HIV and tuberculosis co-infection among migrants in Europe: A systematic review on the prevalence, incidence and mortality
Identifieur interne : 000768 ( Main/Exploration ); précédent : 000767; suivant : 000769HIV and tuberculosis co-infection among migrants in Europe: A systematic review on the prevalence, incidence and mortality
Auteurs : Ana Maria Tavares ; Inês Fronteira ; Isabel Couto ; Diana Machado ; Miguel Viveiros ; Ana B. Abecasis ; S Nia DiasSource :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
International human migration has been rapidly growing. Migrants coming from low and middle income countries continue to be considerably vulnerable and at higher risk for infectious diseases, namely HIV (Human Immunodeficiency Virus) and tuberculosis (TB). In Europe, the number of patients with HIV-TB co-infection has been increasing and migration could be one of the potential driving forces.
This systematic review aims to improve the understanding on the burden of HIV-TB co-infection among migrants in Europe and to assess whether these populations are particularly vulnerable to this co-infection compared to nationals.
MEDLINE®, Web of Science® and Scopus® databases were searched from March to April 2016 using combinations of keywords. Titles and abstracts were screened and studies meeting the inclusion criteria proceeded for full-text revision. These articles were then selected for data extraction on the prevalence, incidence and mortality.
The majority of HIV-TB prevalence data reported in the analysed studies, including extrapulmonary/disseminated TB forms, was higher among migrant vs. nationals, some of the studies even showing increasing trends over time. Additionally, while HIV-TB incidence rates have decreased among migrants and nationals, migrants are still at a higher risk for this co-infection. Migrants with HIV-TB co-infection were also more prone to unsuccessful treatment outcomes, death and drug resistant TB. However, contradicting results also showed lower mortality compared to nationals.
Overall, a disproportionate vulnerability of migrants to acquire the HIV-TB co-infection was observed across studies. Such vulnerability has been associated to low socioeconomic status, poor living conditions and limited access to healthcare. Adequate social support, early detection, appropriate treatment, and adequate access to healthcare are key improvements to tackle HIV-TB co-infection among these populations.
Url:
DOI: 10.1371/journal.pone.0185526
PubMed: 28957400
PubMed Central: 5619775
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">HIV and tuberculosis co-infection among migrants in Europe: A systematic review on the prevalence, incidence and mortality</title><author><name sortKey="Tavares, Ana Maria" sort="Tavares, Ana Maria" uniqKey="Tavares A" first="Ana Maria" last="Tavares">Ana Maria Tavares</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Fronteira, Ines" sort="Fronteira, Ines" uniqKey="Fronteira I" first="Inês" last="Fronteira">Inês Fronteira</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Couto, Isabel" sort="Couto, Isabel" uniqKey="Couto I" first="Isabel" last="Couto">Isabel Couto</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Machado, Diana" sort="Machado, Diana" uniqKey="Machado D" first="Diana" last="Machado">Diana Machado</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Viveiros, Miguel" sort="Viveiros, Miguel" uniqKey="Viveiros M" first="Miguel" last="Viveiros">Miguel Viveiros</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Abecasis, Ana B" sort="Abecasis, Ana B" uniqKey="Abecasis A" first="Ana B." last="Abecasis">Ana B. Abecasis</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Dias, S Nia" sort="Dias, S Nia" uniqKey="Dias S" first="S Nia" last="Dias">S Nia Dias</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28957400</idno><idno type="pmc">5619775</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5619775</idno><idno type="RBID">PMC:5619775</idno><idno type="doi">10.1371/journal.pone.0185526</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002971</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002971</idno><idno type="wicri:Area/Pmc/Curation">002970</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002970</idno><idno type="wicri:Area/Pmc/Checkpoint">000207</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000207</idno><idno type="wicri:Area/Ncbi/Merge">004700</idno><idno type="wicri:Area/Ncbi/Curation">004700</idno><idno type="wicri:Area/Ncbi/Checkpoint">004700</idno><idno type="wicri:Area/Main/Merge">000768</idno><idno type="wicri:Area/Main/Curation">000768</idno><idno type="wicri:Area/Main/Exploration">000768</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">HIV and tuberculosis co-infection among migrants in Europe: A systematic review on the prevalence, incidence and mortality</title><author><name sortKey="Tavares, Ana Maria" sort="Tavares, Ana Maria" uniqKey="Tavares A" first="Ana Maria" last="Tavares">Ana Maria Tavares</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Fronteira, Ines" sort="Fronteira, Ines" uniqKey="Fronteira I" first="Inês" last="Fronteira">Inês Fronteira</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Couto, Isabel" sort="Couto, Isabel" uniqKey="Couto I" first="Isabel" last="Couto">Isabel Couto</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Machado, Diana" sort="Machado, Diana" uniqKey="Machado D" first="Diana" last="Machado">Diana