title: Adherence to tuberculosis treatment among migrant pulmonary tuberculosis patients in Shandong, China: a quantitative survey study.
abstract: Adherence to TB treatment is the most important requirement for efficient TB control. Migrant TB patients' "migratory" nature affects the adherence negatively, which presents an important barrier for National TB Control Program in China. Therefore, TB control among migrants is of high importance.The aim of this study is to describe adherence to TB treatment among migrant TB patients and to identify factors associated with adherence. A total of 12 counties/districts of Shandong Province, China were selected as study sites. 314 confirmed smear positive TB patients were enrolled between August 2(nd) 2008 and October 17(th) 2008, 16% of whom were non-adherent to TB therapy. Risk factors for non-adherence were: the divorced or bereft of spouse, patients not receiving TB-related health education before chemotherapy, weak incentives for treatment adherence, and self supervision on treatment. Based on the risk factors identified, measures are recommended such as implementing health education for all migrant patients before chemotherapy and encouraging primary care workers to supervise patients.
authors.affiliation: Institute of Social Medicine and Health Service Management, School of Public Health, Shandong University, Jinan, China.
authors.forename: Chengchao
authors.initials: C
authors.lastname: Zhou
authors.forename: Jie
authors.initials: J
authors.lastname: Chu
authors.forename: Jinan
authors.initials: J
authors.lastname: Liu
authors.forename: Ruoyan
authors.initials: R
authors.lastname: Gai Tobe
authors.forename: Hong
authors.initials: H
authors.lastname: Gen
authors.forename: Xingzhou
authors.initials: X
authors.lastname: Wang
authors.forename: Wengui
authors.initials: W
authors.lastname: Zheng
authors.forename: Lingzhong
authors.initials: L
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D002681:China; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D012307:Risk Factors; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy* / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents