Gaceta Sanitaria
Volume 23, Issue SUPPL. 1, 2009, Pages 80-85

Antituberculosis treatment default among the immigrant population: mobility and lack of family support [Abandono del tratamiento antituberculoso en la población inmigrante: la movilidad y la falta de apoyo familiar] (Article) (Open Access)

Sanz Barbero B.* , Blasco Hernández T. , Galindo Carretero S.
  • a Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, Spain
  • b Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain
  • c Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, Spain

Abstract

Objective: To identify antituberculosis treatment outcomes among the immigrant population and determine the variables associated with treatment default. Methods: We performed a prospective cohort study that included cases of tuberculosis in immigrants older than 15 years diagnosed in 15 public hospitals of the Community of Madrid in 2003. Firstly, a descriptive study was performed. Subsequently, a bivariate/multivariate analysis was performed using logistic regressions. The dependent variable was treatment default vs successful treatment. Results: Of 296 cases, 75.0% successfully completed the treatment, 8.4% defaulted, 2% died, 0.7% showed treatment failure, and 7.1% transferred out; information loss occurred in 6.8%. The variables independently associated with treatment default were female sex (odds ratio [OR]: 0.18; 95% confidence interval [95%CI]: 0.03-0.95), living with relatives (0.23 [0.08-0.66]) and moving to another autonomous community (5.52 [1.17-25.93]) compared with not moving. Conclusions: Antituberculosis treatment outcomes in the immigrant population need to be improved. To achieve this aim, healthcare coordination should be improved in the mobile population and strategies to increase treatment compliance among persons not living with relatives are required. © 2009 SESPAS.

Author Keywords

Social support Treatment outcome Treatment failure residential mobility tuberculosis Immigrant population

Index Keywords

urban population prospective study South and Central America Latin America multicenter study Hospitals, Public psychological aspect clinical trial insurance Europe Follow-Up Studies follow up Prospective Studies human Insurance Coverage middle aged statistics Aged social support ethnology family size Family Characteristics Young Adult Humans tuberculostatic agent Antitubercular Agents male Adolescent Treatment Outcome Emigrants and Immigrants Socioeconomic Factors tuberculosis Spain female Africa socioeconomics public hospital Article adult migration Transients and Migrants patient Patient Dropouts

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-72049105565&doi=10.1016%2fj.gaceta.2009.07.003&partnerID=40&md5=707b4313198069c8c3b4617f5d961f7c

DOI: 10.1016/j.gaceta.2009.07.003
ISSN: 02139111
Cited by: 5
Original Language: Spanish