The socioeconomic impact of tuberculosis on children and adolescents: a scoping review and conceptual framework.
The socioeconomic impact of tuberculosis on children and adolescents: a scoping review and conceptual framework.
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DOI：
10.1186/s12889-022-14579-7
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发表时间：
2022-11-23
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
在个人层面和生态研究中，结核病 (TB) 已被多次证明具有社会经济影响；然而，人们对儿童和青少年的这种影响以及儿童和青少年时期受结核病影响在多大程度上可能产生终生影响知之甚少。本文介绍了概念框架的制定和范围界定审查的结果，以审查结核病对儿童和青少年的短期和长期社会经济影响的证据。增加人们对结核病对儿童和青少年的社会经济影响的了解。我们制定了结核病对儿童和青少年社会经济影响的概念框架，并使用范围界定审查方法来寻找支持或反驳该影响的证据。我们检索了1990年1月1日至2021年4月6日期间的四个学术数据库，并对灰色文献进行了有针对性的检索。我们使用标准表格提取数据并按主题分析数据。该评价纳入了 36 项研究（29 项定性研究、5 项定量研究和 2 项混合方法研究）。总体而言，证据支持了概念框架，表明结核病通过所有假设的途径对儿童和青少年产生严重的社会经济影响。其影响包括贫困、耻辱和家庭离散，以及营养影响和错失教育机会。当直接或间接影响儿童/青少年时，结核病似乎没有产生不同的社会经济影响，这表明结核病可以影响这一群体，即使他们没有受到该疾病的影响。没有研究提供足够的随访来观察结核病对该年龄组的长期社会经济影响。本次综述中收集的证据加强了我们对结核病对儿童和青少年影响的理解，并强调了考虑整个生命过程中影响的重要性。临时和可持续的社会保护措施和战略对于减轻结核病对儿童和青少年的社会经济影响至关重要。在线版本包含可在 10.1186/s12889-022-14579-7 获取的补充材料。
Tuberculosis (TB) has been repeatedly shown to have socioeconomic impacts in both individual-level and ecological studies; however, much less is known about this effect among children and adolescents and the extent to which being affected by TB during childhood and adolescence can have life-course implications. This paper describes the results of the development of a conceptual framework and scoping review to review the evidence on the short- and long-term socioeconomic impact of tuberculosis on children and adolescents. To increase knowledge of the socioeconomic impact of TB on children and adolescents. We developed a conceptual framework of the socioeconomic impact of TB on children and adolescents, and used scoping review methods to search for evidence supporting or disproving it. We searched four academic databases from 1 January 1990 to 6 April 2021 and conducted targeted searches of grey literature. We extracted data using a standard form and analysed data thematically. Thirty-six studies (29 qualitative, five quantitative and two mixed methods studies) were included in the review. Overall, the evidence supported the conceptual framework, suggesting a severe socioeconomic impact of TB on children and adolescents through all the postulated pathways. Effects ranged from impoverishment, stigma, and family separation, to effects on nutrition and missed education opportunities. TB did not seem to exert a different socioeconomic impact when directly or indirectly affecting children/adolescents, suggesting that TB can affect this group even when they are not affected by the disease. No study provided sufficient follow-up to observe the long-term socioeconomic effect of TB in this age group. The evidence gathered in this review reinforces our understanding of the impact of TB on children and adolescents and highlights the importance of considering effects during the entire life course. Both ad-hoc and sustainable social protection measures and strategies are essential to mitigate the socioeconomic consequences of TB among children and adolescents. The online version contains supplementary material available at 10.1186/s12889-022-14579-7.
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