Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 May 2006

Choosing incentives to stimulate tuberculosis treatment compliance in a poorcounty in Rio de Janeiro state, Brazil.

Marcia Teresa Carreira Teixeira Belo, Marcia Teresa Carreira Teixeira Belo, Ronir Raggio Luiz, Christy Hanson, Ana Lucia Luna, Ana Lucia Luna, Anete Trajman

Med Sci Monit 2006; 12(5): PH1-5 :: ID: 450296

Abstract

Background: Tuberculosis (TB) treatment default is a major constraint ofTB control, resulting in continued disease transmission and possibly the emergence of multidrug resistance.Marginalized populations may abandon treatment before being cured. The objective of this study was toevaluate the socioeconomic status (SES) of TB patients and identify potential incentives for improvingtreatment compliance by SES. Material/Methods: A cross-sectional survey was conducted in a public healthunit in Duque de Caxias, a county with one of the lowest per capita incomes in Rio de Janeiro state.From November 2003 to March 2004, 305 TB patients answered an anonymous questionnaire on socio-demographicaspects, household items and family income, history of previous treatment default, and on incentivesfor improving treatment adherence. Incentives were classified as economic, administrative, health servicesupport, and habits, and scored as fundamental (3), important (2), desirable (1), or irrelevant (0).Results: Health service support incentives had the highest scores overall. The aggregate economic incentivescore correlated with SES (r=-0.191, p=0.001). Among the 20% poorest patients, 16.7% had a previous historyof default vs. 1.6% among the wealthiest (p=0.004). Patients with a history of treatment default weresignificantly more likely to choose health service support incentives than other patients (r=-0.263,p=0.039). Conclusions: Professional commitment will be needed to effect the necessary changes in healthservice support. Financial support for food and transportation subsidies may be required to improve treatmentcompliance among the poorest TB patients, i.e. those most likely to have previously defaulted from treatment.

Keywords: Tuberculosis - drug therapy, Questionnaires, Public Health, Poverty, Patient Compliance, Motivation, Cross-Sectional Studies, Brazil, Antitubercular Agents - therapeutic use, Aged, 80 and over, Adolescent

Add Comment 0 Comments

Editorial

01 March 2024 : Editorial  

Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-Thalassemia

Dinah V. Parums

DOI: 10.12659/MSM.944204

Med Sci Monit 2024; 30:e944204

0:00

In Press

08 Feb 2024 : Clinical Research  

Serum Selenium Concentration as a Potential Diagnostic Marker for Early-Stage Colorectal Cancer: A Comparat...

Med Sci Monit In Press; DOI: 10.12659/MSM.942882  

09 Feb 2024 : Clinical Research  

Factors Influencing the Occurrence of Intraoperative Hypothermia in Patients Undergoing General Anesthesia ...

Med Sci Monit In Press; DOI: 10.12659/MSM.943463  

13 Feb 2024 : Clinical Research  

A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score ...

Med Sci Monit In Press; DOI: 10.12659/MSM.943501  

16 Feb 2024 : Clinical Research  

Etiology, Clinical Presentation, and Outcomes of Bacterial Meningitis in Adult Patients: A Retrospective St...

Med Sci Monit In Press; DOI: 10.12659/MSM.942904  

Most Viewed Current Articles

16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750