Tuberculosis screening and compliance with return for skin test reading among active drug users

This study assessed the independent and combined effects of different levels of monetary incentives and a theory-based educational intervention on return for tuberculosis (TB) skin test reading in a sample of active injection drug and crack cocaine users. Prevalence of TB infection in this sample wa...

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Bibliographic Details
Published in:American journal of public health (1971) 1998-05, Vol.88 (5), p.792-796
Main Authors: Malotte, C K, Rhodes, F, Mais, K E
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult
Aged
Bacterial diseases
Bacterial diseases of the respiratory system
Behavior
Biological and medical sciences
California
California - epidemiology
Cocaine
Compliance
Crack Cocaine
Design
Disease prevention
Drug abuse
Drug use
Economic incentives
Education
Enrollments
Factors
Female
Health education
HIV
Human bacterial diseases
Human immunodeficiency virus
Humans
Incentives
Infections
Infectious diseases
Intervention
Intravenous drug addicts
Logistic Models
Male
Mass Screening
Medical sciences
Medical screening
Middle Aged
Monetary incentives
Motivation
Patient Compliance
Public health
Reading
Regression analysis
Screening
Substance abuse treatment
Substance Abuse, Intravenous
Substance-Related Disorders
Tuberculin Test
Tuberculosis
Tuberculosis - diagnosis
Tuberculosis - epidemiology
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Summary:This study assessed the independent and combined effects of different levels of monetary incentives and a theory-based educational intervention on return for tuberculosis (TB) skin test reading in a sample of active injection drug and crack cocaine users. Prevalence of TB infection in this sample was also determined. Active or recent drug users (n = 1004), recruited via street outreach techniques, were skin tested for TB. They were randomly assigned to 1 of 2 levels of monetary incentive ($5 and $10) provided at return for skin test reading, alone or in combination with a brief motivational education session. More than 90% of those who received $10 returned for skin test reading, in comparison with 85% of those who received $5 and 33% of those who received no monetary incentive. The education session had no impact on return for skin test reading. The prevalence of a positive tuberculin test was 18.3%. Monetary incentives dramatically increase the return rate for TB skin test reading among drug users who are at high risk of TB infection.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.88.5.792