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KMID : 0904520140350010145
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Health and Medical Sociology
2014 Volume.35 No. 1 p.145 ~ p.174
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Present and Future of Tuberculosis Research from the Perspective of Social Determinants of Tuberculosis in South Korea
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Choi Hong-Jo
Kim Myoung-Hee
Chung Hae-Joo
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Abstract
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Background: Korea is a country with intermediate tuberculosis (TB) burden and the highest incidence, mortality and multidrug-resistant TB incidence in OECD countries. Little attention has been paid to explore social determinants of TB in Korea. The study primarily intends to review the present status of TB research focusing on social determinants. Secondly, the study aims to compare international TB research with domestic situation in terms of social determinants of TB. Finally, based on the study results, we recommend a few suggestions to develop evidence-based TB policy in Korea.
Method: The study constructs a modified typology of TB contributory factors. Based on the typology, systematic literature review is conducted with keywords using ‘tuberculosis’ in title and ‘social determinants’ in keyword among international studies and ‘tuberculosis’ and ‘Korea’ or ‘Korean’ in title through ‘Web of Science’.
Result: In international studies, two articles are focused on individual behavioral factors, nine are cultural factors, and 22 are political, economic and institutional factors. In domestic studies, 42 studies are performed in the area of bio-medical perspective. Three studies include individual behavioral factors, 1 study is related to political, economic and institutional factors. Five domestic studies cannot be categorized to the typology.
Conclusion: Korean TB studies are highly concentrated to bio-medical area. To explore social determinants of TB in Korea, following issues should be considered. Firstly, multidrug-resistant TB is a still crucial issue to be examined.
Secondly, the effect of health intervention including TB policy and its relation with the change of TB statistic should be studied and researches to standardize surveillance system would be required. Thirdly, TB derived stigma
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KEYWORD
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Tuberculosis, Social Determinant of Health, Health Policy, Multidrug-resistant Tuberculosis
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