An assessment of factors contributing to treatment adherence and knowledge of TB transmission among patients on TB treatment

Kaona, Frederick A. D.; Tuba, Mary; Siziya, Seter; Sikaona, Lenganji
January 2004
BMC Public Health;2004, Vol. 4, p68
Academic Journal
Background: The treatment guidelines for tuberculosis treatment under Directly Observed Treatment, Short-course (DOTS) have been a common strategy for TB treatment in Zambia. The study was carried out in Ndola, Zambia, to investigate factors contributing to treatment non-adherence and knowledge of TB transmission among patients on TB treatment, in order to design a community-based intervention, that would promote compliance. Methods: A household-based survey was conducted in six randomly selected catchment areas of Ndola, where 400 out of 736 patients receiving TB treatment within the six months period, were recruited through the District's Health Management Board (DHMB) clinics. All patients were interviewed using a pre-tested structured questionnaire, consisting of i. Socio-demographic characteristics ii. Socio-economic factors iii. Knowledge about TB transmission and prevention iv. Patterns in health seeking behaviour and v. TB treatment practices at household level. Results: Most male TB patient respondents tended to be older and more educated than the female TB patient respondents. Overall, 29.8% of the patients stopped taking their medication. There were 39.1% of the females and 33.9% of the males, who reported that TB patients stopped taking their medication within the first 2 months of commencing treatment. Age, marital status and educational levels were not significantly associated with compliance. The major factors leading to noncompliance included patients beginning to feel better (45.1% and 38.6%), lack of knowledge on the benefits of completing a course (25.7%), running out of drugs at home (25.4%) and TB drugs too strong (20.1% and 20.2%). There was a significant difference [OR = 1.66, 95% CI 1.23, 2.26] in TB knowledge, with more males than females reporting sharing of cups as a means for TB transmission, after adjusting for age, marital status and educational levels. Significantly [p = 0.016] more patients who had resided in the study for less than two years (59%) were more likely to report mother to child transmission of TB, compared to 41.2% of those who had been in the area for more than 2 years. Conclusion: This study established that 29.8% of TB patients failed to comply with TB drug taking regimen once they started feeling better.


Related Articles

  • The Relationship Between Age and Household Type in Sri Lanka. De Vos, Susan // Journal of Comparative Family Studies;Autumn89, Vol. 20 Issue 3, p291 

    In Sri Lanka in 1975, there was a clear relationship between age and the propensity to live in a complex family household that was consistent with the idea that the extended household was important at all ages, but particularly at older ages. The relationship is also consistent with the...

  • Adverse social factors predict early ageing in middle-aged men and women: the Ebeltoft Health Study, Denmark. Nilsson, Peter M.; Engberg, Marianne; Nilsson, Jan-Åke; Karlsmose, Bo; Lauritzen, Torsten // Scandinavian Journal of Public Health;Sep2003, Vol. 31 Issue 4, p255 

    Aims : This study examined whether adverse social factors are associated with an increased rate of biological ageing in middle-aged subjects. Methods : The authors investigated five markers of biological ageing in 690 subjects followed for five years in Ebeltoft, Denmark. Mean age at baseline...

  • L'offre de conjoints potentiels en Grande-Bretagne et aux États-Unis. BHROLCHÁIN, Máire NÍ; SIGLE-RUSHTON, Wendy // Population (00324663);jan-avr2005, Vol. 60 Issue 1/2, p39 

    Marriage market estimates by sex and age are made for the US and England and Wales in 1990-91, using explicit data on age preferences. Availability is strongly differentiated by age and sex; it decreases with age for women, while the opposite is true for men. Decomposition shows that young women...

  • A NOTE ON THE CHANGE IN MARITAL STATUS DISTRIBUTION AND ITS IMPACT ON FERTILITY: A CASE STUDY OF INDIA. Ram, Bali // International Journal of Sociology of the Family;Mar72, Vol. 2 Issue 1, p54 

    In India the mean age at marriage among females is very low that is approximately 16 years. The article attempted to estimate the reduction in fertility rates due to the changes in marital status distribution resulting from the increase in the female age at marriage assuming a constant fertility...

  • Marital Status and Mortality among Middle Age and Elderly Men and Women in Urban Shanghai. Puthiery Va; Wan-Shui Yang; Sarah Nechuta; Wong-Ho Chow; Hui Cai; Gong Yang; Shan Gao; Yu-Tang Gao; Wei Zheng; Xiao-Ou Shu; Yong-Bing Xiang // PLoS ONE;2011, Vol. 6 Issue 11, p1 

    Background: Previous studies have suggested that marital status is associated with mortality, but few studies have been conducted in China where increasing aging population and divorce rates may have major impact on health and total mortality. Methods: We examined the association of marital...

  • Birth Outcomes of Latin Americans in Two Countries with Contrasting Immigration Admission Policies: Canada and Spain. Urquia, Marcelo L.; Vang, Zoua M.; Bolumar, Francisco // PLoS ONE;8/26/2015, Vol. 10 Issue 8, p1 

    Background: We delved into the selective migration hypothesis on health by comparing birth outcomes of Latin American immigrants giving birth in two receiving countries with dissimilar immigration admission policies: Canada and Spain. We hypothesized that a stronger immigrant selection in...

  • Deciding When to Collect Social Security Is Complicated. Kisner, Tom // State Journal (WV);8/17/2012, Vol. 28 Issue 32, p29 

    The author discusses the five factors that should be considered prior to signing up Social Security including health, marital status, and full retirement age.

  • DEMOGRAPHIC FINDINGS OF TRAMADOL POISONED WOMEN ADMITTED TO AYATOLLAH TALEGHANI HOSPITAL, URMIA, IRAN FROM JAN 2012 TO JAN 2013. M., Majidi; S., Nekouei Fard; M., Delirrad // Journal of Urmia Nursing & Midwifery Faculty;Oct2014, Vol. 12 Issue 8, p761 

    No abstract available.

  • Poor patient compliance key to drug resistance in tuberculosis. Bhattacharya, Shaoni // Pulse;7/1/2002, Vol. 62 Issue 26, p18 

    Reports that antibiotic-resistant strains of tuberculosis will escalate unless general practitioners encourage patients to stick to long-term medication, according to researchers. Percentage of isolates that were resistant to one or more drugs; Groups that are at higher risk of drug-resistant...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics