Is screening for tuberculosis acceptable to immigrants? A qualitative study

اختصاصی از فی بوو Is screening for tuberculosis acceptable to immigrants? A qualitative study دانلود با لینک مستقیم و پر سرعت .

P. Brewin1, A. Jones2, M. Kelly3, M. McDonald4, E. Beasley4, P. Sturdy5, G. Bothamley1,
C. Griffiths5Background Screening of immigrants has been a widespread response to the global resurgence of tuberculosis but has been criticized as discriminatory
and stigmatising. Acceptability is an essential but neglected ethical prerequisite of screening programmes, particularly those targeting vulnerable
groups such as refugees. No data exist concerning acceptability of tuberculosis screening. We therefore examined the responses of
immigrants to screening for tuberculosis in a range of settings.
Methods We carried out a qualitative interview study of a maximum diversity sample of 53 immigrants offered screening for tuberculosis in east
London. We recruited people screened in three settings: a social service centre for asylum seekers, a hospital clinic for new entrants and primary
care. We confirmed validity of our findings at a focus group of asylum seekers.
Results The opportunity to be screened for tuberculosis was valued highly by recipients. Moreover, many saw being screened as a socially
responsible activity. Of the minority raising concerns, few mentioned the possibility of discrimination. Acceptability was high irrespective of setting,
with respondents expressing preference for their chosen place of screening.
Conclusion Screening for tuberculosis was highly acceptable to recipients in these settings. Screening should be offered in a range of settings.
Keywords public health, screening, tuberculosis

Screening for pulmonary tuberculosis using chest radiography in new employees in an industrial park in Taiwan

اختصاصی از فی بوو Screening for pulmonary tuberculosis using chest radiography in new employees in an industrial park in Taiwan دانلود با لینک مستقیم و پر سرعت .

Shih-Bin Su, MD, MS,a,b Chien-Fang Chiu, MD,a Cheng-Ta Chang, MD,c Kow-Tong Chen, MD, PhD,d
Ching-Yih Lin, MD,e and How-Ran Guo, MD, MPH, ScDb,f
Tainan, Taiwan
Background: Pulmonary tuberculosis (TB) is prevalent in Taiwan, but it is suspected that its occurrence has been underestimated
by the National TB Surveillance Program. A pre-employment health examination is mandated by law in Taiwan, providing a mechanism
to assess the occurrence of TB more accurately.
Methods: A pre-employment TB screening program of an industrial park was used to evaluate the performance of the National TB
Surveillance Program in Taiwan. The yields of the pre-employment TB screening, using chest radiography from July 2004 to June
2005, were compared with corresponding results of the National TB Surveillance Program.
Results: A total of 17,105 new employees with an even gender distribution (men:women ratio, 50.2%:49.8%) underwent screening
during the study period. Among the participants, 22 (128.6 per 100,000) new patients with pulmonary TB were diagnosed, and
7 (31.8%) of the patients had positive bacteriology findings. Compared with the results of the National TB Surveillance Program,
the pre-employment screening had a much higher yield (128 vs. 47 per 100,000, P , .001).
Conclusion: The yield of the active surveillance program through mandatory screening was much higher than that of the National
TB Surveillance Program, which is a passive reporting system. The results of this study highlight the need for more active TB surveillance
efforts in endemic areas like Taiwan. (Am J Infect Control 2007;35:254-9.)