NON ADHERENCE TO TUBERCULOSIS TREATMENT IN SÃO PAULO STATE: REFLECTIONS ON HEALTH MANAGEMENT AND NURSING

Detalhes bibliográficos
Autor(a) principal: Fonseca, Emílio Prado da
Data de Publicação: 2023
Outros Autores: Melo, Lair Bianchi de, Pereira, Antônio Carlos, Mendes, Karine Laura Cortellazzi, Verdi, Márcia Regina Dal Medico, Meneghim, Marcelo de Castro
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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spelling 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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rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
dc.source.none.fl_str_mv reponame:SciELO Preprints
instname:Scientific Electronic Library Online (SCIELO)
instacron:SCI
instname_str Scientific Electronic Library Online (SCIELO)
instacron_str SCI
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reponame_str SciELO Preprints
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repository.name.fl_str_mv SciELO Preprints - Scientific Electronic Library Online (SCIELO)
repository.mail.fl_str_mv scielo.submission@scielo.org
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