Do transportation subsidies and living allowances improve tuberculosis control outcomes among internal migrants in urban Shanghai, China?

Authors

  • Hui Lu School of Public Health, Fudan University, Shanghai, China and School of Public Health, Nanjing Medical University, Nanjing, China
  • Fei Yan
  • Wei Wang
  • Laiwa Wu
  • Weiping Ma
  • Jing Chen
  • Xin Shen
  • Jian Mei

DOI:

https://doi.org/10.5365/wpsar.2013.4.1.003

Abstract

Introduction: Tuberculosis (TB) in internal migrants is one of three threats for TB control in China. To address this threat, a project was launched in eight of the 19 districts of Shanghai in 2007 to provide transportation subsidies and living allowances for all migrant TB cases. This study aims to determine if this project contributed to improved TB control outcomes among migrants in urban Shanghai.

Methods: This was a community intervention study. The data were derived from the TB Management Information System in three project districts and three non-project districts in Shanghai between 2006 and 2010. The impact of the project was estimated in a difference-in–difference (DID) analysis framework, and a multivariable binary logistic regression analysis.

Results: A total of 1872 pulmonary TB (PTB) cases in internal migrants were included in the study. The treatment success rate (TSR) for migrant smear-positive cases in project districts increased from 59.9% in 2006 to 87.6% in 2010 (P < 0.001). The crude DID improvement of TSR was 18.9%. There was an increased probability of TSR in the project group before and after the project intervention period (coefficient = 1.156, odds ratio = 3.178, 95% confidence interval: 1.305–7.736, P = 0.011).

Conclusion: The study showed the project could improve treatment success in migrant PTB cases. This was a short-term programme using special financial subsidies for all migrant PTB cases. It is recommended that project funds be continuously invested by governments with particular focus on the more vulnerable PTB cases among migrants.

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Published

29-01-2013

How to Cite

1.
Lu H, Yan F, Wang W, Wu L, Ma W, Chen J, Shen X, Mei J. Do transportation subsidies and living allowances improve tuberculosis control outcomes among internal migrants in urban Shanghai, China? . Western Pac Surveill Response J [Internet]. 2013 Jan. 29 [cited 2026 Mar. 21];4(1). Available from: https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/187

Issue

Vol. 4 No. 1 (2013): January – March

Section

Tuberculosis - Original Research

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