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Socioeconomic status and biomedical risk factors in migrants and native tuberculosis patients in Italy

Author

Listed:
  • Silvia Pittalis
  • Pierluca Piselli
  • Silvia Contini
  • Gina Gualano
  • Mario Giuseppe Alma
  • Marina Tadolini
  • Pavilio Piccioni
  • Marialuisa Bocchino
  • Alberto Matteelli
  • Stefano Bonora
  • Antonio Di Biagio
  • Fabio Franzetti
  • Sergio Carbonara
  • Andrea Gori
  • Giovanni Sotgiu
  • Fabrizio Palmieri
  • Giuseppe Ippolito
  • Enrico Girardi

Abstract

Action on social determinants is a main component of the World Health Organization End Tuberculosis (TB) Strategy. The aim of the study was to collect information on socioeconomic characteristics and biomedical risk factors in migrant TB patients in Italy and compare it with data collected among Italian TB patients. A cross-sectional study was conducted among TB patients aged ≥18 years over a 12-months enrolment period in 12 major Italian hospitals. Information on education, employment, housing and income was collected, and European Union Statistics on Income and Living Conditions index was used to assess material deprivation. Among migrants, we also analyzed factors associated with severe material deprivation. Migrants were compared with younger (18–64 years) and older (65+ years) Italians patients. Out of 755 patients enrolled (with a median age of 42 years, interquartile range: 31–53), 65% were migrants. Pulmonary, microbiologically confirmed, and new cases were 80%, 73%, and 87% respectively. Prevalence of co-morbidities (i.e. diabetes, chronic kidney disease, neoplastic diseases and use of immunosuppressive drugs) was lower among migrants compared to Italian TB patients, while indicators of socioeconomic status, income and housing conditions were worst in migrants. Forty-six percent of migrants were severely deprived vs. 9% of Italians (p

Suggested Citation

  • Silvia Pittalis & Pierluca Piselli & Silvia Contini & Gina Gualano & Mario Giuseppe Alma & Marina Tadolini & Pavilio Piccioni & Marialuisa Bocchino & Alberto Matteelli & Stefano Bonora & Antonio Di Bi, 2017. "Socioeconomic status and biomedical risk factors in migrants and native tuberculosis patients in Italy," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-12, December.
    • Handle: RePEc:plo:pone00:0189425
    DOI: 10.1371/journal.pone.0189425
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    3. Dustmann, Christian & Glitz, Albrecht, 2011. "Migration and Education," Handbook of the Economics of Education, in: Erik Hanushek & Stephen Machin & Ludger Woessmann (ed.), Handbook of the Economics of Education, edition 1, volume 4, chapter 0, pages 327-439, Elsevier.
    4. Olivia Oxlade & Megan Murray, 2012. "Tuberculosis and Poverty: Why Are the Poor at Greater Risk in India?," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-8, November.
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