Predicting completion of treatment among foreign-born adolescents treated for latent tuberculosis infection in Los Angeles.
Predicting completion of treatment among foreign-born adolescents treated for latent tuberculosis infection in Los Angeles.
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发表时间：
2004-06
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通讯作者：
A. Coly;D. Morisky
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作者：
A. Coly;D. Morisky
场景：加州洛杉矶县的两个健康诊所。目的确定与外国出生的青少年接受潜伏性结核感染（LTBI）治疗的护理完成相关的因素。设计：共招募了766名低收入青少年（参与率为79%），其中包括610名外国出生的青少年。在前瞻性面对面访谈中，获得了社会人口统计学和生活方式特征，心理社会因素和临床相关变量的数据。提取关于门诊预约和治疗完成的病历数据。进行单变量和多变量logistic回归分析，以确定与完成护理相关的因素。结果：外国出生的青少年比美国出生的青少年更有可能完成护理，完成护理率为82%。在控制了年龄、服药行为、（OR 1.26，95%CI 1.15-1.39），与父母同住（OR 1.74，95%CI 1.02-2.97），性交（OR 0.66，95%CI 0.36-1.19）和与父母主要说英语或只说英语（OR 0.39，95%CI 0.15-1.03）与完成护理独立相关。结论这些发现有助于我们理解的因素，可能解释为什么有些青少年完成护理，而其他人没有。他们提供的支持性证据表明，应制定量身定制的干预计划，以支持筛查和完成对外国出生的青少年的治疗。
SETTING Two health clinics in Los Angeles County, California. OBJECTIVE To identify factors associated with completion of care among foreign-born adolescents treated for latent tuberculosis infection (LTBI). DESIGN A total of 766 low-income adolescents (79% participation rate), including 610 foreign-born, were recruited. In prospective face-to-face interviews, data were obtained on socio-demographic and lifestyle characteristics, psychosocial factors and clinic-related variables. Medical chart data were abstracted regarding clinic appointment keeping and completion of treatment. Univariate and multivariate logistic regression analyses were performed to identify factors associated with completion of care. RESULTS Foreign-born adolescents were more likely to complete care than US-born adolescents, with 82% completion of care rate. In logistic regression analyses after controlling for age, medication taking behavior (OR 1.26, 95%CI 1.15-1.39), living with both parents (OR 1.74, 95%CI 1.02-2.97), sexual intercourse (OR 0.66, 95%CI 0.36-1.19) and speaking mostly or only English with parents (OR 0.39, 95%CI 0.15-1.03) were independently associated with completion of care. CONCLUSION These findings contribute to our understanding of the factors that may explain why some adolescents complete care whereas others do not. They provide supportive evidence that tailored intervention programs should be developed to support the screening and completion of treatment of foreign-born adolescents.