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Tuberculosis and Migrant Pathways in an Urban Setting

dc.contributor.authorRibeiro, Rafaela M.
dc.contributor.authorGonçalves, Luzia
dc.contributor.authorHavik, Philip J.
dc.contributor.authorCraveiro, Isabel
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionIndividual Health Care (IHC)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2022-11-02T22:10:16Z
dc.date.available2022-11-02T22:10:16Z
dc.date.issued2022-04-01
dc.descriptionFunding Information: Funding: R.M.R., L.G., P.J.H. and I.C. were supported by Fundação para a Ciência e a Tecnologia for funds to GHTM-UID/04413/2020 and L.G. from UIDB/00006/2020 and UIDP/00006/2020. Funding Information: R.M.R., L.G., P.J.H. and I.C. were supported by Funda??o para a Ci?ncia e a Tecnologia for funds to GHTM-UID/04413/2020 and L.G. from UIDB/00006/2020 and UIDP/00006/2020. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstractTuberculosis (TB) is an infectious disease associated with poverty. In the European Union TB tends to concentrate in urban settings. In Lisbon, previous studies revealed, the presence of migrant populations from a high endemic country, is one of the risk factors contributing to TB. To better understand TB in foreign-born individuals in the Lisbon Metropolitan Area, a mixed-method case study was undertaken on a TB treatment centre in a high-risk part of urban Portugal. Quantitatively, annual TB cases were analysed from 2008 to 2018, dividing foreign-origin cases into recent migrants and long-term migrants. Qualitatively, we explored recent migrants’ reasons, experiences and perceptions associated with the disease. Our results showed that foreign-born individuals accounted for 45.7% of cases, mainly originated from Angola, Guinea-Bissau, and Cabo Verde. TB in recent migrants increased over the years for Angola and Guinea-Bissau, while for Cabo Verde TB cases were due to migrants residing in Portugal for more than 2 years. Recent migrants’ reasons to travel to Portugal were to study, to live and work, tourism, and seeking better healthcare. Visiting family and friends, historical links and common language were key drivers for the choice of country. Recent migrants and long-term migrants may present distinct background profiles associated with diagnosed TB.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1237344
dc.identifier.doi10.3390/ijerph19073834
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 46703379
dc.identifier.otherPURE UUID: 71769b15-2e00-438d-93c2-9ae207caaa87
dc.identifier.otherScopus: 85126905547
dc.identifier.otherPubMed: 35409517
dc.identifier.otherORCID: /0000-0002-6479-6672/work/119585093
dc.identifier.urihttp://hdl.handle.net/10362/145164
dc.identifier.urlhttps://www.scopus.com/pages/publications/85126905547
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCase study
dc.subjectHealth inequalities
dc.subjectMigrants
dc.subjectPortugal
dc.subjectSocial determinants
dc.subjectTuberculosis
dc.subjectUrban health
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectInfectious Diseases
dc.subjectSDG 3 - Good Health and Well-being
dc.titleTuberculosis and Migrant Pathways in an Urban Settingen
dc.title.subtitleA Mixed-Method Case Study on a Treatment Centre in the Lisbon Metropolitan Area, Portugalen
dc.typejournal article
degois.publication.issue7
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume19
dspace.entity.typePublication
rcaap.rightsopenAccess

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