Influence of socio demographic factors on noncompliance among patients treated under RNTCP in a rural tuberculosis unit in Karimnagar district
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20175326Keywords:
Tuberculosis, Socio demographic factors, Non-compliance, Rural areasAbstract
Background: Tuberculosis (TB) remains the number one killer infectious disease affecting adults in developing countries. The 1990 World Health Organization (WHO) report on the global burden of disease ranked TB as the seventh most morbidity-causing disease in the world, and expected it to continue in the same position up to 2020. The objective of this study is to evaluate the socio-demographic factors leading to non-compliance.
Methods: The present study is case control study conducted to evaluate socio-demographic characteristics factors for non-compliance among patients treated under RNTCP in a rural tuberculosis unit in Karimnagar District. Among the 394 defaulters, 77 were not available at the address given to the TU during visits for sampling, 15 were not willing to participate and 2 patients were unable to communicate. 300 TB cases who have completed the treatment were taken as controls.
Results: Age wise distribution of sample respondents is shown in above table. Most of the respondents 241 (40.2%) belonged to the age group of 31-40 years followed by 136 (22.7%) between age 41-50 years. 398 (66.3%) of them were male and 202 (33.7%) were female among the studied population. majority of the studied sample belonged to rural area 539 (89.8%) as compared to urban area 61 (10.2%).
Conclusions: Increasing age with respondents above 40 years were likely to be non-compliant, living in a rural area, having migrated and belonging to low socio-economic status were also significant factors. Living in a nuclear family was also significant due to the lack of familial support. Patients who were tobacco users and consumers of alcohol were likely to be non-compliant. Families with multiple members suffering from TB were likely to have non-compliant patients.
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References
Murray CJL, Lopez AD. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020: WHO Geneva, Switzerland, 1996;W 74 96GL-1/1996.
World Health Organization. Global tuberculosis control: WHO report 2011. Geneva, Switzerland. Available at: http://www.who.int/tb/publications/ global_report /2011/ gtbr11_ full. Pdf. Accessed on 3 August 2017.
Munro SA, Lewin SA, Smith HJ, Engel ME, Fretheim A, Volmink J. Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research. PLoS Med. 2007;4(7):e238.
Pablos-Mendez A, Knirsch CA, Barr RG, Lerner BH, Frienden TRL. Nonadherence in tuberculosis treatment: Predictors and consequences in New York City. Am J Med. 1997;102:164-70.
Hong Kong Chest Service/British Medical Research Council: Controlled trial of 2, 4, and 6 months of pyrazinamide in 6-month three times weekly regimens for smear-positive pulmonary tuberculosis, including an assessment of a combined preparation of isoniazid, rifampin and pyrazinamide: results at 30 months. Am Rev Respir Dis. 1991;143:700-6.
World Health Organization WHO Tuberculosis Programme (1994). Framework for Effective tuberculosis Control. Geneva, Switzerland, WHO/TB/94. 179.
Hudelson P. Gender differentials in tuberculosis: the role of socio-economic and cultural factors. Tubercle Lung Dis. 1996;77:391-400.
Khatri GR, Frieden TR. Controlling tuberculosis in India. N Engl J Med. 2002;347(18):1420-5.
New Delhi: Central TB Division Directorate General of Health Services; 2011. Available at: http://www.tbcindia.org/rntcp.asp. Accessed on 4 August 2017.
World Health Organization. Gender in Tuberculosis Research Department of Gender, Women and Health Family and Community Health. Geneva, Switzerland: WHO, 2004.
Chatterjee P, Banerjee B, Dutt D, Pati RR, Mullick AK. A comparative evaluation of factors and reasons for defaulting in tuberculosis treatment in the states of west bengal, jharkhand and arunachal Pradesh. Ind J Tub. 2003;50:17.
Amoran OE, Osiyale O, Lawal KM. Pattern of default among tuberculosis patients on directly observed therapy in rural primary health care centres in Ogun State, Nigeria. J Infect Dis Immunity. 2011;3(5):90-5.
O'Boyle SJ, Power JJ, Ibrahim MY, Watson JP. Factors affecting patient compliance with anti-tuberculosis chemotherapy using the directly observed treatment, short-course strategy (DOTS). Int J Tuberc Lung Dis. 2002;6(4):307-12.
Muture BN, Keraka MN, Kimuu PK, Kabiru EW, Ombeka VO, Oguya F. Factors associated with default from treatment among tuberculosis patients in nairobi province, Kenya: a case control study. BMC Public Health. 2011;11:696.
Pinidiyapathirage J, Senaratne W, Wickremasinghe R. Prevalence and predictors of default with tuberculosis treatment in Sri Lanka. Southeast Asian J Trop Med Public Health. 2008;39(6):1076-82.
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