Migrants are the key population for tuberculosis (TB) transmission in China. However, it remains unknown how many migrants have received TB education and through what means.
Objectives
To identify the rate and methods of TB education among migrants in China by using nationally representative data.
Method
This study used secondary data analysis. The data were derived from the China Migrants Dynamic Survey 2014–2017. A total sample of 745,926 migrants was included in the following analysis. Information on TB education was collected through a self-report questionnaire. We used hierarchical logistic regression models to explore the relationship between the independent variables and the receipt of TB education.
Results
Only 30.4% (n = 226,458) received TB education. Among all age-groups, participants between 65 and 69 years old had the highest TB education rate (33.4%). Bulletin boards (86.5%–91%), media (73% to 86.7%), and books/magazines (59.2%–67.4%) were the most common ways for migrants to receive TB education.
Conclusions
Our study showed the rates of TB education in each region of China and indicated the significant disparity among the seven regions. Traditional media, off-line medical consultation, community advocacy, and bulletin boards should be the primary methods of delivering TB education. TB education campaigns targeting migrants with a low socioeconomic status should be actively promoted.
AnnabelB.AnnaD.HannahM. (2019). Global tuberculosis report 2019. World Health Organization.
2.
BoudvilleD. A.JoshiR.RijkersG. T. (2020). Migration and tuberculosis in Europe. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 18, 100143. https://doi.org/10.1016/j.jctube.2020.100143
ChangC. D. (2019). Social determinants of health and health disparities among immigrants and their children. Current Problems in Pediatric and Adolescent Health Care, 49(1), 23–30. https://doi.org/10.1016/j.cppeds.2018.11.009
5.
ChenW.LiY.YangH.EhiriJ.ChenZ.LiuY.TangH.LiY. (2016). Is tuberculosis health education reaching the public in China? A cross-sectional survey in Guizhou Province. BMJ Open, 6(9), e013534. https://doi.org/10.1136/bmjopen-2016-013534
6.
ChengJ.SunY.-N.ZhangC.-Y.YuY.-L.TangL.-H.PengH.PengY.YaoY.-X.HouS.-Y.LiJ.-W.ZhaoJ.-M.XiaL.XuL.XiaY.-Y.ZhaoF.WangL.-X.ZhangH. (2020). Incidence and risk factors of tuberculosis among the elderly population in China: A prospective cohort study. Infectious Diseases of Poverty, 9(1), Article 13. https://doi.org/10.1186/s40249-019-0614-9
7.
Chinese Center for Disease Control and Prevention. (2015–2018). China notifiable infectious diseases.
FanX.YanF.YanW. (2020). Better choice, better health? Social integration and health inequality among international migrants in Hangzhou, China. International Journal of Environmental Research and Public Health, 17(13), 4787. https://doi.org/10.3390/ijerph17134787
10.
GuoM.ZhuZ.DongT.MiH.WuB. (2019). Provincial and age disparity on chronic disease education among migrants in China: The Migrants Population Dynamic Monitoring Survey. INQUIRY:Journal of Health Care Organization, Provision, and Financing, 56. https://doi.org/10.1177/0046958019895897
HoubenR. M.MenziesN. A.SumnerT.HuynhG. H.ArinaminpathyN.Goldhaber-FiebertJ. D.LinH.-H.WuC.-Y.MandalS.PandeyS.SuenS.-C.BendavidE.AzmanA. S.DowdyD. W.BacaërN.RhinesA. S.FeldmanM. W.HandelA. H.WhalenC. C.… WhiteR. G. (2016). Feasibility of achieving the 2025 WHO global tuberculosis targets in South Africa, China, and India: A combined analysis of 11 mathematical models. The Lancet Global Health, 4(11), e806–e815. https://doi.org/10.1016/S2214-109X(16)30199-1
13.
HuynhG. H. (2016). Can China achieve the WHO global targets for TB control by 2035?Transactions of the Royal Society of Tropical Medicine & Hygiene, 110(3), 161–162. https://doi.org/10.1093/trstmh/trv105
14.
LiJ.ShenX.YeohE. K.ChungP. H. (2017). Tuberculosis control programs and challenges in developed cities with intermediate disease burden: China experience. Journal of Thoracic Disease, 9(5), E525–E528. https://doi.org/10.21037/jtd.2017.03.185
15.
