Prevalence and associated factors of tuberculosis treatment outcome among hazardous or harmful alcohol users in public primary health care in South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): K.Peltzer, J.S.Louw
KEYWORDS: ADOLESCENTS, PRIMARY HEALTH CARE, RISK BEHAVIOUR, TUBERCULOSIS
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8131
HANDLE: 20.500.11910/2527
URI: http://hdl.handle.net/20.500.11910/2527
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Tuberculosis (TB) remains a chronic infectious disease with high morbidity and mortality. The aim of this study was to assess the prevalence and associated risk factors of tuberculosis treatment failure, death and default among hazardous or harmful alcohol users. We conducted a prospective study with TB patients in 40 public health clinics in three districts in South Africa. All consecutively new tuberculosis and retreatment patients presenting at the 40 primary health care facilities with hazardous or harmful alcohol use were included in this study. Logistic regression was used to assess determinants of TB treatment failure, death and default. The findings of our study showed that 70% of TB patients were either cured or had completed their TB treatment by the end of 6 months. In multivariate analysis participants living in a shack or traditional housing (Odds Ratio=OR: 0.63, Confidence Interval=CI: 0.45-0.89), being a TB retreatment patient (OR: 1.61, CI: 1.15-2.26) and residing in the eThekwini district (OR: 1.82, CI: 1.27-2.58) were significant predictors of treatment failure, death and default. A high rate of treatment failure, death and defeat were founded in the assessed TB patients. Several factors were identified that can guide interventions for the prevention of treatment failure, death and default.-
Related Research Outputs:
- Hazardous and harmful alcohol use and associated factors in tuberculosis public primary care patients in South Africa
- Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting
- Translational behavioural medicine research: examples from South Africa
- Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: a cluster randomized controlled trial protocol
- Predictors of tuberculosis (TB) and antiretroviral (ARV) medication non-adherence in public primary care patients in South Africa: a cross sectional study
- Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: results from a cluster randomized controlled trial
- HIV risk behaviour among public primary healthcare patients with tuberculosis in South Africa
- Conjoint alcohol and tobacco use among tuberculosis patients in public primary healthcare in South Africa
- South African Epidemiology Network on Drug Use (SACENDU): July-December 1999: (phase 7)
- South African Community Epidemiology Network on Drug Use (SACENDU): January - June 2000: (phase 8)
- South African Community Epidemiology Network on Drug Use (SACENDU): July-December 2000: (phase 9)
- South African Community Epidemiology Network on Drug Use (SACENDU): alcohol and drug abuse trends: July-December 2001
- South African Community Epidemiology Network on Drug Use (SACENDU): key alcohol and drug abuse trends: January-June (Phase 12)
- Perceptions of tuberculosis: attributions of cause, suggested means of risk reduction, and preferred treatment in the Limpopo province, South Africa
- Prevalence of alcohol use by rural primary care outpatients in South Africa
- HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- The Phaphama HIV and alcohol risk reduction intervention in Cape Town, South Africa: results of two pilot trails conducted in a clinic and a community setting
- Alcohol use in three different inner cities in South Africa: AUDIT-C and CAGE