Evidence map›Paper›PMID 28927386›Full record

ArticleBMC public health2017

Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study.

Rosiane Davina da Silva, Fernanda Darliane Tavares de Luna, Aguinaldo José de Araújo, Edwirde Luiz Silva Camêlo, Maria Rita Bertolozzi, Paula Hino, Sheylla Nadjane Batista Lacerda, Sayonara Maria Lia Fook, Tânia Maria Ribeiro Monteiro de Figueiredo

Abstract read
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rosiane Davina da SilvaUniversidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil. rosiane.uepb@outlook.com.
Fernanda Darliane Tavares de LunaUniversidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Aguinaldo José de AraújoUniversidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil.
Edwirde Luiz Silva CamêloUniversidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil.
Maria Rita BertolozziEscola de Enfermagem da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Paula HinoEscola Paulista de Enfermagem da Universidade Federal de São Paulo, São Paulo, Brazil.
Sheylla Nadjane Batista LacerdaFaculdade Santa Maria, Cajazeiras, Paraíba, Brazil.
Sayonara Maria Lia FookUniversidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil.
Tânia Maria Ribeiro Monteiro de FigueiredoUniversidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis remains an important disease which mainly affects the majority of vulnerable individuals in society, who are subjected to poor living conditions and difficulties to access the services of public health. Under these circumstances, the present study aims to understand patients' perception in relation to the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment.

methodsA qualitative descriptive cross sectional study was conducted in one large municipality at the state of Paraíba, Northeast of Brazil. The study subjects, who were residents of the study site, covered all tuberculosis cases diagnosed between March and June 2015. The sample was defined by the criteria of response saturation. All interviews were audio recorded, and data analysis was developed through the hermeneutic dialectic method and the theory of Generative Route Sense. The project was approved by the Research Ethics Committee of the University of São Paulo (USP).

resultsA total of 13 individuals were interviewed and the responses were identified into two analytical categories: the difficulties they had and the enabling factors they could mention during their tuberculosis treatment. Patients brought up social exclusion as an obstacle to treatment adherence, which, along with stigmatization, weakened their link with family members and health professionals. Moreover, economic precariousness was a major hindrance to the maintenance of a proper diet and transportation access to health centers. However, social support and directly observed treatment helped to break down barriers of prejudice and to promote individual and family empowerment. Finally, patients also reported that their will to live and faith gave them the strength to continue with the treatment.

conclusionsAccording to patients in this study, social support and the strengthening of links with family members and health professionals may reduce social exclusion and other difficulties they face, thus encouraging them to the adhere to tuberculosis treatment.

Indexed as

Vulnerable PopulationsAdultBrazilCross-Sectional StudiesFamilyFemaleHumansInterpersonal RelationsMaleMiddle AgedPatient CompliancePhysician-Patient RelationsPsychological DistanceQualitative ResearchSocial StigmaSocial SupportAdherence to medicationTuberculosisVulnerability

Identifiers

PMID28927386
PMCPMC5606083

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.