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中国防痨杂志 ›› 2025, Vol. 47 ›› Issue (12): 1644-1650.doi: 10.19982/j.issn.1000-6621.20250251

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特殊人群结核病关怀的研究进展

梁雪芳(), 王志英, 朱志鹏   

  1. 山西省阳泉市疾病预防控制中心结核病防控科,阳泉 045000
  • 收稿日期:2025-06-12 出版日期:2025-12-10 发布日期:2025-11-28
  • 通信作者: 梁雪芳,Email:lxfcjl@126.com
  • 基金资助:
    2024年中央财政重大公共卫生服务补助资金(阳财社〔2024〕96号)

Research advances in tuberculosis care for key populations

Liang Xuefang(), Wang Zhiying, Zhu Zhipeng   

  1. Department of Tuberculosis Control, Shanxi Yangquan Center for Disease Control and Prevention, Yangquan 045000, China
  • Received:2025-06-12 Online:2025-12-10 Published:2025-11-28
  • Contact: Liang Xuefang, Email: lxfcjl@126.com
  • Supported by:
    The 2024 Major Public Health Service Subsidy Fund of the Central Government of China(Yangcaishe 〔2024〕 96)

摘要:

结核病是严重危害公共健康的重大传染病之一,尤其对老年人、儿童、流动人口、耐药结核病患者及HIV感染者等特殊人群的影响更为显著。这些群体因生理及社会经济的脆弱性,常面临医疗资源匮乏、社会偏见等挑战,因此,精准有效的关怀服务显得尤为重要。尽管全球结核病防治事业取得一定进展,但在特殊人群关怀方面仍存在不足。笔者从多维度、多层次全面剖析了特殊人群结核病关怀的重要性、现状、挑战和未来趋势,并提出结合政策、技术与社会协作的改进框架,旨在为制定更高效的关怀策略提供参考,推动特殊人群结核病关怀领域的发展,助力结核病防控取得更大进步。

关键词: 结核, 病人医疗护理, 卫生政策, 社会支持

Abstract:

Tuberculosis (TB) remains a major global public health threat, disproportionately affecting key populations such as the elderly, children, migrants, individuals with drug-resistant TB, and those living with HIV. These groups often face structural and physiological vulnerabilities, including limited access to healthcare services and heightened social stigma, which hinder effective disease management. Tailored, patient-centered care is therefore essential to improving outcomes. Despite global progress in TB control, significant gaps persist in the delivery of equitable care for these high-risk populations. This review offers a comprehensive analysis of the current landscape, persistent barriers, and strategic directions for enhancing TB care in key populations. It proposes an integrated framework that emphasizes policy innovation, technological advancement, and multisectoral collaboration. These insights aim to support the development of more effective, inclusive care strategies and accelerate progress toward TB elimination.

Key words: Tuberculosis, Patient care, Health policy, Social support

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