TB and poverty: the effect of rifampicin-resistant TB on household income
SETTING: The Republic of Moldova, one of Europe's poorest countries, also bears one of the highest burdens of rifampicin-resistant TB (RR-TB). OBJECTIVES: To trace the patients’ journey through TB in terms of the relationship with poverty and assess its determinants. DESIGN: This cross-sectiona...
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International Union Against Tuberculosis and Lung Disease (The Union)
2024-04-01
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| Series: | IJTLD Open |
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| Online Access: | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000004/art00006 |
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| author | A. Ciobanu V. Plesca S. Doltu M. Manea L. Domente A. Dadu |
| author_facet | A. Ciobanu V. Plesca S. Doltu M. Manea L. Domente A. Dadu |
| author_sort | A. Ciobanu |
| collection | DOAJ |
| description | SETTING: The Republic of Moldova, one of Europe's poorest countries, also bears one of the highest burdens of rifampicin-resistant TB (RR-TB). OBJECTIVES: To trace the patients’ journey through TB in terms of the relationship with poverty and assess its determinants. DESIGN: This cross-sectional study used secondary data from a survey assessing catastrophic costs in RR-TB-affected households. RESULTS: Data were obtained from 430 RR-TB patients. The percentage of poor TB-affected households rose from 65% prior to TB to 86% after TB treatment completion (P < 0.001). Social factors leading to poverty were identified for each stage: diagnostic period (history of incarceration: cOR 2.3, 95% CI 1.1–5.2); treatment period (being unemployed or unofficially employed: cOR 6.7, 95% CI 4.3–10.0); and post-treatment (being married or cohabiting: cOR 5.7, 95% CI 2.9–11.0). Participants who had ≥3 members in their households were more likely to be poor at all TB stages: diagnostic period (cOR 5.7, 95% CI 3.7–8.8), treatment period (cOR 3.8, 95% CI 2.5–5.6) and post-treatment (cOR 7.2, 95% CI 3.6–14.3). CONCLUSION: The study identified risk factors associated with poverty at each stage of TB. These findings outline that innovative social protection policies are required to protect TB patients against poverty. |
| format | Article |
| id | doaj-art-169e75cae8ce4876811ccd47313d6108 |
| institution | Kabale University |
| issn | 3005-7590 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | International Union Against Tuberculosis and Lung Disease (The Union) |
| record_format | Article |
| series | IJTLD Open |
| spelling | doaj-art-169e75cae8ce4876811ccd47313d61082025-01-21T10:36:56ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-04-011418118810.5588/ijtldopen.23.06076TB and poverty: the effect of rifampicin-resistant TB on household incomeA. Ciobanu0V. Plesca1S. Doltu2M. Manea3L. Domente4A. Dadu5Health Primary Care Department, University of Medicine and Pharmacy “N. Testemitanu”, Chisinau, Republic of Moldova;Institute of Phthisiopneumology “Chiril Draganiuc”, Chisinau,Act for Involvement (nongovernmental organization), Chisinau,Institute of Phthisiopneumology “Chiril Draganiuc”, Chisinau,Independent Consultant, Chisinau, Republic of MoldovaWHO Regional Office for Europe, Copenhagen, Denmark;SETTING: The Republic of Moldova, one of Europe's poorest countries, also bears one of the highest burdens of rifampicin-resistant TB (RR-TB). OBJECTIVES: To trace the patients’ journey through TB in terms of the relationship with poverty and assess its determinants. DESIGN: This cross-sectional study used secondary data from a survey assessing catastrophic costs in RR-TB-affected households. RESULTS: Data were obtained from 430 RR-TB patients. The percentage of poor TB-affected households rose from 65% prior to TB to 86% after TB treatment completion (P < 0.001). Social factors leading to poverty were identified for each stage: diagnostic period (history of incarceration: cOR 2.3, 95% CI 1.1–5.2); treatment period (being unemployed or unofficially employed: cOR 6.7, 95% CI 4.3–10.0); and post-treatment (being married or cohabiting: cOR 5.7, 95% CI 2.9–11.0). Participants who had ≥3 members in their households were more likely to be poor at all TB stages: diagnostic period (cOR 5.7, 95% CI 3.7–8.8), treatment period (cOR 3.8, 95% CI 2.5–5.6) and post-treatment (cOR 7.2, 95% CI 3.6–14.3). CONCLUSION: The study identified risk factors associated with poverty at each stage of TB. These findings outline that innovative social protection policies are required to protect TB patients against poverty.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000004/art00006rifampicin-resistant tuberculosisrepublic of moldovaincomerr-tbout-of-pocket payment |
| spellingShingle | A. Ciobanu V. Plesca S. Doltu M. Manea L. Domente A. Dadu TB and poverty: the effect of rifampicin-resistant TB on household income IJTLD Open rifampicin-resistant tuberculosis republic of moldova income rr-tb out-of-pocket payment |
| title | TB and poverty: the effect of rifampicin-resistant TB on household income |
| title_full | TB and poverty: the effect of rifampicin-resistant TB on household income |
| title_fullStr | TB and poverty: the effect of rifampicin-resistant TB on household income |
| title_full_unstemmed | TB and poverty: the effect of rifampicin-resistant TB on household income |
| title_short | TB and poverty: the effect of rifampicin-resistant TB on household income |
| title_sort | tb and poverty the effect of rifampicin resistant tb on household income |
| topic | rifampicin-resistant tuberculosis republic of moldova income rr-tb out-of-pocket payment |
| url | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000004/art00006 |
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