Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina

Detalhes bibliográficos
Autor(a) principal: Maria Belen Herrero
Data de Publicação: 2015
Outros Autores: Silvina Arrossi, Silvina Ramos, Jose Ueleres Braga
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746
Resumo: This study aimed to identify the individual and environmental determinants of nonadherence to tuberculosis (TB) treatment in selected districts in the Buenos Aires Metropolitan Area, in Argentina. We conducted a cross-sectional study using a hierarchical model. Using primary and secondary data, logistic regression was performed to analyze two types of determinants. The likelihood of nonadherence to treatment was greatest among male patients. The following factors led to a greater likelihood of nonadherence to treatment: patients living in a home without running water; head of household without medical insurance; need to use more than one means of transport to reach the health center; place of residence in an area with a high proportion of households connected to the natural gas network; place of residence in an area where a large proportion of families fall below the minimum threshold of subsistence capacity; place of residence in an area where a high proportion of households do not have flushing toilets and basic sanitation. Our results show that social and economic factors – related to both individual and environmental characteristics – influence adherence to TB treatment.
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spelling Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, ArgentinaTuberculosisMedication AdherenceEpidemiologic FactorsCross-sectional StudiesThis study aimed to identify the individual and environmental determinants of nonadherence to tuberculosis (TB) treatment in selected districts in the Buenos Aires Metropolitan Area, in Argentina. We conducted a cross-sectional study using a hierarchical model. Using primary and secondary data, logistic regression was performed to analyze two types of determinants. The likelihood of nonadherence to treatment was greatest among male patients. The following factors led to a greater likelihood of nonadherence to treatment: patients living in a home without running water; head of household without medical insurance; need to use more than one means of transport to reach the health center; place of residence in an area with a high proportion of households connected to the natural gas network; place of residence in an area where a large proportion of families fall below the minimum threshold of subsistence capacity; place of residence in an area where a high proportion of households do not have flushing toilets and basic sanitation. Our results show that social and economic factors – related to both individual and environmental characteristics – influence adherence to TB treatment.El objetivo fue identificar los determinantes individuales y de área de la no adherencia al tratamiento de la tuberculosis (TB) en municipios de Buenos Aires, Argentina. Se realizó un estudio transversal con un modelo jerarquizado. El análisis se llevó a cabo mediante regresión logística múltiple en dos niveles, en base a datos primarios y secundarios. Los varones tuvieron mayor riesgo de no adherencia al tratamiento. La falta de provisión de agua en el hogar aumentó el riesgo de no adherencia. En aquellos hogares cuyo jefe de familia no tenía cobertura de salud también el riesgo de no adherencia fue mayor, al igual que en los pacientes que utilizaron más de un medio de transporte para llegar al centro de salud. En las áreas con mayor proporción de hogares con red de gas natural, mayor proporción de hogares con necesidades básicas instisfechas por la capacidad de subsistencia y mayor proporción de hogares que no tenían inodoros fue mayor el riesgo de no adherencia. Se concluye que los factores sociales y económicos tienen influencia sobre la adherencia al tratamiento, tanto a nivel individual, como de área.O objetivo deste trabalho foi identificar os determinantes individuais e de área da não-adesão ao tratamento da tuberculose (TB) em municípios de Buenos Aires, Argentina. Foi realizado um estudo transversal com um modelo hierarquizado. A análise dos determinantes foi realizada em dois níveis por meio de análise de regressão logística em dois níveis, com base em dados primários e secundários. Além disso, a falta de abastecimento de água em casa aumentou o risco de não-adesão. Nesses domicílios, cujo chefe de família não tinha a cobertura de saúde, também o risco de não-adesão foi maior, como em pacientes que usaram mais de um meio de transporte para chegar ao centro de saúde. Em áreas com uma maior proporção de domicílios com uma rede de gás natural e com necessidades básicas insatisfeitas para os meios de vida e uma maior proporção de domicílios sem sanitários foi maior o risco de não-adesão. Conclui-se que os fatores sociais e econômicos influenciam a adesão ao tratamento da TB, tanto individualmente como em termos de área.Reports in Public HealthCadernos de Saúde Pública2015-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746Reports in Public Health; Vol. 31 No. 9 (2015): SeptemberCadernos de Saúde Pública; v. 31 n. 9 (2015): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746/11971https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746/11972Maria Belen HerreroSilvina ArrossiSilvina RamosJose Ueleres Bragainfo:eu-repo/semantics/openAccess2024-03-06T15:28:54Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5746Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:34.270338Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
title Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
spellingShingle Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
Maria Belen Herrero
Tuberculosis
Medication Adherence
Epidemiologic Factors
Cross-sectional Studies
title_short Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
title_full Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
title_fullStr Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
title_full_unstemmed Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
title_sort Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina
author Maria Belen Herrero
author_facet Maria Belen Herrero
Silvina Arrossi
Silvina Ramos
Jose Ueleres Braga
author_role author
author2 Silvina Arrossi
Silvina Ramos
Jose Ueleres Braga
author2_role author
author
author
dc.contributor.author.fl_str_mv Maria Belen Herrero
Silvina Arrossi
Silvina Ramos
Jose Ueleres Braga
dc.subject.por.fl_str_mv Tuberculosis
Medication Adherence
Epidemiologic Factors
Cross-sectional Studies
topic Tuberculosis
Medication Adherence
Epidemiologic Factors
Cross-sectional Studies
description This study aimed to identify the individual and environmental determinants of nonadherence to tuberculosis (TB) treatment in selected districts in the Buenos Aires Metropolitan Area, in Argentina. We conducted a cross-sectional study using a hierarchical model. Using primary and secondary data, logistic regression was performed to analyze two types of determinants. The likelihood of nonadherence to treatment was greatest among male patients. The following factors led to a greater likelihood of nonadherence to treatment: patients living in a home without running water; head of household without medical insurance; need to use more than one means of transport to reach the health center; place of residence in an area with a high proportion of households connected to the natural gas network; place of residence in an area where a large proportion of families fall below the minimum threshold of subsistence capacity; place of residence in an area where a high proportion of households do not have flushing toilets and basic sanitation. Our results show that social and economic factors – related to both individual and environmental characteristics – influence adherence to TB treatment.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746/11971
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5746/11972
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 31 No. 9 (2015): September
Cadernos de Saúde Pública; v. 31 n. 9 (2015): Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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