title: Social determinants of nonadherence to tuberculosis treatment in Buenos Aires, Argentina.
abstract: This study aimed to identify the individual and environmental determinants of nonadherence to tuberculosis (TB) treatment in selected districts in the Buenos Aires Metropolitan Area, in Argentina. We conducted a cross-sectional study using a hierarchical model. Using primary and secondary data, logistic regression was performed to analyze two types of determinants. The likelihood of nonadherence to treatment was greatest among male patients. The following factors led to a greater likelihood of nonadherence to treatment: patients living in a home without running water; head of household without medical insurance; need to use more than one means of transport to reach the health center; place of residence in an area with a high proportion of households connected to the natural gas network; place of residence in an area where a large proportion of families fall below the minimum threshold of subsistence capacity; place of residence in an area where a high proportion of households do not have flushing toilets and basic sanitation. Our results show that social and economic factors - related to both individual and environmental characteristics - influence adherence to TB treatment.
authors.affiliation: Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
authors.forename: Maria Belen
authors.initials: MB
authors.lastname: Herrero
authors.affiliation: Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
authors.forename: Silvina
authors.initials: S
authors.lastname: Arrossi
authors.affiliation: Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
authors.forename: Silvina
authors.initials: S
authors.lastname: Ramos
authors.affiliation: Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
authors.forename: Jose Ueleres
authors.initials: JU
authors.lastname: Braga
mesh_terms: D000328:Adult; D001118:Argentina; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012111:Residence Characteristics; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D014376:Tuberculosis / Q000188:drug therapy*; D014505:Urban Population; D016903:Drug Monitoring