[Perceptions and practices related with tuberculosis and treatment compliance in Chiapas, Mexico].

Abstract:

OBJECTIVE:To identify health perceptions and practices and non-adherence to therapy among tuberculosis patients. MATERIAL AND METHODS:Qualitative research work consisting of 11 group interviews with 62 tuberculosis patients during 1997-1998 in the Central, Highlands, and Border Regions of Chiapas, Mexico. RESULTS:Perceived causes of tuberculosis included contagion via food utensils, excess work, malnutrition, and cold, as well as other causes unrelated to person-to-person contagion. The resulting incapability to work resulted in an economic crisis for both the patients and their family members. As a result of the social stigma imposed by the disease, patients perceived a negative impact on their personal life, family, work, and community. CONCLUSIONS:Lack of knowledge regarding tuberculosis is an important factor in the selection of and adherence to different care alternatives. Inadequate care provided by health services, including an unsatisfactory physician-patient relationship, resulted in diagnostic delay and non-adherence to therapy. Education programs to promote basic knowledge regarding tuberculosis and its treatment are necessary in this region.

journal_name

Salud Publica Mex

journal_title

Salud publica de Mexico

authors

Alvarez-Gordillo GC,Alvarez-Gordillo JF,Dorantes-Jiménez JE,Halperin-Frisch D

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

520-8

issue

6

eissn

0036-3634

issn

1606-7916

journal_volume

42

pub_type

杂志文章
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