ABSTRACT
Background: Despite effective diagnosis and free treatment, prevalence of TB is still growing. DOTS was introduced by WHO in 1997, which is more than two decades ago. It’s a known fact in TB that adherence is less due to long duration of treatment and stigma associated with it. This study was conducted with the objective of estimating and the reasons for the non- adherence to anti tuberculosis treatment in urban field practice area of SSIMS & RC, Davangere.Methods: A qualitative method of study design was used. 20 TB patients who are on anti-tuberculosis treatment were interviewed with a structured questionnaire for adherence to treatment. Among them patients who were non adherent were further interviewed in depth to know the reasons for non-adherence.Results: Data analysis resulted in extraction of five themes, which were side effects, financial burden and social support, duration of treatment, food insecurity, unawareness of consequences of non-adherence to treatment.Conclusions: Patient adherence to treatment is multi-factorial and involves individual patient factors, provider factors, and community factors. Addressing issue of non-adherence to treatment requires enhanced efforts towards resolving medical problems like adverse drug effects, developing short duration treatment regimens, motivational counselling, social, family support for patients and improving awareness about disease
ABSTRACT
Background: Social anxiety disorder is a common psychiatric illness characterized by fear of being observed and scrutinized by others. It can impair academic performance and can lead to serious withdrawal from society and depression. The objective of the study was to measure the proportion and study the associated factors of Social Anxiety Disorder among students of a tertiary medical college and hospital.Methods: This hospital-based, cross-sectional study was conducted among the 272 medical students of a Tertiary care medical college and hospital at Davangere, Karnataka from October to December 2018. The social phobia inventory (SPIN) questionnaire was used to diagnose SAD among students.Results: Social anxiety disorder (SAD) was present among 30.5% (n=83) of the medical students. The female students (31.1%, n=45) documented a higher proportion of SAD compared to male students (29.9%, n=38). There was a higher incidence among above the 20 years age group and Muslims especially girl students.Conclusions: A higher proportion of medical students had social anxiety disorder which was influenced by increasing age, female gender, Muslim religion and higher academic years of exposure till final year.