Proximate determinants of tuberculosis in Indigenous peoples worldwide: a systematic review

Publication date: January 2019Source: The Lancet Global Health, Volume 7, Issue 1Author(s): Maxime Cormier, Kevin Schwartzman, Dieynaba S N'Diaye, Claire E Boone, Alexandre M dos Santos, Júlia Gaspar, Danielle Cazabon, Marzieh Ghiasi, Rebecca Kahn, Aashna Uppal, Martin Morris, Olivia OxladeSummaryBackgroundIndigenous peoples worldwide carry a disproportionate tuberculosis burden. There is an increasing awareness of the effect of social determinants and proximate determinants such as alcohol use, overcrowding, type 1 and type 2 diabetes, substance misuse, HIV, food insecurity and malnutrition, and smoking on the burden of tuberculosis. We aimed to understand the potential contribution of such determinants to tuberculosis in Indigenous peoples and to document steps taken to address them.MethodsWe did a systematic review using seven databases (MEDLINE, Embase, CINAHL, Global Health, BIOSIS Previews, Web of Science, and the Cochrane Library). We identified English language articles published from Jan 1, 1980, to Dec 20, 2017, reporting the prevalence of proximate determinants of tuberculosis and preventive programmes targeting these determinants in Indigenous communities worldwide. We included any randomised controlled trials, controlled studies, cohort studies, cross-sectional studies, case reports, and qualitative research. Exclusion criteria were articles in languages other than English, full text not available, population was not Indigenous, focused exclusively on children o...
Source: The Lancet Global Health - Category: International Medicine & Public Health Source Type: research