Accession to Tuberculosis Treatment: Individual and Social Vulnerability Elements

Authors

  • Rayrla Cristina de Abreu Temoteo Santa Maria College and Universidade Estadual da Paraíba
  • Fernanda Darliane Tavares de Luna Universidade Estadual da Paraíba
  • Sheylla Nadjane Batista Lacerda Santa Maria College
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC
  • Fernando Luiz Affonso Fonseca Faculdade de Medicina do ACB
  • Edwirde Luiz Silva Universidade Estadual da Paraíba
  • Maria Rita Bertolozzi Universidade de São Paulo
  • Tânia Maria Ribeiro Monteiro de Figueiredo Universidade Estadual da Paraíba

DOI:

https://doi.org/10.3823/1805

Keywords:

Patient adherence, treatment, tuberculosis, vulnerability

Abstract

Introduction:  Tuberculosis (TB) remains as a major public health problem, being the second infectious disease to cause death all over the world. The Directly Observed Treatment (DOT) is one of the recommended strategies to control this disease. The accession in this mode of treatment is integrated into the Tuberculosis Control Program (PCT), this program also provide socio-economic incentives as the distribution of food baskets, bus passes and breakfast. Moreover, public policies for social protection help both family development and social vulnerability. Tuberculosis is still associated with social exclusion and marginalization of the population subjected to poor living conditions and limited access to public services. 

Objective:  Analyze the potential accession to tuberculosis treatment related to individual and social vulnerability aspects. 

Methods: Cross-sectional, qualitative study, conducted with 39 individuals diagnosed with tuberculosis and in treatment for at least 30 days in the city of Campina Grande, Paraiba, Brazil. 20 markers were used as analysis units, with the possibility of score responses from one to three. The lower scores indicate lower potential of adherence to treatment, while the highest ones express greater potential accession.

 Results: markers that were more related to score one and indicated lower potential adherence to tuberculosis treatment were: tuberculosis impact on labor; conception of health-disease causality and work process (employment status). In contrast, markers that were more closely related to the score three that resonate with greater adherence capability to tuberculosis treatment were: Drug use, life (housing situation) and treatment difficulties in the disease course. 

Conclusion:  The instrument used allowed the presentation of low potential markers for adherence to tuberculosis treatment. Therefore, it is recommended the use of markers in Primary Health Care for monitoring adherence to tuberculosis treatment.

 

References

Brazil, Ministry of Health Secretariat of Health Surveillance.. And pidemiológico Bulletin. 2014; 44 (2): 1-13.

Brazil, Ministry of Health. Secretariat of Health Surveillance, Department of Epidemiological Surveillance. epidemiological surveillance Guide . 6th ed. Brasília (DF): MS; 2005.

Brazil, Ministry of Health Secretariat of Health Surveillance Department of Epidemiological Surveillance... Manual of recommendations for the control of tuberculosis in Brazil. - Brasilia: Ministry of Health, 2011.

Bertolozzi MR, Nichiata LYI, Takahashi RF, Ciosak SI, Hino P, Ferreira do Val L, et al. The vulnerability and the compliance in Collective Health. Rev Esc Enferm USP . 2009; 43 (ESP2): 1326-1330. DOI: http://dx.doi.org/10.1590/S0080-62342009000600031

Brazil, Ministry of Health Secretariat of Health Surveillance.. Health Surveillance Guide - Brasilia: Ministry of Health., 2014. p.379-416.

World Health Organization. Adherence to Long-Term Therapies: Evidence for Action. Tuberculosis . Geneva: 2003.

Souza MSPL, SM Pereira, Marine JM, Barreto ML. Characteristics of health services associated with adherence to tuberculosis treatment. Rev. Public health . 2009; 43 (6): 997-1005.DOI: http://dx.doi.org/10.1590/S0034-89102009005000085

Queiroz EM, De-La-Torre-Ugarte-Guanilo MC, Ferreira KR, Bertolozzi MR. TB: limits and potential of supervised treatment. Rev. Latin Am. Nursing . 2012; 20 (2): 369-377. DOI: http://dx.doi.org/10.1590/S0104-11692012000200021.