Machado</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Viveiros, Miguel" sort="Viveiros, Miguel" uniqKey="Viveiros M" first="Miguel" last="Viveiros">Miguel Viveiros</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Abecasis, Ana B" sort="Abecasis, Ana B" uniqKey="Abecasis A" first="Ana B." last="Abecasis">Ana B. Abecasis</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Dias, S Nia" sort="Dias, S Nia" uniqKey="Dias S" first="S Nia" last="Dias">S Nia Dias</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>International human migration has been rapidly growing. Migrants coming from low and middle income countries continue to be considerably vulnerable and at higher risk for infectious diseases, namely HIV (Human Immunodeficiency Virus) and tuberculosis (TB). In Europe, the number of patients with HIV-TB co-infection has been increasing and migration could be one of the potential driving forces.</p></sec><sec id="sec002"><title>Objective</title><p>This systematic review aims to improve the understanding on the burden of HIV-TB co-infection among migrants in Europe and to assess whether these populations are particularly vulnerable to this co-infection compared to nationals.</p></sec><sec id="sec003"><title>Design</title><p>MEDLINE<sup>®</sup>, Web of Science<sup>®</sup> and Scopus<sup>®</sup> databases were searched from March to April 2016 using combinations of keywords. Titles and abstracts were screened and studies meeting the inclusion criteria proceeded for full-text revision. These articles were then selected for data extraction on the prevalence, incidence and mortality.</p></sec><sec id="sec004"><title>Results</title><p>The majority of HIV-TB prevalence data reported in the analysed studies, including extrapulmonary/disseminated TB forms, was higher among migrant vs. nationals, some of the studies even showing increasing trends over time. Additionally, while HIV-TB incidence rates have decreased among migrants and nationals, migrants are still at a higher risk for this co-infection. Migrants with HIV-TB co-infection were also more prone to unsuccessful treatment outcomes, death and drug resistant TB. However, contradicting results also showed lower mortality compared to nationals.</p></sec><sec id="sec005"><title>Conclusions</title><p>Overall, a disproportionate vulnerability of migrants to acquire the HIV-TB co-infection was observed across studies. Such vulnerability has been associated to low socioeconomic status, poor living conditions and limited access to healthcare. Adequate social support, early detection, appropriate treatment, and adequate access to healthcare are key improvements to tackle HIV-TB co-infection among these populations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Werf, Mj" uniqKey="Van Der Werf M">MJ van der Werf</name></author><author><name sortKey="Zellweger, Jp" uniqKey="Zellweger J">JP Zellweger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Riccardo, F" uniqKey="Riccardo F">F Riccardo</name></author><author><name sortKey="Dente, Mg" uniqKey="Dente M">MG Dente</name></author><author><name sortKey="K Rki, T" uniqKey="K Rki T">T Kärki</name></author><author><name sortKey="Fabiani, M" uniqKey="Fabiani M">M Fabiani</name></author><author><name sortKey="Noori, T" uniqKey="Noori T">T Noori</name></author><author><name sortKey="Declich, S" uniqKey="Declich S">S 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uniqKey="Domnich A">A Domnich</name></author><author><name sortKey="Panatto, D" uniqKey="Panatto D">D Panatto</name></author><author><name sortKey="Gasparini, R" uniqKey="Gasparini R">R Gasparini</name></author><author><name sortKey="Amicizia, D" uniqKey="Amicizia D">D Amicizia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Podlekareva, Dn" uniqKey="Podlekareva D">DN Podlekareva</name></author><author><name sortKey="Panteleev, Am" uniqKey="Panteleev A">AM Panteleev</name></author><author><name sortKey="Grint, D" uniqKey="Grint D">D Grint</name></author><author><name sortKey="Post, F A" uniqKey="Post F">F a Post</name></author><author><name sortKey="Miro, Jm" uniqKey="Miro J">JM Miro</name></author><author><name sortKey="Bruyand, M" uniqKey="Bruyand M">M Bruyand</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hacker, K" uniqKey="Hacker K">K Hacker</name></author><author><name sortKey="Anies, M" uniqKey="Anies M">M Anies</name></author><author><name sortKey="Folb, Bl" uniqKey="Folb B">BL Folb</name></author><author><name sortKey="Zallman, L" uniqKey="Zallman L">L Zallman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Abecasis, Ana B" sort="Abecasis, Ana B" uniqKey="Abecasis A" first="Ana B." last="Abecasis">Ana B. Abecasis</name><name sortKey="Couto, Isabel" sort="Couto, Isabel" uniqKey="Couto I" first="Isabel" last="Couto">Isabel Couto</name><name sortKey="Dias, S Nia" sort="Dias, S Nia" uniqKey="Dias S" first="S Nia" last="Dias">S Nia Dias</name><name sortKey="Fronteira, Ines" sort="Fronteira, Ines" uniqKey="Fronteira I" first="Inês" last="Fronteira">Inês Fronteira</name><name sortKey="Machado, Diana" sort="Machado, Diana" uniqKey="Machado D" first="Diana" last="Machado">Diana Machado</name><name sortKey="Tavares, Ana Maria" sort="Tavares, Ana Maria" uniqKey="Tavares A" first="Ana Maria" last="Tavares">Ana Maria Tavares</name><name sortKey="Viveiros, Miguel" sort="Viveiros, Miguel" uniqKey="Viveiros M" first="Miguel" last="Viveiros">Miguel Viveiros</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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