dc.contributor.author |
Prats Uribe, Albert |
dc.contributor.author |
Orcau, Angels |
dc.contributor.author |
Millet, Joan-Pau |
dc.contributor.author |
Caylà i Busqueras, Joan A. |
dc.date |
2019 |
dc.identifier.citation |
Prats-Uribe A, Orcau A, Millet JP, Caylà JA. Impact of socio-economic inequities on tuberculosis in a Southern European city: what is the effect of the recession?. Int J Tuberc Lung Dis. 2019 Jan 1;23(1):45-51. DOI: 10.5588/ijtld.18.0110 |
dc.identifier.citation |
1027-3719 |
dc.identifier.citation |
http://dx.doi.org/10.5588/ijtld.18.0110 |
dc.identifier.uri |
http://hdl.handle.net/10230/42346 |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
International Union Against Tuberculosis and Lung Disease |
dc.rights |
© Copyright 2019 The Union |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Tuberculosi -- Aspectes socials -- Barcelona |
dc.title |
Impact of socio-economic inequities on tuberculosis in a Southern European city: what is the effect of the recession? |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/acceptedVersion |
dc.description.abstract |
INTRODUCTION: Economic crises affect a population's health, particularly among the most deprived. The increase in health inequalities in the latest recession may have influenced the incidence of tuberculosis (TB). We analysed the effect of socio-economic inequities and recession on TB incidence in Barcelona, Spain. METHODS: We conducted a population-based incidence study of TB cases in Barcelona of patients who started treatment between 2003 and 2015. A multilevel interrupted time-series analysis was performed to analyse differences in incidence trends between the pre-recession (until 2008) and recession periods. RESULTS: We found differences in TB incidence according to deprivation and immigration status. TB incidence among the most deprived neighbourhoods was 2.72 times higher than the least deprived neighbourhoods. Compared with native-born persons, incidence was nine times higher among those born in Africa, and six times higher among those born in Asia and Oceania. The previous decreasing trend in incidence (4%) was accentuated during the recession (7%). CONCLUSIONS: TB incidence decreased during the recession, probably due to a reduction in the number of new immigrants and the TB programme. However, incidence was highly unequal between districts with different levels of deprivation, and between foreign-born persons from different geographic regions. Social measures are important to reduce inequalities and TB incidence in Barcelona. |