Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study
Tuberculosis (TB) remains a significant public health challenge, particularly in developing nations like India, where it imposes a considerable burden. This descriptive cross-sectional study aimed to assess the factors affecting noncompliance with TB medications among pulmonary TB patients in an In...
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PAGEPress Publications
2025-02-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/macd/article/view/3262 |
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| author | Mariam Lakara Anil Kumar Patidar Anil Sharma |
| author_facet | Mariam Lakara Anil Kumar Patidar Anil Sharma |
| author_sort | Mariam Lakara |
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Tuberculosis (TB) remains a significant public health challenge, particularly in developing nations like India, where it imposes a considerable burden. This descriptive cross-sectional study aimed to assess the factors affecting noncompliance with TB medications among pulmonary TB patients in an Indian community. A total of 215 participants were selected through non-probability purposive sampling. Data on factors contributing to non-adherence were collected using a structured self-administered questionnaire. Demographic characteristics, including age, gender, education, marital status, occupation, habitat, income, diagnosis, and duration since diagnosis, were recorded and analyzed. Key factors contributing to non-adherence were categorized into personal, economic, social, psychological, health facility, and technological factors. The results demonstrated that the non-adherence rate was 48.3%, while 51.7% of participants exhibited adherence to TB treatment. Discontinuing medication to feel better significantly increased noncompliance risk, especially for those who stopped "most of the time" vs. those who never stopped (odds ratio = 8.693, 95% confidence interval: 3.179-23.77). This study reveals that non-adherence to pulmonary TB treatment is influenced by a range of factors, including personal, economic, social, psychological, health facility, and technological factors, highlighting the need for multifaceted interventions to improve adherence.
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| format | Article |
| id | doaj-art-45c21d1f25d44fd68091f21c62925f4e |
| institution | Kabale University |
| issn | 1122-0643 2532-5264 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | PAGEPress Publications |
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| series | Monaldi Archives for Chest Disease |
| spelling | doaj-art-45c21d1f25d44fd68091f21c62925f4e2025-02-08T01:40:25ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642025-02-0110.4081/monaldi.2025.3262Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive studyMariam Lakara0Anil Kumar Patidar1https://orcid.org/0000-0003-1474-6041Anil Sharma2https://orcid.org/0000-0002-1727-5508Department of Nursing, CHARUSAT Campus, Charotar University of Science and Technology, Changa, GujaratDepartment of Nursing, CHARUSAT Campus, Charotar University of Science and Technology, Changa, GujaratDepartment of Nursing, CHARUSAT Campus, Charotar University of Science and Technology, Changa, Gujarat Tuberculosis (TB) remains a significant public health challenge, particularly in developing nations like India, where it imposes a considerable burden. This descriptive cross-sectional study aimed to assess the factors affecting noncompliance with TB medications among pulmonary TB patients in an Indian community. A total of 215 participants were selected through non-probability purposive sampling. Data on factors contributing to non-adherence were collected using a structured self-administered questionnaire. Demographic characteristics, including age, gender, education, marital status, occupation, habitat, income, diagnosis, and duration since diagnosis, were recorded and analyzed. Key factors contributing to non-adherence were categorized into personal, economic, social, psychological, health facility, and technological factors. The results demonstrated that the non-adherence rate was 48.3%, while 51.7% of participants exhibited adherence to TB treatment. Discontinuing medication to feel better significantly increased noncompliance risk, especially for those who stopped "most of the time" vs. those who never stopped (odds ratio = 8.693, 95% confidence interval: 3.179-23.77). This study reveals that non-adherence to pulmonary TB treatment is influenced by a range of factors, including personal, economic, social, psychological, health facility, and technological factors, highlighting the need for multifaceted interventions to improve adherence. https://www.monaldi-archives.org/macd/article/view/3262Non-adherencepulmonary tuberculosiscontributing factors |
| spellingShingle | Mariam Lakara Anil Kumar Patidar Anil Sharma Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study Monaldi Archives for Chest Disease Non-adherence pulmonary tuberculosis contributing factors |
| title | Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study |
| title_full | Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study |
| title_fullStr | Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study |
| title_full_unstemmed | Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study |
| title_short | Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study |
| title_sort | assessing the key factors contributing to non adherence to pulmonary tuberculosis treatment a descriptive study |
| topic | Non-adherence pulmonary tuberculosis contributing factors |
| url | https://www.monaldi-archives.org/macd/article/view/3262 |
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