PLoS ONE
Volume 7, Issue 12, 2012

Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study (Article) (Open Access)

Zhou C. , Chu J. , Liu J. , Gai Tobe R. , Gen H. , Wang X. , Zheng W. , Xu L.*
  • a Institute of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China
  • b Shandong Centre for Disease Control and Prevention, Jinan, China
  • c HealthCore, Inc., Wilmington, DE, United States
  • d Institute of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China
  • e Shandong Center for Tuberculosis Prevention and Control, Jinan, China
  • f Institute of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China
  • g Institute of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China
  • h Institute of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China

Abstract

Adherence to TB treatment is the most important requirement for efficient TB control. Migrant TB patients' "migratory" nature affects the adherence negatively, which presents an important barrier for National TB Control Program in China. Therefore, TB control among migrants is of high importance.The aim of this study is to describe adherence to TB treatment among migrant TB patients and to identify factors associated with adherence. A total of 12 counties/districts of Shandong Province, China were selected as study sites. 314 confirmed smear positive TB patients were enrolled between August 2nd 2008 and October 17th 2008, 16% of whom were non-adherent to TB therapy. Risk factors for non-adherence were: the divorced or bereft of spouse, patients not receiving TB-related health education before chemotherapy, weak incentives for treatment adherence, and self supervision on treatment. Based on the risk factors identified, measures are recommended such as implementing health education for all migrant patients before chemotherapy and encouraging primary care workers to supervise patients. © 2012 Zhou et al.

Author Keywords

[No Keywords available]

Index Keywords

China immigrant reward human middle aged Aged Logistic Models marriage Young Adult Humans lung tuberculosis Adolescent Antitubercular Agents male tuberculostatic agent Tuberculosis, Pulmonary female Risk Factors Article patient compliance major clinical study adult health education Self Care divorce
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871348570&doi=10.1371%2fjournal.pone.0052334&partnerID=40&md5=697a2db05a9dc6b0ccabb89964b66f5d
DOI: 10.1371/journal.pone.0052334
ISSN: 19326203
Cited by: 15
Original Language: English