NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | preprint |
Idioma: | eng |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/7106 |
Resumo: | Objective: To associate abandonment of tuberculosis treatment with the variables of access to health services in the state of São Paulo was estimated. Methods: was an epidemiological observational study with data to individuals diagnosed with tuberculosis, residing in the state of São Paulo in the period 2012 to 2017. Generalized Estimating Equations models were used to analyze the relationships between independent variables and noncompliance with tuberculosis treatment over time. Results: A prevalence of over 12% of noncompliance with tuberculosis treatment was identified. Individuals residing in medium and large-sized municipalities had, 2.64 (95% CI: 2.15-3;24) and 4.48 (CI 95%: 4.62-5.55) times more risk, respectively, of abandoning TB treatment when compared with those living in small cities (p<0.05). Moreover, presence of Psychosocial Care Centers did not contribute to the reduction of treatment abandonment [1.20 (1.03-1.40) p<0.05]. Conclusions: Was an association between municipal size and abandonment of tuberculosis treatment. |
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NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSINGAcesso aos serviços de saúdeTuberculoseCuidados de EnfermagemAccess to TreatmentTuberculosisAccess to health care. NursingAcceso a los Servicios de SaludTuberculosisAtención de EnfermeríaObjective: To associate abandonment of tuberculosis treatment with the variables of access to health services in the state of São Paulo was estimated. Methods: was an epidemiological observational study with data to individuals diagnosed with tuberculosis, residing in the state of São Paulo in the period 2012 to 2017. Generalized Estimating Equations models were used to analyze the relationships between independent variables and noncompliance with tuberculosis treatment over time. Results: A prevalence of over 12% of noncompliance with tuberculosis treatment was identified. Individuals residing in medium and large-sized municipalities had, 2.64 (95% CI: 2.15-3;24) and 4.48 (CI 95%: 4.62-5.55) times more risk, respectively, of abandoning TB treatment when compared with those living in small cities (p<0.05). Moreover, presence of Psychosocial Care Centers did not contribute to the reduction of treatment abandonment [1.20 (1.03-1.40) p<0.05]. Conclusions: Was an association between municipal size and abandonment of tuberculosis treatment.Introdução: Estimou-se a associação entre o abandono do tratamento da tuberculose com variáveis de acesso ao serviço de saúde no estado de São Paulo. Métodos: Trata-se de um estudo epidemiológico ecológico com fonte de dados secundários de indivíduos diagnosticados com tuberculose, no período de janeiro/2012 a dezembro/2017 residentes no estado de São Paulo. A variável desfecho é o abandono do tratamento da tuberculose. Foram efetuadas análises e considerada a distribuição de Poisson, estimados os riscos relativos brutos e ajustados, dispostas em dois blocos de variáveis considerando nível de significância de 5%. Resultados: Identificou-se uma prevalência superior a 12% no abandono do tratamento da TB no estado de São Paulo no período estudado. Indivíduos residentes em municípios de médio e grande porte têm, respectivamente, 2,64 (IC95%: 2,15-3,24) e 4,48 (IC95%: 4,62-5,55) vezes mais risco de abandonar o tratamento da TB quando comparados ao que vivem em municípios pequeno porte (p<0,05), bem como, municípios com a presença do CAPS não contribuíram para a diminuição do abandono [1,20 (1,03-1,40) p<0,05]. Conclusão: houve associação entre o porte municipal e o abandono do tratamento de Tuberculose.SciELO PreprintsSciELO PreprintsSciELO Preprints2023-10-09info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/710610.1590/SciELOPreprints.7106enghttps://preprints.scielo.org/index.php/scielo/article/view/7106/13349Copyright (c) 2023 Emílio Prado da Fonseca, Lair Bianchi de Melo, Antônio Carlos Pereira, Karine Laura Cortellazzi Mendes, Márcia Regina Dal Medico Verdi, Marcelo de Castro Meneghimhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFonseca, Emílio Prado daMelo, Lair Bianchi dePereira, Antônio CarlosMendes, Karine Laura CortellazziVerdi, Márcia Regina Dal MedicoMeneghim, Marcelo de Castroreponame:SciELO Preprintsinstname:Scientific Electronic Library Online (SCIELO)instacron:SCI2023-09-29T23:18:59Zoai:ops.preprints.scielo.org:preprint/7106Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2023-09-29T23:18:59SciELO Preprints - Scientific Electronic Library Online (SCIELO)false |
dc.title.none.fl_str_mv |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
title |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
spellingShingle |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING Fonseca, Emílio Prado da Acesso aos serviços de saúde Tuberculose Cuidados de Enfermagem Access to Treatment Tuberculosis Access to health care . Nursing Acceso a los Servicios de Salud Tuberculosis Atención de Enfermería |
title_short |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
title_full |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
title_fullStr |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
title_full_unstemmed |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
title_sort |
NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING |
author |
Fonseca, Emílio Prado da |
author_facet |
Fonseca, Emílio Prado da Melo, Lair Bianchi de Pereira, Antônio Carlos Mendes, Karine Laura Cortellazzi Verdi, Márcia Regina Dal Medico Meneghim, Marcelo de Castro |
author_role |
author |
author2 |
Melo, Lair Bianchi de Pereira, Antônio Carlos Mendes, Karine Laura Cortellazzi Verdi, Márcia Regina Dal Medico Meneghim, Marcelo de Castro |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fonseca, Emílio Prado da Melo, Lair Bianchi de Pereira, Antônio Carlos Mendes, Karine Laura Cortellazzi Verdi, Márcia Regina Dal Medico Meneghim, Marcelo de Castro |
dc.subject.por.fl_str_mv |
Acesso aos serviços de saúde Tuberculose Cuidados de Enfermagem Access to Treatment Tuberculosis Access to health care . Nursing Acceso a los Servicios de Salud Tuberculosis Atención de Enfermería |
topic |
Acesso aos serviços de saúde Tuberculose Cuidados de Enfermagem Access to Treatment Tuberculosis Access to health care . Nursing Acceso a los Servicios de Salud Tuberculosis Atención de Enfermería |
description |
Objective: To associate abandonment of tuberculosis treatment with the variables of access to health services in the state of São Paulo was estimated. Methods: was an epidemiological observational study with data to individuals diagnosed with tuberculosis, residing in the state of São Paulo in the period 2012 to 2017. Generalized Estimating Equations models were used to analyze the relationships between independent variables and noncompliance with tuberculosis treatment over time. Results: A prevalence of over 12% of noncompliance with tuberculosis treatment was identified. Individuals residing in medium and large-sized municipalities had, 2.64 (95% CI: 2.15-3;24) and 4.48 (CI 95%: 4.62-5.55) times more risk, respectively, of abandoning TB treatment when compared with those living in small cities (p<0.05). Moreover, presence of Psychosocial Care Centers did not contribute to the reduction of treatment abandonment [1.20 (1.03-1.40) p<0.05]. Conclusions: Was an association between municipal size and abandonment of tuberculosis treatment. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/7106 10.1590/SciELOPreprints.7106 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/7106 |
identifier_str_mv |
10.1590/SciELOPreprints.7106 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/7106/13349 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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reponame:SciELO Preprints instname:Scientific Electronic Library Online (SCIELO) instacron:SCI |
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