Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study | Zendy

Chengchao Zhou | Zendy; Jie Chu | Zendy; Jinan Liu | Zendy; Ruoyan Gai Tobe | Zendy; Hong Gen | Zendy; Xingzhou Wang | Zendy; Wengui Zheng | Zendy; Lingzhong Xu | Zendy

Open Access

Adherence to Tuberculosis Treatment among Migrant Pulmonary Tuberculosis Patients in Shandong, China: A Quantitative Survey Study

Author(s) -

Chengchao Zhou,

Jie Chu,

Jinan Liu,

Ruoyan Gai Tobe,

Hong Gen,

Xingzhou Wang,

Wengui Zheng,

Lingzhong Xu

Publication year - 2012

Publication title -

plos one

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.99

H-Index - 332

ISSN - 1932-6203

DOI - 10.1371/journal.pone.0052334

Subject(s) - medicine , tuberculosis , spouse , china , migrant workers , tb treatment , incentive , extensively drug resistant tuberculosis , environmental health , family medicine , mycobacterium tuberculosis , pathology , sociology , anthropology , political science , law , economics , microeconomics , economic growth

Adherence to TB treatment is the most important requirement for efficient TB control. Migrant TB patients’ “migratory” nature affects the adherence negatively, which presents an important barrier for National TB Control Program in China. Therefore, TB control among migrants is of high importance.The aim of this study is to describe adherence to TB treatment among migrant TB patients and to identify factors associated with adherence. A total of 12 counties/districts of Shandong Province, China were selected as study sites. 314 confirmed smear positive TB patients were enrolled between August 2 nd 2008 and October 17 th 2008, 16% of whom were non-adherent to TB therapy. Risk factors for non-adherence were: the divorced or bereft of spouse, patients not receiving TB-related health education before chemotherapy, weak incentives for treatment adherence, and self supervision on treatment. Based on the risk factors identified, measures are recommended such as implementing health education for all migrant patients before chemotherapy and encouraging primary care workers to supervise patients.

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