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

Overview of attention for article published in BMC Public Health, September 2017
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Title
Patients’ perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
Published in
BMC Public Health, September 2017
DOI 10.1186/s12889-017-4752-3
Pubmed ID
Authors

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

Tuberculosis 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. A 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). A 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. According 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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 164 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 164 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 25 15%
Student > Master 24 15%
Researcher 17 10%
Student > Ph. D. Student 10 6%
Student > Postgraduate 7 4%
Other 32 20%
Unknown 49 30%
Readers by discipline Count As %
Nursing and Health Professions 46 28%
Medicine and Dentistry 29 18%
Unspecified 4 2%
Social Sciences 3 2%
Psychology 3 2%
Other 19 12%
Unknown 60 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 October 2017.
All research outputs
#15,481,147
of 23,005,189 outputs
Outputs from BMC Public Health
#11,438
of 14,988 outputs
Outputs of similar age
#199,635
of 318,259 outputs
Outputs of similar age from BMC Public Health
#108
of 141 outputs
Altmetric has tracked 23,005,189 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,988 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.0. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 318,259 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 141 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.