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

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...

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Autores principales: da Silva, Rosiane Davina, de Luna, Fernanda Darliane Tavares, de Araújo, Aguinaldo José, Camêlo, Edwirde Luiz Silva, Bertolozzi, Maria Rita, Hino, Paula, Lacerda, Sheylla Nadjane Batista, Fook, Sayonara Maria Lia, de Figueiredo, Tânia Maria Ribeiro Monteiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606083/
https://www.ncbi.nlm.nih.gov/pubmed/28927386
http://dx.doi.org/10.1186/s12889-017-4752-3
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author da Silva, Rosiane Davina
de Luna, Fernanda Darliane Tavares
de Araújo, Aguinaldo José
Camêlo, Edwirde Luiz Silva
Bertolozzi, Maria Rita
Hino, Paula
Lacerda, Sheylla Nadjane Batista
Fook, Sayonara Maria Lia
de Figueiredo, Tânia Maria Ribeiro Monteiro
author_facet da Silva, Rosiane Davina
de Luna, Fernanda Darliane Tavares
de Araújo, Aguinaldo José
Camêlo, Edwirde Luiz Silva
Bertolozzi, Maria Rita
Hino, Paula
Lacerda, Sheylla Nadjane Batista
Fook, Sayonara Maria Lia
de Figueiredo, Tânia Maria Ribeiro Monteiro
author_sort da Silva, Rosiane Davina
collection PubMed
description 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 Paraíba, 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 São 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.
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spelling pubmed-56060832017-09-20 Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study da Silva, Rosiane Davina de Luna, Fernanda Darliane Tavares de Araújo, Aguinaldo José Camêlo, Edwirde Luiz Silva Bertolozzi, Maria Rita Hino, Paula Lacerda, Sheylla Nadjane Batista Fook, Sayonara Maria Lia de Figueiredo, Tânia Maria Ribeiro Monteiro BMC Public Health Research Article 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 Paraíba, 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 São 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. BioMed Central 2017-09-19 /pmc/articles/PMC5606083/ /pubmed/28927386 http://dx.doi.org/10.1186/s12889-017-4752-3 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
da Silva, Rosiane Davina
de Luna, Fernanda Darliane Tavares
de Araújo, Aguinaldo José
Camêlo, Edwirde Luiz Silva
Bertolozzi, Maria Rita
Hino, Paula
Lacerda, Sheylla Nadjane Batista
Fook, Sayonara Maria Lia
de Figueiredo, Tânia Maria Ribeiro Monteiro
Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
title Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
title_full Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
title_fullStr Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
title_full_unstemmed Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
title_short Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
title_sort patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606083/
https://www.ncbi.nlm.nih.gov/pubmed/28927386
http://dx.doi.org/10.1186/s12889-017-4752-3
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