Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina

Cadernos de Saúde Pública

Maria Belen Herrero¹  Silvina Arrossi¹  Silvina Ramos¹  Jose Ueleres Braga¹ 

关键词: Tuberculosis;    Medication Adherence;    Epidemiologic Factors;    Cross-sectional Studies;    Tuberculosis;    Cumplimiento de la Medicación;    Factores Epidemiológicos;    Estudios Transversales;    Tuberculose;    Adesão à Medicação;    Fatores Epidemiológicos;    Estudos Transversais;   

DOI  :  10.1590/0102-311X00024314

来源: SciELO

【 摘 要 】

This study aimed to identify the individual and environmental determinants of nonadherence to tuberculosis (TB) treatment in selected districts in the Buenos Aires Metropolitan Area, in Argentina. We conducted a cross-sectional study using a hierarchical model. Using primary and secondary data, logistic regression was performed to analyze two types of determinants. The likelihood of nonadherence to treatment was greatest among male patients. The following factors led to a greater likelihood of nonadherence to treatment: patients living in a home without running water; head of household without medical insurance; need to use more than one means of transport to reach the health center; place of residence in an area with a high proportion of households connected to the natural gas network; place of residence in an area where a large proportion of families fall below the minimum threshold of subsistence capacity; place of residence in an area where a high proportion of households do not have flushing toilets and basic sanitation. Our results show that social and economic factors – related to both individual and environmental characteristics – influence adherence to TB treatment.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License