Social determinants of multidrug-resistant tuberculosis: A scoping review and research gaps

Indian J Tuberc. 2021 Jan;68(1):99-105. doi: 10.1016/j.ijtb.2020.09.016. Epub 2020 Sep 17.


Tuberculosis is a prime example of a social disease that requires social, economic and environmental interventions. However, research on social determinants of Multidrug-Resistant (MDR-TB) is limited. The five-stage scoping review showed the most common association of MDR-TB with multidimensional poverty (income, nutrition, education and social support) both as a contributing factor and a consequence of it. The review also found that physical environment (inadequate housing, overcrowding, poor physical environment, and smoking), health care needs, cultural determinants (race, ethnicity and gender), comorbidities had a strong influence on the development and transmission of MDR-TB. Since, epidemiology and care for MDR-TB are greatly influenced by socioeconomic factors, social, environmental and economic actions are needed in addition to the implementation of novel diagnostic techniques and treatments.

PMID:33641859 | DOI:10.1016/j.ijtb.2020.09.016