TY - JOUR
T1 - Barreras asociadas a la adherencia al tratamiento de tuberculosis en Cali y Buenaventura, Colombia, 2012
AU - Carvajal-Barona, Rocío
AU - Tovar-Cuevas, Luis Miguel
AU - Aristizábal-Grisales, Juan Carlos
AU - Varela-Arévalo, María Teresa
N1 - Funding Information:
Buenaventura por la participación en este es-tudio. A la Asociación Nacional de Alcaldes y Gobernadores de Municipios y Gobernaciones con Población Afrodescendiente(Amunafro) por el apoyo para el desarrollo local del pro-yecto de investigación.
Funding Information:
y controles de acuerdo con las disposiciones éticas nacionales e internacionales para la investigación con humanos (Declaración de Helsinki y Resolución 8430 de 1993 del Ministerio de Salud de Colombia (16)).
Funding Information:
Al Fondo mundial de lucha contra el sida, la tuberculosis y la malaria, y a la Organización Internacional para las Migraciones de Colombia, por la financiación de esta inves-tigación. A las secretarías de Salud de Cali y Buenaventura y a la Secretaría de Salud Departamental del Valle del Cuaca. A los expacientes de TB y a sus familias de Cali y
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Objective: to determine obstacles associated with the adherence to the strictly supervised treatment of tuberculosis (TB) in two municipalities of Colombia. Methods: case studies (128) and controls (182). Univariate, bivariate, and logistic regression analyzes were performed. Results: the factors associated with nonadherence to TB treatment were: no cohabitation with relatives (OR = 4.54, 95% CI 1.45-14.22), non-attendance to religious meetings (OR = 28.17, 95% CI 4.37-181.75), no antecedents regarding dealing with an illness lasting over two weeks (OR = 3.37, 95% CI 1.59-7.13), did not recognize that TB treatment lasts for up to six months (OR = 3.51, 95% CI 1.87-6.59), drug use (OR = 3.41 , 95% CI 0.95-12.23), occasional lack of treatment supplies by the health services (OR = 5.53, 95% CI 1.20-5.52). Conclusions: The design and development of strategies to ensure adherence to TB treatment must take into account, in addition to the individual behavioral factors of patients, the social and administrative factors that affect their success.
AB - Objective: to determine obstacles associated with the adherence to the strictly supervised treatment of tuberculosis (TB) in two municipalities of Colombia. Methods: case studies (128) and controls (182). Univariate, bivariate, and logistic regression analyzes were performed. Results: the factors associated with nonadherence to TB treatment were: no cohabitation with relatives (OR = 4.54, 95% CI 1.45-14.22), non-attendance to religious meetings (OR = 28.17, 95% CI 4.37-181.75), no antecedents regarding dealing with an illness lasting over two weeks (OR = 3.37, 95% CI 1.59-7.13), did not recognize that TB treatment lasts for up to six months (OR = 3.51, 95% CI 1.87-6.59), drug use (OR = 3.41 , 95% CI 0.95-12.23), occasional lack of treatment supplies by the health services (OR = 5.53, 95% CI 1.20-5.52). Conclusions: The design and development of strategies to ensure adherence to TB treatment must take into account, in addition to the individual behavioral factors of patients, the social and administrative factors that affect their success.
KW - Buenaventura
KW - Cali
KW - Colombia
KW - Medication adherence
KW - Tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85028589134&partnerID=8YFLogxK
U2 - 10.11144/Javeriana.rgps16-32.baat
DO - 10.11144/Javeriana.rgps16-32.baat
M3 - Artículo de revisión
AN - SCOPUS:85028589134
SN - 1657-7027
VL - 16
SP - 68
EP - 84
JO - Revista Gerencia y Politicas de Salud
JF - Revista Gerencia y Politicas de Salud
IS - 32
ER -
