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Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil
Success in tuberculosis control depends on the implementation of steps that reduce social inequities, allowing the diagnosis and effective treatment of the disease. Little is known about the conditions affecting antituberculosis treatment non-adherence in areas of great social and economic heterogen...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755789/ https://www.ncbi.nlm.nih.gov/pubmed/29304100 http://dx.doi.org/10.1371/journal.pone.0190578 |
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author | Maciel, Elvira Maria Godinho de Seixas Amancio, Juliana de Souza de Castro, Daniel Barros Braga, José Ueleres |
author_facet | Maciel, Elvira Maria Godinho de Seixas Amancio, Juliana de Souza de Castro, Daniel Barros Braga, José Ueleres |
author_sort | Maciel, Elvira Maria Godinho de Seixas |
collection | PubMed |
description | Success in tuberculosis control depends on the implementation of steps that reduce social inequities, allowing the diagnosis and effective treatment of the disease. Little is known about the conditions affecting antituberculosis treatment non-adherence in areas of great social and economic heterogeneity, such as the municipality of Rio de Janeiro. This study aimed to describe and identify the social determinants of antituberculosis treatment non-adherence in the municipality of Rio de Janeiro between 2008 and 2012. An ecological study was conducted with the districts of Rio de Janeiro as the units of analysis. Analyzes using Poisson regression models allowed us to identify the association between dropout from antituberculosis treatment and the human development index and social development index. The final model showed that economic conditions, infrastructure, and the tuberculosis control quality of surveillance were associated with treatment non-adherence. This study demonstrated that the scenarios of socio-environmental precariousness found in the districts of Rio de Janeiro were able to identify populations with an increased risk of default treatment from antituberculosis. |
format | Online Article Text |
id | pubmed-5755789 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-57557892018-01-26 Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil Maciel, Elvira Maria Godinho de Seixas Amancio, Juliana de Souza de Castro, Daniel Barros Braga, José Ueleres PLoS One Research Article Success in tuberculosis control depends on the implementation of steps that reduce social inequities, allowing the diagnosis and effective treatment of the disease. Little is known about the conditions affecting antituberculosis treatment non-adherence in areas of great social and economic heterogeneity, such as the municipality of Rio de Janeiro. This study aimed to describe and identify the social determinants of antituberculosis treatment non-adherence in the municipality of Rio de Janeiro between 2008 and 2012. An ecological study was conducted with the districts of Rio de Janeiro as the units of analysis. Analyzes using Poisson regression models allowed us to identify the association between dropout from antituberculosis treatment and the human development index and social development index. The final model showed that economic conditions, infrastructure, and the tuberculosis control quality of surveillance were associated with treatment non-adherence. This study demonstrated that the scenarios of socio-environmental precariousness found in the districts of Rio de Janeiro were able to identify populations with an increased risk of default treatment from antituberculosis. Public Library of Science 2018-01-05 /pmc/articles/PMC5755789/ /pubmed/29304100 http://dx.doi.org/10.1371/journal.pone.0190578 Text en © 2018 Maciel et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Maciel, Elvira Maria Godinho de Seixas Amancio, Juliana de Souza de Castro, Daniel Barros Braga, José Ueleres Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil |
title | Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil |
title_full | Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil |
title_fullStr | Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil |
title_full_unstemmed | Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil |
title_short | Social determinants of pulmonary tuberculosis treatment non-adherence in Rio de Janeiro, Brazil |
title_sort | social determinants of pulmonary tuberculosis treatment non-adherence in rio de janeiro, brazil |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755789/ https://www.ncbi.nlm.nih.gov/pubmed/29304100 http://dx.doi.org/10.1371/journal.pone.0190578 |
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