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Exploring Tuberculosis Patients' Adherence to Treatment Regimens and Prevention Programs at a Public Health SiteUniversity of the Western Cape, Bellville, South Africa
Medical Research Council of South Africa, Tygerberg, South Africa
University of Cape Town, Cape Town, South Africa Our aim with this study was to explore the factors that contribute to tuberculosis patients' adherence and nonadherence to the Directly Observed Treatment Short Course strategy. A qualitative, phenomenological research design was used. Fifteen male and female participants between the ages of 18 and 57 years were recruited through purposive sampling at a primary care clinic located in a disadvantaged area, and in-depth interviews were conducted. The data analysis indicated that the factors found to influence adherence were social and economic resources; causal attributions assigned to TB; the social, cultural, economic, disease-related, and psychological challenges faced as a consequence of having TB; quality of health care received; use of the traditional healing system; and the participants' HIV status. Factors found to be associated with nonadherence included poverty, HIV co-infection, stigma, unsupportive social and work environments, and a high prevalence of helplessness and hopelessness.
Key Words: adherence Africa behavior ethnography Tuberculosis (TB)
This version was published on January
1, 2009 Qualitative Health Research, Vol. 19, No. 1,
55-70 (2009) This article has been cited by other articles:
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