International Journal of Infectious Diseases
Volume 86, 2019, Pages 94-101

The role of tuberculosis control institutes in delivering tuberculosis information to domestic migrants in China: A multi-level analysis of a nationwide cross-sectional survey (Article) (Open Access)

Zou X. , Zhou L. , Wu H. , Chen L. , Zhou F. , Gong C. , Ye J. , Ling L.*
  • a Department of Medical Statistics, School of Public Health, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China, Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China
  • b Center for Tuberculosis Control of Guangdong Province, No. 485, West of Huangpu Road, Guangzhou, China
  • c Center for Tuberculosis Control of Guangdong Province, No. 485, West of Huangpu Road, Guangzhou, China
  • d Center for Tuberculosis Control of Guangdong Province, No. 485, West of Huangpu Road, Guangzhou, China
  • e Center for Tuberculosis Control of Guangdong Province, No. 485, West of Huangpu Road, Guangzhou, China
  • f Department of Medical Statistics, School of Public Health, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China, Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China
  • g Department of Medical Statistics, School of Public Health, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China, Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China
  • h Department of Medical Statistics, School of Public Health, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China, Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, China

Abstract

Objectives: The aim of this study was to understand how tuberculosis (TB) control institutes raise awareness of TB among domestic migrants in China, specifically whether migrants have received TB information and how they received it. Methods: This multi-level analysis included both county-level data and individual-level data covering 31 provinces in mainland China. Multi-level logistic models were used to explore the factors associated with receiving TB information. Results: This analysis included 205 990 migrants from 31 provinces and municipalities. Only 77 460 (37.60%) migrants reportedly received any TB information in mainland China. The center for disease control and prevention (CDC), the center for tuberculosis control (CTC), and the center for prevention and treatment of chronic diseases (CPTCD) were the most likely to provide TB information for migrants in comparison to other types of TB control institutes, such as general hospitals, specialized hospitals, and community healthcare centers. The odds ratios were calculated as: 1.563 (95% confidence interval (CI) 1.246–1.959) for CDCs, 1.385 (95% CI 1.063–1.804) for CTCs, and 1.723 (95% CI 1.424–2.085) for CPTCDs. Conclusions: China has not achieved universal coverage of TB awareness. TB awareness levels are higher in regions with CDC, CTC, and CPTCD institutes. Domestic migrants who have moved to western areas are more likely to have received TB information. © 2019 The Authors

Author Keywords

Transients and migrants tuberculosis Health awareness

Index Keywords

general hospital China health care survey human controlled study chronic disease cross-sectional study migrant social media consultation male female tuberculosis Article major clinical study adult Han Chinese multilevel analysis tuberculosis control
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069709197&doi=10.1016%2fj.ijid.2019.06.021&partnerID=40&md5=ac3928ab151b7d9ea9d0fa49d46fbe32
DOI: 10.1016/j.ijid.2019.06.021
ISSN: 12019712
Original Language: English