Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study

Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study

Author da Silva, Rosiane Davina Google Scholar
Tavares de Luna, Fernanda Darliane Google Scholar
de Araujo, Aguinaldo Jose Google Scholar
Silva Camelo, Edwirde Luiz Google Scholar
Bertolozzi, Maria Rita Google Scholar
Hino, Paula Autor UNIFESP Google Scholar
Batista Lacerda, Sheylla Nadjane Google Scholar
Lia Fook, Sayonara Maria Google Scholar
Ribeiro Monteiro de Figueiredo, Tania Maria Google Scholar
Abstract Background: Tuberculosis remains an important disease which mainly affects the majority of vulnerable individuals in society, who are subjected to poor living conditions and difficulties to access the services of public health. Under these circumstances, the present study aims to understand patients' perception in relation to the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment. Methods: A qualitative descriptive cross sectional study was conducted in one large municipality at the state of Paraiba, Northeast of Brazil. The study subjects, who were residents of the study site, covered all tuberculosis cases diagnosed between March and June 2015. The sample was defined by the criteria of response saturation. All interviews were audio recorded, and data analysis was developed through the hermeneutic dialectic method and the theory of Generative Route Sense. The project was approved by the Research Ethics Committee of the University of Sao Paulo (USP). Results: A total of 13 individuals were interviewed and the responses were identified into two analytical categories: the difficulties they had and the enabling factors they could mention during their tuberculosis treatment. Patients brought up social exclusion as an obstacle to treatment adherence, which, along with stigmatization, weakened their link with family members and health professionals. Moreover, economic precariousness was a major hindrance to the maintenance of a proper diet and transportation access to health centers. However, social support and directly observed treatment helped to break down barriers of prejudice and to promote individual and family empowerment. Finally, patients also reported that their will to live and faith gave them the strength to continue with the treatment. Conclusions: According to patients in this study, social support and the strengthening of links with family members and health professionals may reduce social exclusion and other difficulties they face, thus encouraging them to the adhere to tuberculosis treatment.
Keywords Tuberculosis
Vulnerability
Adherence to medication
xmlui.dri2xhtml.METS-1.0.item-coverage London
Language English
Date 2017
Published in Bmc Public Health. London, v. 17, p. -, 2017.
ISSN 1471-2458 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent -
Origin http://dx.doi.org/10.1186/s12889-017-4752-3
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000411414100002
URI https://repositorio.unifesp.br/handle/11600/57353

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