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Open Access Tuberculosis and Common Mental Disorders: International Lessons for Canadian Immigrant Health Amy Bender, Sepali Guruge, La tuberculose et les troubles mentaux courants : des leçons d'autres pays applicables à la santé des immigrants au Canada

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Abstract:

Tuberculosis is a pressing global health issue. Its association with other infections, illnesses, and social factors, including immigration, is well known, yet comparatively little research has examined the connections between tuberculosis and mental disorder, particularly among immigrants in Canada. The authors report on a scoping review conducted to better understand the synergies of tuberculosis, mental disorders, and underlying social conditions as they affect immigrants' health. They highlight the articles that focused on the co-occurrence of tuberculosis and depression/anxiety. After describing their approach and strategy, the authors present key thematic categories: prevalence, clinical presentation, and effects of stigma and poverty. Examining the research within the global context, they argue that migration contributes to these synergistic conditions. The review shows that Canadians stand to gain much by learning from low- and middleincome countries about what constitutes best evidence in approaching complex global health issues.

French
La tuberculose est un problème de santé urgent d'ampleur mondiale. Son impact sur d'autres infections et maladies et sur des facteurs sociaux, y compris l'immigration, est bien connu. Toutefois, peu de recherches ont été menées sur les liens entre la tuberculose et les troubles mentaux, particulièrement chez les immigrants au Canada. Les auteurs font état d'un examen de portée qu'ils ont réalisé pour mieux comprendre les synergies entre la tuberculose, les troubles mentaux et les conditions sociales sous-jacentes touchant la santé des immigrants. Ils mettent en lumière les articles qui traitent de la cooccurrence entre tuberculose et dépression/anxiété. Après avoir décrit leur approche et leur stratégie, ils présentent des catégories thématiques clés : la prévalence; la présentation clinique; et les effets des stigmates et de la pauvreté. Inscrivant la recherche dans un con texte mondial, ils estiment que la migration contribue à ces conditions synergétiques. L'étude démontre que les Canadiens ont beaucoup à gagner en apprenant des expériences vécues par les pays à faible et moyen revenus en regard de ce qui constitue les meilleures données probantes à recueillir pour gérer des problèmes de santé mondiaux complexes.

Keywords: CARE DELIVERY; DETERMINANTS OF HEALTH; INFECTIOUS DISEASES; MENTAL HEALTH/PSYCHOSOCIAL; PSYCHOSOCIAL ASPECTS OF ILLNESS; VULNERABLE POPULATIONS

Document Type: Research Article

Publication date: 2012-12-01

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