Adherence to tuberculosis treatment among migrant pulmonary tuberculosis patients in Shandong, China: a quantitative survey study

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...

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Bibliographic Details
Published in:PloS one 2012-12, Vol.7 (12), p.e52334-e52334
Main Authors: Zhou, Chengchao, Chu, Jie, Liu, Jinan, Gai Tobe, Ruoyan, Gen, Hong, Wang, Xingzhou, Zheng, Wengui, Xu, Lingzhong
Format: Article
Language:English
Subjects:
Adhesion
Adolescent
Adult
Aged
Antitubercular Agents - therapeutic use
Asthma
Chemotherapy
China
Clinical outcomes
Disease prevention
Drug resistance
Drug therapy
Education
Female
Health care
Health services
Humans
Incentives
Logistic Models
Male
Medical diagnosis
Medical research
Medicine
Middle Aged
Migrants
Occupational health
Patient compliance
Patient Compliance - statistics & numerical data
Patients
Preventive medicine
Public health
Qualitative research
Risk analysis
Risk Factors
Smear
Social and Behavioral Sciences
Socioeconomic factors
Studies
Surveys
Tuberculosis
Tuberculosis, Pulmonary - drug therapy
Tuberculosis, Pulmonary - epidemiology
Workers
Young Adult
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Summary: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 2(nd) 2008 and October 17(th) 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.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0052334