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1.
Pan Afr Med J ; 27: 1, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28748003

RESUMEN

INTRODUCTION: High Tuberculosis treatment default rate (17%) and sub-optimal treatment completion rates (45%) has burdened Kampala. Nevertheless, there are observable increase in the number of patients on TB DOT; from 6% to 29% in two consecutive annual reports. The main objective was to determine the association of TB patient attitudes towards community-based observers on the TB drug adherence on directly observed treatment for TB in Kampala. METHODS: A cross-sectional study was carried out in Lubaga division, Kampala. A total of 201 patients in continuation phase of treatment for Pulmonary TB (i.e. 8 to 20 weeks of TB treatment) were included in the study. Patient attitudes were measured using a 4-point Likert scale aggregated into a binary outcome with ''agree'' and ''disagree'' responses. Poisson regression model using a forward fitting approach in STATA v12 was used to determine the association between patient attitude towards CB-DOTs observers and adherence to TB treatment. RESULTS: Among the 201 patients, 66% reported their treatment was being observed by someone. Relatives were the commonest (82%) treatment observers, 26% were non adherent to their TB treatment. Perceiving ''no need for a treatment observer'' and ''people rejecting TB patients'' were predictors of non-adherence to TB treatment (IRR=1.6,95%CI 1.00-2.57;p=0.048) and (IRR=0.6, 95%CI 0.35-0.95; p=0.019) respectively. CONCLUSION: Patient's perceived attitude and stigma towards treatment observers contribute to non-adherence on TB treatment. For improved local TB control, more emphasis is needed to build a friendly environment between treatment supporters and patients during the course of TB treatment.


Asunto(s)
Antituberculosos/administración & dosificación , Terapia por Observación Directa/psicología , Cumplimiento de la Medicación/psicología , Tuberculosis Pulmonar/tratamiento farmacológico , Adolescente , Adulto , Anciano , Actitud Frente a la Salud , Servicios de Salud Comunitaria/métodos , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Distribución de Poisson , Estigma Social , Uganda , Población Urbana , Adulto Joven
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