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Curationis ; 25(3): 55-67, 2002 Aug.
Article in English | MEDLINE | ID: mdl-12434639

ABSTRACT

The aim of this study is to compare and contrast health beliefs, demographic and socio-economic variables, causative beliefs, knowledge, health-seeking behaviour and health provider-patient interaction of compliant and non-compliant tuberculosis patients. The sample included 219 consecutive new sputum-smear and/or culture positive pulmonary tuberculosis patients registered between October 1999 and March 2000 in three hospitals in the Limpopo Province of South Africa. The patients were 144 (65.8%) men and 75 (34.2%) women in the age range of 18 to 79 years (M age 35.9 yr., SD = 12.6). The consultation at first diagnosis was observed and tape-recorded. Thereafter an interview was conducted and a questionnaire was face-to-face administered with the patient including knowledge, causative beliefs, health seeking, and Health Belief Model items. Discriminant analysis between compliant and non-compliant groups after six months follow-up showed that the quality of the health practitioner-patient interaction and causative belief were associated with compliance behaviour whereas knowledge, onset of TB, sociodemographic variables, health care seeking, and health beliefs were not associated.


Subject(s)
Directly Observed Therapy/psychology , Patient Compliance/psychology , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/psychology , Adolescent , Adult , Aged , Antitubercular Agents/therapeutic use , Case-Control Studies , Directly Observed Therapy/statistics & numerical data , Discriminant Analysis , Female , Follow-Up Studies , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Patient Compliance/statistics & numerical data , Professional-Patient Relations , Risk Factors , Socioeconomic Factors , South Africa , Sputum/microbiology , Surveys and Questionnaires , Tuberculosis, Pulmonary/diagnosis
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