Lung
Volume 192, Issue 6, 2014, Pages 863-867

Same but Different: Tuberculosis Treatment and Care Among Migrants from Different Countries of Origin in Israel (Article)

Eisenberg J.R. , Lidji M. , Gelfer E. , Zehavi N. , Grotto I. , Mor Z.*
  • a Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
  • b Tel Aviv Tuberculosis Clinic, Israeli Lung Association, Tel Aviv, Israel
  • c Beer Sheva Tuberculosis Clinic, Southern Health District, Ministry of Health, Beer Sheva, Israel
  • d Beer Sheva Tuberculosis Clinic, Southern Health District, Ministry of Health, Beer Sheva, Israel
  • e Public Health Services, Ministry of Health, Jerusalem, Israel, Faculty of Medicine, Ben Gurion University in the Negev, Beer Sheva, Israel
  • f Department of Tuberculosis and AIDS, Ministry of Health, Jerusalem, Israel, Ramla Department of Health, 3 Danny Mass st., Ramla, 72100, Israel

Abstract

Introduction: Israel hosts documented labor migrants (DLM), and recently also undocumented migrants (UDM), mostly from Horn of Africa. This study aims to compare treatment outcomes and other clinical aspects between a sample of 154 DLM and 113 UDM who were treated in two tuberculosis clinics between 2005 and 2010.Conclusion: UDM achieved better treatment outcomes, as they were screened upon entry and treatment was initiated in detention, while DLM were diagnosed in the community and may have felt more secure to abandon treatment.Results and Discussion: Compared to DLM, UDM were younger males, stayed in Israel for shorter periods, had lower coverage of medical insurance, were less likely to be employed, and had greater difficulties in communication with the medical staff. UDM were more likely to demonstrate tuberculosis-related symptoms than DLM, were more commonly diagnosed with pulmonary TB, and had shorter patient and system delays and their treatment success rate was better than DLM, who were more likely to be transferred out. © 2014, Springer Science+Business Media New York.

Author Keywords

Horn of Africa Israel Migrants tuberculosis

Index Keywords

Israel drug effects Follow-Up Studies follow up human risk assessment sex difference Cohort Studies statistics and numerical data Mycobacterium tuberculosis comparative study ethnology Young Adult Humans Treatment Outcome Antitubercular Agents male tuberculostatic agent Tuberculosis, Pulmonary female Severity of Illness Index isolation and purification Drug Therapy, Combination Retrospective Studies adult migration age Sex Factors Age Factors cohort analysis Transients and Migrants retrospective study drug combination
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937111143&doi=10.1007%2fs00408-014-9635-0&partnerID=40&md5=a5b264dca7e231223f5b935c4034b10c
DOI: 10.1007/s00408-014-9635-0
ISSN: 03412040
Cited by: 5
Original Language: English