Risk factors associated with abandonment of tuberculosis treatment in the state of Rio de Janeiro, Brazil, 2015-2019

Milena Santos; Letícia Raposo

doi:10.47456/rbps.v23i2.34915

Authors

Milena Santos Universidade Federal do Estado do Rio de Janeiro
Letícia Raposo Universidade Federal do Estado do Rio de Janeiro

DOI:

https://doi.org/10.47456/rbps.v23i2.34915

Keywords:

Tuberculose, Aderência ao Medicamento, Adesão do Paciente, Epidemiologia

Abstract

Introduction: Abandonment of tuberculosis treatment is one of the main obstacles to control the disease in Brazil and in the world. In 2018, the state of Rio de Janeiro registered a 15.5% treatment abandonment rate in new cases, which is above the recommended by WHO. Objectives: Investigating factors associated with the abandonment of treatment according to sociodemographic and clinical-epidemiological characteristics of new tuberculosis cases in the state of Rio de Janeiro, Brazil. Methods: Data from the Health Notification Information System for the period 2015-2019 were used. The association of explanatory variables with treatment abandonment was explored through univariate and multivariate binary logistic regression models. Results: Out of the 14,831 individuals with tuberculosis included in the study, 1,852 abandoned treatment, representing 12.5% of the sample. Young males, with low schooling, of non-white color, smokers, and illicit drug users showed a predisposition to abandon treatment; the homeless population presented the highest chance of abandoning treatment. Conclusion: The study shows the importance of following these patient profiles to develop strategies that increase patient compliance to tuberculosis treatment.

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