The impact of social conditions on patient adherence to pulmonary tuberculosis treatment

H. Choi, H. Chung, C. Muntaner, M. Lee, Y. Kim, C. E. Barry, S. N. Cho

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


SETTING: Tuberculosis (TB) remains one of the main concerns in global health. One of the main threats to treatment success is patient non-Adherence to antituberculosis treatment. OBJECTIVE : To identify the relation between social conditions and treatment adherence in a prospective cohort setting in an intermediate TB burden country. DESIGN: To identify associations between poor adherence and social conditions, including educational level, type of residence and occupation, we constructed hierarchical logistic regression models. RESULTS : A total of 551 participants were included in the study. Low educational levels, poor housing and occupations in the construction and manufacturing industries and service sectors were associated with poor adherence; this association was likely to be differentiated by previous history of anti-Tuberculosis treatment. CONCLUS ION: Policy making should focus on improving the social conditions of patients by working towards better housing conditions and providing health promoting working conditions to enable treatment adherence.

Original languageEnglish
Pages (from-to)948-954
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Issue number7
Publication statusPublished - 2016 Jul 1

Bibliographical note

Funding Information:
National Institute of Allergy and Infectious Diseases (NIAID)

Publisher Copyright:
© 2016 The Union.


  • Adherence
  • Infectious Epidemiology
  • Loss To Follow-Up
  • Socio-Economic Position
  • Tb

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases


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