OBJECTIVE: To identify the association between non-adherence to tuberculosis treatment and access to treatment. METHODS: A cross-sectional study was carried out in the Metropolitan Area of Buenos Aires, Argentina. One hundred twenty three patients notified in 2007 (38 non adherent and 85 adherents) were interviewed regarding the health care process and socio-demographic characteristics. Factors associated to non-adherence were assessed through logistic regression analysis. RESULTS: An increased risk of non-adherence with to treatment was found in male patients (OR = 2.8; 95%CI 1.2 - 6.7), patients who had medical check-ups at hospitals (OR = 3.4; 95%CI 1.1 - 10.0) and those who had difficulties with transportation costs (OR = 2.5; 95%CI 1.1 - 5.9). CONCLUSION: Risk of non-adherence increases as a result of economic barriers in accessing health care facilities. Decentralization of treatment to primary health care centers and social protection measures for patients should be considered as priorities for disease control strategies in order to lessen the impact of those barriers on adherence to treatment.
OBJECTIVE: To identify the association between non-adherence to tuberculosis treatment and access to treatment. METHODS: A cross-sectional study was carried out in the Metropolitan Area of Buenos Aires, Argentina. One hundred twenty three patients notified in 2007 (38 non adherent and 85 adherents) were interviewed regarding the health care process and socio-demographic characteristics. Factors associated to non-adherence were assessed through logistic regression analysis. RESULTS: An increased risk of non-adherence with to treatment was found in male patients (OR = 2.8; 95%CI 1.2 - 6.7), patients who had medical check-ups at hospitals (OR = 3.4; 95%CI 1.1 - 10.0) and those who had difficulties with transportation costs (OR = 2.5; 95%CI 1.1 - 5.9). CONCLUSION: Risk of non-adherence increases as a result of economic barriers in accessing health care facilities. Decentralization of treatment to primary health care centers and social protection measures for patients should be considered as priorities for disease control strategies in order to lessen the impact of those barriers on adherence to treatment.
Authors: Rosiane Davina da Silva; Fernanda Darliane Tavares de Luna; Aguinaldo José de Araújo; Edwirde Luiz Silva Camêlo; Maria Rita Bertolozzi; Paula Hino; Sheylla Nadjane Batista Lacerda; Sayonara Maria Lia Fook; Tânia Maria Ribeiro Monteiro de Figueiredo Journal: BMC Public Health Date: 2017-09-19 Impact factor: 3.295
Authors: I Gusti Ngurah Edi Putra; Putu Ayu Swandewi Astuti; I Ketut Suarjana; Ketut Hari Mulyawan; I Made Kerta Duana; Ni Made Dian Kurniasari; I Wayan Gede Artawan Eka Putra Journal: Tuberc Res Treat Date: 2018-03-20
Authors: Juliet N Sekandi; Esther Buregyeya; Sarah Zalwango; Kevin K Dobbin; Lynn Atuyambe; Damalie Nakkonde; Julius Turinawe; Emma G Tucker; Shade Olowookere; Stavia Turyahabwe; Richard S Garfein Journal: ERJ Open Res Date: 2020-04-06