Tornee Songpol, Kaewkungwal Jaranit, Fungladda Wijitr, Silachamroon Udomsak, Akarasewi Pasakorn, Sunakorn Pramuan
Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University, Thailand.
Southeast Asian J Trop Med Public Health. 2005 Mar;36(2):331-40.
A cross-sectional study was conducted to explore factors associated with the adherence of tuberculosis patients in bringing their household contacts to a TB clinic in Bangkok, Thailand. During the study period, May to December 2003, 325 sputum-smear-positive tuberculosis patients were recruited into the study. Of the 325 eligible tuberculosis patients, 169 (52.00%, 95% Cl = 47.00-57.00) brought their household contacts to the TB clinic. Psychosocial and cues to action factors were examined as indicators of the household contact screening adherence of tuberculosis patients. The results reveal that the household contact screening adherence of tuberculosis patients was significantly associated with a higher perceived susceptibility (Adjusted OR = 2.90, 95% Cl = 1.18-7.16), lower perceived barriers (Adjusted OR = 4.60, 95% CI = 1.99-10.60), a higher intention to bring the contacts to the TB clinic (Adjusted OR = 3.35, 95% Cl = 1.44-7.76), and a short distance from home to the TB clinic (Adjusted OR = 11.47, 95% Cl = 4.57-28.79). The results from this study provide information for TB clinic staff for developing an appropriate intervention program. Through effective intervention and active policy enforcement, a higher percentage of household contact screening adherences can be achieved.
开展了一项横断面研究，以探讨泰国曼谷结核病患者带其家庭接触者前往结核病诊所就诊依从性的相关因素。在2003年5月至12月的研究期间，325例痰涂片阳性结核病患者被纳入研究。在这325例符合条件的结核病患者中，169例（52.00%，95%可信区间=47.00-57.00）带其家庭接触者前往了结核病诊所。心理社会因素和行动提示因素作为结核病患者家庭接触者筛查依从性的指标进行了检查。结果显示，结核病患者的家庭接触者筛查依从性与较高的感知易感性（调整后比值比=2.90，95%可信区间=1.18-7.16）、较低的感知障碍（调整后比值比=4.60，95%可信区间=1.99-10.60）、带接触者前往结核病诊所的较高意愿（调整后比值比=3.35，95%可信区间=1.44-7.76）以及从家到结核病诊所的较短距离（调整后比值比=11.47，95%可信区间=4.57-28.79）显著相关。本研究结果为结核病诊所工作人员制定适当的干预计划提供了信息。通过有效的干预和积极的政策执行，可以实现更高比例的家庭接触者筛查依从性。
