Tuberculosis Treatment Completion in a United States/Mexico Binational Context
Affiliation
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Commun Environm & PolicyUniv Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Epidemiol & Biostatist
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Div Publ Hlth Practice & Translat Res
Issue Date
2017-05-24
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FRONTIERS MEDIA SACitation
Tuberculosis Treatment Completion in a United States/Mexico Binational Context 2017, 5 Frontiers in Public HealthJournal
Frontiers in Public HealthRights
© 2017 Valencia, Ernst and Rosales. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background: Tuberculosis (TB) remains a salient public health issue along the U.S./Mexico border. This study seeks to identify the social and structural factors, which are associated with TB disease burden in the binational geographic region. Identification of barriers of treatment completion provides the necessary framework for developing evidence-based interventions that are culturally relevant and context specific for the U.S./Mexico border region. Methods: Retrospective study of data extracted from medical charts (n = 439) from Yuma County Health Department (YCHD) (n = 160) and Centro de Salud San Luis Rio Colorado (n = 279). Patients currently accessing TB treatment at either facility were excluded from the study. Chi-square, unadjusted odds ratios, and logistic regression were utilized to identify characteristics associated with successful TB treatment in this population. Findings: The study population was predominantly male (n = 327). Females were more likely to complete TB treatment (OR = 3.71). The absence of drug use and/or the absence of an HIV positive diagnosis were found to be predictors of TB treatment completion across both clinical sites. Forty-four percent (43.59%) (n = 85) TB patients treated at CDS San Luis did not complete treatment versus 40.35% (n = 49) of TB patients who did not complete treatment at YCHD. Moving from the area or being deported was the highest category (20.78%) for incomplete TB treatment in the population (n = 64) across both clinical sites.Note
Open Access Journal.ISSN
2296-2565PubMed ID
28596953Version
Final published versionAdditional Links
http://journal.frontiersin.org/article/10.3389/fpubh.2017.00118/fullae974a485f413a2113503eed53cd6c53
10.3389/fpubh.2017.00118
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