||Barnhoorn F & Driaanse H
|| In search of factors responsible for non-compliance
among tuberculosis patients in Wardha district, India.
||SOC SCI MED 1992, 34, 291-306.
From September 1988 to February 1989, 52 compliant
and 50 non-compliant TB out-patients who were prescribed anti-TB
drug regimens were interviewed in Wardha District, India. Patients
were compared by means of a questionnaire with previously fixed
response options in order to identify the factors which were responsible
for compliance and for non-compliance. Discriminant analysis demonstrated
differences between completers and non-completers on several health
belief items, in particular, those regarding health motivation,
the perceived severity of the disease, costs and benefits of the
treatment regimen and self-efficacy. Compliers reported more physical
symptoms at the onset of the disease, whereas more non-compliers
mentioned a deteriorated health condition at the time of interviewing.
Low associations were found between demographic and socio-economic
variables and adherence, except for some indicators of income level.
The relationship between presence of social support and co-operation
with the treatment procedures was confirmed. An indication of an
educational problem was the association between the compliance behaviour
of a patient and his or her knowledge of specific aspects of the
disease, the origin of TB and features of the drug regimen. Satisfaction
with the health care provider contributed positively to the continuation
of drug intake.
|KEYWORDS: SOCIAL BEHAVIOUR; NON-COMPLIANCE; INDIA.