Antecedents of adherence to antituberculosis therapy

Citation
M. Mcdonnell et al., Antecedents of adherence to antituberculosis therapy, PUBL HEAL N, 18(6), 2001, pp. 392-400
Citations number
44
Categorie Soggetti
Public Health & Health Care Science
Journal title
PUBLIC HEALTH NURSING
ISSN journal
07371209 → ACNP
Volume
18
Issue
6
Year of publication
2001
Pages
392 - 400
Database
ISI
SICI code
0737-1209(200111/12)18:6<392:AOATAT>2.0.ZU;2-1
Abstract
This correlational study identified antecedents of adherence to antitubercu losis (anti-TB) therapy in a convenience sample of 62 English-speaking adul ts. From a demographic perspective, the study sample was similar to the ref erent population of TB patients in Georgia. A variety of parametric analyse s revealed the following: The mean self-reported adherence score was 92.6% (SD = 3.3). Higher levels of self-reported adherence were associated with a n annual income of $11,000 or more, education beyond high school, no curren t alcohol use, perceived support and absence of barriers to medication taki ng, strong intentions to adhere, and a high capacity for self-care. Those s ix variables accounted for 28% of adherence variance, F(6.44) of 4.3, p = 0 .0017. Additionally, belief in the usefulness and benefit of the medication s was strongly correlated with intentions to adhere (r = 0.83. p < 0.001), and interpersonal aspects of care was significantly correlated with percept ions of medication utility (r = 0.65, p < 0.001), supports/barriers (r = 0. 44, p < 0.001), intentions (r = 0.69, p < 0.001), and self-care (r = -0.42, p < 0.01). Persons who were diagnosed with both TB and human immunodeficie ncy virus (HIV) reported significantly lower adherence.