Ayres JRCM, Paiva V, France Junior I. Concepts and practices of prevention:. the natural history of the disease to the vulnerability framework and human rights In: Paiva V, Ayres JRCM, Buchalla CM. organizers. Vulnerability and Human Rights: prevention and health promotion - Book I: disease citizenship. ISBN: 978853623912-5. Curitiba: Juruá; 2012. p.71-94.

Ayres JRCM. Vulnerability and AIDS: For a social response to the epidemic. AIDS Bol Epidemiol . 1997; 15 (3): 2-4.

Ayres JRCM, Paiva V, France Junior I, Gravato N, R Lacerda, Della Negra M et al. Vulnerability, human rights, and comprehensive health care needs of young people living with HIV / AIDS. Am J Public Health. 2006; 96 (6): 1001-1006. DOI: 10.2105 / AJPH.2004.060905.

Cavalcante EGR. Adhesion markers to tuberculosis treatment: a proposal to primary health care. University School of Nursing of São Paulo [PhD thesis ]. São Paulo: Universidade de São Paulo; 2012.

Bertolozzi MR. Adherence to tuberculosis treatment: Implementation of markers for patient monitoring (MCT Notice / CNPq No. 14/2013 - Universal, Range B). Project approved.Nursing USP. São Paulo, 2013.

Brazilian Institute of Geography and Statistics (IBGE) [homepage of the internet]. Brasilia: Ministry of Planning; 2013 [access 03 April 2015]. Available in: http://cidades.ibge.gov.br/xtras/uf.php?lang=&coduf=25&search=paraiba

Secretariat of Campina Grande Health , Municipal Health Service, Tuberculosis Clinic. 2014.

Passion LMM, Gontijo ED. Profile of notified tuberculosis cases and factors associated with abandonment, Belo Horizonte, MG. Rev Public Health . 2007; 41 (2): 205-213. DOI:http://dx.doi.org/10.1590/S0034-89102007000200006.

SS Souza, Silva DMGV. . Passing through the experience of treatment for tuberculosis context text - Nurse . 2010; 19 (4): 636-643. Available in: http://www.scielo.br/pdf/tce/v19n4/05.pdf

Needham DM, D Bowman, Foster SD, GodfreyFaussett P. Patient care seeking barriers and tuberculosis program reform: a qualitative study. Health Policy, 2004; 67 (1): 93-106.DOI: http://dx.doi.org/10.1016/S0168-8510(03)00065-4.

World Health Organization. Global TB control, surveillance, planning, financing. Geneva: WHO; 2005.

Pôrto A. Social representations of tuberculosis: stigma and prejudice. Rev. Public Health. 2007; 41 (1): 43-49.

Lacerda SNB; Temoteo RCA; Figueiredo TMRM; Luna FDT; Sousa MAN; Abreu LC; Fonseca FLA. Individual and social vulnerabilities upon acquiring tuberculosis: a systematic literature review. International Archives of Medicine , 2014; 7 (35): 1-8. DOI: 10.1186 / 1755-7682-7-35

Machado ACFT, Steffen RE, Oxlade O, Menzies D, Kritski A, Trajman A. Factors associated with delayed diagnosis of pulmonary tuberculosis in the state of Rio de Janeiro. J. bras.pneumol. 2011; 37 (4): 512-520. DOI: http://dx.doi.org/10.1590/S1806-37132011000400014.

Chimbanrai B, Fungladda W, Kaewkungwal J, Silachamroon U. Treatment-seeking behaviors and improvement in adherence to treatment regimen of tuberculosis patients using intensive triad-model program, Thailand. Southeast Asian J Trop Med Public Health. 2008; 39 (3): 526-541.

Jorge de Souza KM, Villa TCS, Assolini EFF Beraldo AA, France A, Protti ST, et al. . Delay in diagnosis of tuberculosis in prisons: the experience of the patient convict context text - Nurse . 2012; 21 (1): 17-25. DOI: http://dx.doi.org/10.1590/S0104-07072012000100002.

Lafaiete RS, Souza FBA, Motta MCS. The delay in the diagnosis of tuberculosis. Journal of Primary Care Research On Line . 2013; 5 (3): 174-180. DOI: 10.9789 / 2175-5361.2013v5n3p174.

