The impact of social factors on tuberculosis management
The impact of social factors on tuberculosis management
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DOI：
10.1111/j.1365-2648.2007.04257.x
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发表时间：
2007-06-01
影响因子：
3.8
通讯作者：
Zumla, A.
中科院分区：
文献类型：
--
作者：
Craig, G. M.;Booth, H.;Zumla, A.
目的。本文是一项研究报告，旨在探讨社会因素对结核病管理的影响，包括参与服务、住院治疗和延长治疗。背景。过去十年来，欧洲主要城市的结核病发病率大幅上升。该疾病流行病学的变化（主要集中在边缘群体）对结核病的控制提出了新的挑战。方法。 2003 年 1 月至 2005 年 1 月期间，伦敦对 250 名新诊断的结核病患者进行了一项前瞻性队列研究。数据是通过风险评估工具和病历收集的。结果指标包括错过预约、住院频率和持续时间以及治疗时间。结果。研究样本的中位年龄为 33.82 岁（范围 16.4-92.5 岁），其中 56.8% 为男性。百分之三十二是旅馆/街头无家可归者或暂时与朋友或亲戚合住。 39%的人领取福利金，13.2%的人没有收入。超过三分之一的人预计服药会遇到困难，30.3% 的人没有人提醒他们这一点。住院人数增加与宿舍/街头无家可归、吸毒或酗酒以及没有人提醒他们服药有关（所有 P
Aim. This paper is a report of a study to examine the impact of social factors on the management of tuberculosis including engagement with services, hospitalization and extended treatment.Background. Rates of tuberculosis in major European cities have increased greatly in the last 10 years. The changing epidemiology of the disease, concentrated in marginalized groups, presents new challenges to the control of tuberculosis.Methods. A prospective cohort study of 250 newly diagnosed tuberculosis patients was conducted in London between January 2003 and January 2005. Data were collected by means of a risk assessment tool and from medical records. Outcome measures included missed appointments, frequency and duration of hospitalization and length of treatment.Results. The median age of the study sample was 33.82 (range 16.4-92.5) and 56.8% were male. Thirty-two per cent were hostel/street homeless or temporarily sharing accommodation with friends or relatives. Thirty-nine per cent were in receipt of welfare benefits and 13.2% had no income. Over a third anticipated difficulties taking their medicines and 30.3% had noone to remind them of this. Increased hospitalization was associated with hostel/street homelessness, drug or alcohol use and having noone to remind them to take their medicines (all P