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Risk factors for non-adherence to directly observed treatment (DOT) in a rural tuberculosis unit, South India
P G Gopi1, M Vasantha, M Muniyandi
1Tuberculosis Research Centre (ICMR), Mayor V.R. Ramanathan Road, Chetput, Chennai.
Objective:
To identify risk factors for non-adherence of tuberculosis (TB) patients to DOT.
Methods:
Retrospective study of TB patients by logistic regression analysis to identify risk factors for non-adherence.
Results:
Of the 1666 patients interviewed, 1108 (67%) adhered and 558 (33%) did not adhere to DOT. Of 558 patients, the risk factors associated with non-adherence were illiteracy (39%), difficulty in accessing health facility (57%), and non-government DOT centre (43%).
Conclusion:
Patients should be educated about tuberculosis and importance of DOT. All DOT centres, including Non-government DOT centres, should be made more accessible and patient-friendly.
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