Storla DG, Yimer S, Bjune GA. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health. 2008; 14 (8): 15. DOI: 10.1186 / 1471-2458-8-15.

Bergel FS, Gouveia, N. Frequent return as a novel strategy for adherence to tuberculosis treatment. Rev Saude Publica . 2005; 39 (6): 898-905. http://dx.doi.org/10.1590/S0034-89102005000600005.

Bertazone EC, Gir E, M. Hayashida situations experienced by nursing staff in care for pulmonary tuberculosis. Rev Latino-am nursing . 2005; 13 (3): 374-381. DOI: http://dx.doi.org/10.1590/S0104-11692005000300012.

S Ribeiro, Amado V, Camelier A, Fernandes MMA, Schenkman S. Case-control study of dropout indicators in patients with tuberculosis. J Peneumol . 2000; 26 (6): 291-296. DOI: http://dx.doi.org/10.1590/S0102-35862000000600004.

Queiroz EM, Bertolozzi MR. Tuberculosis: supervised treatment in the North Health Coordination, West and East of São Paulo. Rev Esc Enferm USP. 2010; 44 (2): 453-461. DOI: http://dx.doi.org/10.1590/S0080-62342010000200030.

Ayres JRCM, France-Junior I, Calazans GJ, Saletti Filho HC. The concept of vulnerability and health practices: new perspectives and challenges. In: Czeresnia D, Freitas CM, organizers. Health promotion: concepts, thoughts, trends. Rio de Janeiro: Fiocruz; 2003.

Vieira AA, Ribeiro SA. Adherence to tuberculosis treatment following the imposition of supervised treatment strategy in the municipality of Carapicuiba, São Paulo. J Bras Pneumol. 2011; 37 (2): 223-231. DOI: http://dx.doi.org/10.1590/S1806-37132011000200013.

Paz EPA, Sá AMM. The daily routine of patients in tuberculosis treatment in basic health care units: a phenomenological approach. Rev. Latin Am. Nursing . 2009; 17 (2): 180-186.DOI: http://dx.doi.org/10.1590/S0104-11692009000200007

Chirinos NEC, Meirelles BHS. Factors associated with abandonment of tuberculosis treatment: an integrative review. Text context - Nurse . 2011; 20 (3): 599-606. DOI: http://dx.doi.org/10.5123/S1679-49742013000100008

Oliveira MG, Silva CB, Lafaiete RS, Motta MCS, Villa TCS. The patient in TB treatment in Itaboraí, Rio de Janeiro -. Family involvement Rev bras med fam community . 2011; 6 (18): 40-45. DOI: http://dx.doi.org/10.5712/rbmfc6(18)117 .

Campani STA, Moreira JS, Tietbohel CN. Factors predictors of noncompliance with treatment for pulmonary tuberculosis recommended by the Ministry of Health of Brazil in Porto Alegre (RS). J. bras. pneumol . 2011; 37 (6): 776-782. DOI: http://dx.doi.org/10.1590/S1806-37132011000600011

Menzies R, Rocher I Vissandjee B. Factors associated with compliance in treatment of tuberculosis. Tuber Lung Dis . 1993; 74 (1): 32-7. Erratum in: Tuber Lung Dis. 1993; 74 (3): 217. DOI: 10.1016 / 0962-8479 (93) 90066-7

Christmas S, J Valente, Gerhardt G, ML Penna. Prediction model for abandoning the treatment of pulmonary tuberculosis. Bol Pneumol Sanit . 1999;7 (1): 65-78. Available in: http://scielo.iec.pa.gov.br/scielo.php?scfript=sci_arttext&pid=S0103-460X1999000100007&lng=pt.

Mendes AM, Fensterseifer LM. Tuberculosis because patients abandon treatment ?. Bull. Pneumol. Sanit. 2004; 12 (1): 25-36. Available in: http://scielo.iec.pa.gov.br/scielo.php?script=sci_arttext&pid=S0103-460X2004000100005&lng=pt.

Downloads

Published

2015-09-03

Issue

Vol. 8 (2015)

Section

Primary Care

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).

 

 

Most read articles by the same author(s)

1 2 3 4 5 > >>