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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...

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Autores principales: Maciel, Elvira Maria Godinho de Seixas, Amancio, Juliana de Souza, de Castro, Daniel Barros, Braga, José Ueleres
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
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.
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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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