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

Página do item simplificado
dc.citation.volume17
dc.contributor.authorda Silva, Rosiane Davina
dc.contributor.authorTavares de Luna, Fernanda Darliane
dc.contributor.authorde Araujo, Aguinaldo Jose
dc.contributor.authorSilva Camelo, Edwirde Luiz
dc.contributor.authorBertolozzi, Maria Rita
dc.contributor.authorHino, Paula [UNIFESP]
dc.contributor.authorBatista Lacerda, Sheylla Nadjane
dc.contributor.authorLia Fook, Sayonara Maria
dc.contributor.authorRibeiro Monteiro de Figueiredo, Tania Maria
dc.coverageLondon
dc.date.accessioned2020-08-04T13:40:11Z
dc.date.available2020-08-04T13:40:11Z
dc.date.issued2017
dc.description.abstractBackground: 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 Paraiba, 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 Sao 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.en
dc.description.affiliationUniv Estadual Paraiba, Campina Grande, Paraiba, Brazil
dc.description.affiliationUniv Fed Rio Grande do Norte, Natal, RN, Brazil
dc.description.affiliationUniv Sao Paulo, Escola Enfermagem, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, Brazil
dc.description.affiliationFac Santa Maria, Cajazeiras, Paraiba, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1186/s12889-017-4752-3
dc.identifier.citationBmc Public Health. London, v. 17, p. -, 2017.
dc.identifier.doi10.1186/s12889-017-4752-3
dc.identifier.fileWOS000411414100002.pdf
dc.identifier.issn1471-2458
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57353
dc.identifier.wosWOS:000411414100002
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofBmc Public Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTuberculosisen
dc.subjectVulnerabilityen
dc.subjectAdherence to medicationen
dc.titlePatients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative studyen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
WOS000411414100002.pdf
Tamanho:
475.19 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPE - Artigos