lack of high-quality documents about good intervention design, so it is difficult to make a objective and fair evaluation to the effects of intervention on the migrant population. In the future, we should carry out large-scale, multicenter, high-quality RCTs specifically for TB controlin the migrant population in order to provide evidencefor making a scientific and feasible intervention project. © 2009 Editorial Board of Chin J Evid-based Med.

Item Type:	Article
Additional Information:	Export Date: 24 November 2009 Source: Scopus Language of Original Document: Chinese Correspondence Address: Chen, T.; School of Public Health, Chongqing Medcial Uniersity, Chongqing 400016, China References: http://www.scopus.com/inward/record.url?eid=2-s2.0-68149180718&partnerID=40
Uncontrolled Keywords:	Floating population Literature quality assessment Live interview TB control China clinical evaluation document examination evidence based practice health care access health care policy health care quality health care utilization health education health program health promotion human information retrieval interview MEDLINE migrant worker outcome assessment review social welfare tuberculosis tuberculosis control
Subjects:	WA Public Health > WA 30 Socioeconomic factors in public health (General) WA Public Health > Preventive Medicine > WA 108 Preventive health services. Preventive medicine. Travel Medicine. WA Public Health > WA 20.5 Research (General) WF Respiratory System > Tuberculosis > WF 200 Tuberculosis (General) WC Communicable Diseases > WC 20 Research (General) WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WF Respiratory System > WF 100 General works WF Respiratory System > WF 140 Diseases of the respiratory system (General) WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas WA Public Health > Health Administration and Organization > WA 525 General works WF Respiratory System > Tuberculosis > WF 205 Epidemiology WF Respiratory System > Tuberculosis > WF 405 Tuberculosis in the workplace WF Respiratory System > Tuberculosis > WF 215 Pathology WA Public Health > WA 105 Epidemiology
Depositing User:	Helen Rigby
Date Deposited:	02 Jun 2010 11:33
Last Modified:	21 Nov 2024 09:40
URI:	https://archive.lstmed.ac.uk/id/eprint/242

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