Evidence-based Review of the Intervention Strategies on the TB Prevention and Treatment among Migrants in China_Chinese Journal of Evidence-Based Medicine

Authors：

1. The school of public health, Chongqing Medcial Uniersity, Chongqing 400016, China; 2.UK University of Liverpool School of Tropical Medicine;

Corresponding author：

Keywords：

TB control; Floating population; Literature quality assessment; Live interview

DOI：

10.7507/1672-2531.20090070

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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.

Citation： CHEN Tao,WANG Yang,TANG Xiaojun,ZENG Huan,LIU Xiaoxue,LIU Qin,LONG Qian,Kadale Consultants,Rachael Thomson. Evidence-based Review of the Intervention Strategies on the TB Prevention and Treatment among Migrants in China. Chinese Journal of Evidence-Based Medicine, 2009, 09(4): 371-375. doi: 10.7507/1672-2531.20090070 Copy

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12.	詹绍康. 城市外来人口结核病控制问题与对策.
13.	上海市菌阳肺结核病政府减免治疗办法实施细则 (2004).
14.	重庆市卫生局关于加强流动人口结核病防治工作的通知. 渝卫疾[2003]65号.
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18.	刘琴, 汪洋. 流动人口结核病流行现况及控制对策研究. 预防医学情报杂志, 2005, 21(6): 680-682.

1. 代宝珍, 詹绍康. 流动人口的结核病控制与对策. 上海预防医学杂志, 2005, 17(3): 111-112.
2. 邢维刚, 谢启文, 杨清, 等. 北京市外来人口贫困问题研究. 青年研究, 2002, 8: 26-35．.
3. 钟球, 杨应周. 广东省深圳市外来人口结核病DOTS管理的现状与展望. 中国防痨杂志, 1998, 20(2): 61-64.
4. 吴宏艳.焉耆县流动人口肺结核病督导管理与化疗效果分析. 地方病通报, 2007, 22(6): 110-110．.
5. 叶月嫦. 惠州市外来人口涂阳肺结核患者治疗效果分析. 中国防痨杂志, 2004, 26(4): 240-241．.
6. 陈俊林, 顾欣荣, 施军卫, 等. 江苏省南通市区流动人口肺结核控制成效分析. 现代预防医学, 2007, 34(14): 2625-2629.
7. 茅蓉, 刘洪莺, 富小飞. 流动人口肺结核病健康教育干预试验效果分析.中国初级卫生保健, 2006, 20(10): 78-79．.
8. 黄玲, 刘丽红, 彭石潜, 等. 流动人口肺结核社区干预的效果分析. 中国热带医学, 2006, 6(7): 1170-1171．.
9. 倪政, 张金兰, 代宝珍, 等. 上海市闵行区结核病治疗费用减免方案运行效果分析. 中国初级卫生保健, 2005, 19(2): 61-63．.
10. 廖景业, 罗育希, 张玉华, 等. 深圳市外来人口8年结核病控制效果.现代预防医学, 2006, 33(7): 1234-1235, 1240.
11. 乔炳海, 黄巧云, 朱鑫明, 等. 义乌市流动人口传染性肺结核治疗管理干预措施研究. 临床肺科杂志, 2007, 12(6): 625-626．.
12. 詹绍康. 城市外来人口结核病控制问题与对策.
13. 上海市菌阳肺结核病政府减免治疗办法实施细则 (2004).
14. 重庆市卫生局关于加强流动人口结核病防治工作的通知. 渝卫疾[2003]65号.
15. 贵州省结核病防治规划 (2001~2010年).
16. 第五轮中国全球基金结核病控制项目 (一期) 流动人口结核病防治实施方案 (第二版).
17. 林淑芳, 陈求扬, 黄智忠. 实施现代结核病控制策略对传染性肺结核患者发现与治疗效果的影响. 预防医学情报杂志, 2003, 19(6): 499-501.
18. 刘琴, 汪洋. 流动人口结核病流行现况及控制对策研究. 预防医学情报杂志, 2005, 21(6): 680-682.

Chinese Journal of Evidence-Based Medicine

Evidence-based Review of the Intervention Strategies on the TB Prevention and Treatment among Migrants in China

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