AI Article Synopsis

  • The study aimed to analyze abandonment rates of tuberculosis treatment in Pernambuco State, Brazil, based on various sociodemographic and clinical factors from 2001 to 2014.
  • During this period, out of 57,015 new tuberculosis cases, 11.3% abandoned treatment, with a decline in the overall rate from 16.4% in 2001 to 9.3% in 2014; however, certain regions still reported rates over 5%.
  • Key demographics at higher risk for treatment abandonment included males, individuals aged 20-39, those with low education levels, black-skinned individuals, institutionalized patients, and those suffering from both pulmonary and extrapulmonary tuberculosis.

Article Abstract

Objective: to describe abandonment rates according to sociodemographic, clinical and epidemiological characteristics of new tuberculosis cases being treated in Pernambuco State, Brazil.

Methods: this is a descriptive ecological study using data from the Information System for Notifiable Diseases from 2001 to 2014; the abandonment rate was calculated by the Regional Administration on Health (GERES).

Results: of the 57,015 new cases, 6,474 (11.3%) abandoned treatment, although abandonment decreased from 16.4% (2001) to 9.3% (2014); the abandonment rate in GERES I Recife, III Palmares, IV Caruaru, VIII Petrolina and IX Ouricuri was still >5% in 2014; the rate was higher in males (11.9%), people aged 20-39 (12.7%), people with incomplete elementary school (12.1%), black-skinned people (13.7%), institutionalized people (12.5%) and those with pulmonary + extrapulmonary tuberculosis (14.1%).

Conclusion: despite the decrease, the abandonment rate remained high; males, adults with low education level, black-skinned people, institutionalized patients and patients with pulmonary + extrapulmonary tuberculosis seemed more prone to abandoning treatment.

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http://dx.doi.org/10.5123/S1679-49742017000200014DOI Listing

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