LiX.YangQ.FengB.XinH.ZhangM.DengQ.DengG.ShanW.YueJ.ZhangH.LiM.LiH.JinQ.ChenX.GaoL. (2017). Tuberculosis infection in rural labor migrants in Shenzhen, China: Emerging challenge to tuberculosis control during urbanization. Scientific Reports, 7, Article 4457. https://doi.org/10.1038/s41598-017-04788-1
16.
LuL.ZengJ.ZengZ. (2017). What limits the utilization of health services among China labor force? Analysis of inequalities in demographic, socio-economic and health status. International Journal for Equity in Health, 16(1), Article 30. https://doi.org/10.1186/s12939-017-0523-0
17.
LuP.-X.YangY.-R.LiuS.-Y.XieL.LureF.LiM.-L. (2020). New technologies for TB control in migrating population. In YuW.LuP.-X.TanW. (Eds.), Tuberculosis control in migrating population (pp. 191–214). Singapore. https://doi.org/10.1007/978-981-32-9763-0_9
18.
National Bureau of Statistics of China. (2014–2018). China statistical yearbook. www.stats.gov.cn/english/
19.
National Health and Family Planning Commission of China. (2015). 2015 Report on China’s migrant population development. China Population Publishing House.
20.
ShaoC.MengX.CuiS.WangJ.LiC. (2016). Income-related health inequality of migrant workers in China and its decomposition: An analysis based on the 2012 China labor-force dynamics survey data. Journal of the Chinese Medical Association, 79(10), 531–537. https://doi.org/10.1016/j.jcma.2016.02.009
21.
SotgiuG.DaraM.CentisR.MatteelliA.SolovicI.GratziouC.RendonA.MiglioriG. B. (2017). Breaking the barriers: Migrants and tuberculosis. La Presse Médicale, 46(2), e5–e11. https://doi.org/10.1016/j.lpm.2017.01.013
22.
WangL.SunY.WangY. (2017). China’s contribution to the millennium development goals: Achieving tuberculosis control targets ahead of deadline. Global Health Journal, 1(1), 21–25. https://doi.org/10.1016/S2414-6447(19)30056-9
23.
WangY.JingZ.DingL.TangX.FengY.LiJ.ChenZ.ZhouC. (2020). Socioeconomic status inequity in inpatient service utilization based on need among migrants: Evidence from a national study in China. BMC Health Services Research, 20, Article 984. https://doi.org/10.21203/rs.3.rs-31659/v1
24.
WangZ.JiangW.LiuY.ZhangL.ZhuA.TangS.LiuX. (2019). Transforming tuberculosis (TB) service delivery model in China: Issues and challenges for health workforce. Human Resources for Health, 17(1), Article 83. https://doi.org/10.1186/s12960-019-0420-2
25.
YangC.LuL.WarrenJ. L.WuJ.JiangQ.ZuoT.GanM.LiuM.LiuQ.DeRiemerK.HongJ.ShenX.ColijnC.GuoX.GaoQ.CohenT. (2018). Internal migration and transmission dynamics of tuberculosis in Shanghai, China: An epidemiological, spatial, genomic analysis. The Lancet Infectious Diseases, 18(7), 788–795. https://doi.org/10.1016/S1473-3099(18)30218-4
26.
ZhaoY.EhiriJ.LiD.LuoX.LiY. (2013). A survey of TB knowledge among medical students in Southwest China: Is the information reaching the target?BMJ Open, 3(9), e003454. https://doi.org/10.1136/bmjopen-2013-003454
27.
ZhuS.XiaL.YuS.ChenS.ZhangJ. (2017). The burden and challenges of tuberculosis in China: Findings from the Global Burden of Disease Study 2015. Scientific Reports, 7(1), 1-7. https://doi.org/10.1038/s41598-017-15024-1
28.
ZhuZ.GuoM.PetrovskyD. V.DongT.HuY.WuB. (2019). Age and regional disparity in HIV education among migrants in China: Migrants population dynamic monitoring survey, 2014–2015. International Journal for Equity in Health, 18(1), Article 104.
