Ramadan and Culturally Competent Care: Strengthening Tuberculosis Protections for Recently Resettled Muslim Refugees.
J Public Health Manag Pract
; 26(5): E13-E16, 2020.
Article
in En
| MEDLINE
| ID: mdl-32732732
ABSTRACT
To improve latent tuberculosis infection treatment completion rates, Tarrant County Public Health began providing after-dusk home delivery of a 12-dose latent tuberculosis infection regimen of weekly rifapentine plus isoniazid administered via directly observed preventive therapy during Ramadan, a month of prayer and daytime fasting observed by Muslims. In unadjusted difference-in-difference logistic regression analyses (n = 148), Muslim patients had lower treatment completion rates than non-Muslim patients during Ramadan prior to program implementation (68.8% vs 95.4%), whereas rates were comparable postimplementation (95.7% vs 96.4%; difference-in-difference P = .011). Similar results were found after adjusting for age and gender (pre 71.4% vs 94.8%; post 95.5% vs 96.3%; P = .032). These findings provide evidence of the need for and effectiveness of programmatic innovations tailored to the varying cultural norms of the widely diverse populations served by public health authorities and suggest that culturally competent clinical care may advance population health goals.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Refugees
/
Latent Tuberculosis
/
Culturally Competent Care
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
En
Journal:
J Public Health Manag Pract
Journal subject:
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Year:
2020
Document type:
Article