https://doi.org/10.4081/monaldi.2025.3262
Assessing the key factors contributing to non-adherence to pulmonary tuberculosis treatment: a descriptive study
Submitted: November 15, 2024
Accepted: December 11, 2024
Published: February 7, 2025
Accepted: December 11, 2024
Abstract Views: 404
PDF: 116
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Tuberculosis (TB) remains a significant public health challenge, particularly in developing nations like India, where it imposes a considerable burden. This descriptive cross-sectional study aimed to assess the factors affecting noncompliance with TB medications among pulmonary TB patients in an Indian community. A total of 215 participants were selected through non-probability purposive sampling. Data on factors contributing to non-adherence were collected using a structured self-administered questionnaire. Demographic characteristics, including age, gender, education, marital status, occupation, habitat, income, diagnosis, and duration since diagnosis, were recorded and analyzed. Key factors contributing to non-adherence were categorized into personal, economic, social, psychological, health facility, and technological factors. The results demonstrated that the non-adherence rate was 48.3%, while 51.7% of participants exhibited adherence to TB treatment. Discontinuing medication to feel better significantly increased noncompliance risk, especially for those who stopped "most of the time" vs. those who never stopped (odds ratio = 8.693, 95% confidence interval: 3.179-23.77). This study reveals that non-adherence to pulmonary TB treatment is influenced by a range of factors, including personal, economic, social, psychological, health facility, and technological factors, highlighting the need for multifaceted interventions to improve adherence.
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Ethics Approval
The study protocol was approved by the institutional Ethics Committee of the Charotar University of Science and Technology protocol no. IEC/CHARUSAT/23/143.How to Cite
Lakara, Mariam, Anil Kumar Patidar, and Anil Sharma. 2025. “Assessing the Key Factors Contributing to Non-Adherence to Pulmonary Tuberculosis Treatment: A Descriptive Study”. Monaldi Archives for Chest Disease, February. https://doi.org/10.4081/monaldi.2025.3262.
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