Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements | Zendy

Rayrla Cristina de Abreu Temóteo | Zendy; Fernanda Darliane Tavares de Luna | Zendy; Sheylla Nadjane Batista Lacerda | Zendy; Luíz Carlos de Abreu | Zendy; Fernando Luiz Affonso Fonseca | Zendy; Edwirde Luiz Silva Camêlo | Zendy; María Rita Bertolozzi | Zendy; Tânia Maria Ribeiro Monteiro de Figueiredo | Zendy

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Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

Author(s) -

Rayrla Cristina de Abreu Temóteo,

Fernanda Darliane Tavares de Luna,

Sheylla Nadjane Batista Lacerda,

Luíz Carlos de Abreu,

Fernando Luiz Affonso Fonseca,

Edwirde Luiz Silva Camêlo,

María Rita Bertolozzi,

Tânia Maria Ribeiro Monteiro de Figueiredo

Publication year - 2015

Publication title -

international archives of medicine

Language(s) - English

Resource type - Journals

ISSN - 1755-7682

DOI - 10.3823/1805

Subject(s) - tuberculosis , medicine , vulnerability (computing) , public health , disease , accession , environmental health , social vulnerability , population , incentive , gerontology , psychological intervention , psychiatry , pathology , computer security , european union , computer science , economics , business , economic policy , microeconomics

Tuberculosis (TB) remains as a major public health problem, being the second infectious disease to cause death all over the world. The Directly Observed Treatment (DOT) is one of the recommended strategies to control this disease. The accession in this mode of treatment is integrated into the Tuberculosis Control Program (PCT), this program also provide socio-economic incentives as the distribution of food baskets, bus passes and breakfast. Moreover, public policies for social protection help both family development and social vulnerability. Tuberculosis is still associated with social exclusion and marginalization of the population subjected to poor living conditions and limited access to public services. Objective: Analyze the potential accession to tuberculosis treatment related to individual and social vulnerability aspects. Methods: Cross-sectional, qualitative study, conducted with 39 individuals diagnosed with tuberculosis and in treatment for at least 30 days in the city of Campina Grande, Paraiba, Brazil. 20 markers were used as analysis units, with the possibility of score responses from one to three. The lower scores indicate lower potential of adherence to treatment, while the highest ones express greater potential accession. Results: markers that were more related to score one and indicated lower potential adherence to tuberculosis treatment were: tuberculosis impact on labor; conception of health-disease causality and work process (employment status). In contrast, markers that were more closely related to the score three that resonate with greater adherence capability to tuberculosis treatment were: Drug use, life (housing situation) and treatment difficulties in the disease course. Conclusion: The instrument used allowed the presentation of low potential markers for adherence to tuberculosis treatment. Therefore, it is recommended the use of markers in Primary Health Care for monitoring adherence to tuberculosis treatment.

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