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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2337-9622

Abstract

SOARES, Marcelo Luiz Medeiros; AMARAL, Nathália Alves Castro do; ZACARIAS, Amanda Correia Paes  and  RIBEIRO, Leila Karina de Novaes Pires. Sociodemographic, clinical and epidemiologic aspects of tuberculosis treatment abandonment in Pernambuco, Brazil, 2001-2014. Epidemiol. Serv. Saúde [online]. 2017, vol.26, n.2, pp.369-378. ISSN 1679-4974.  http://dx.doi.org/10.5123/s1679-49742017000200014.

OBJECTIVE:

to describe abandonment rates according to sociodemographic, clinical and epidemiological characteristics of new tuberculosis cases being treated in Pernambuco State, Brazil.

METHODS:

this is a descriptive ecological study using data from the Information System for Notifiable Diseases from 2001 to 2014; the abandonment rate was calculated by the Regional Administration on Health (GERES).

RESULTS:

of the 57,015 new cases, 6,474 (11.3%) abandoned treatment, although abandonment decreased from 16.4% (2001) to 9.3% (2014); the abandonment rate in GERES I Recife, III Palmares, IV Caruaru, VIII Petrolina and IX Ouricuri was still >5% in 2014; the rate was higher in males (11.9%), people aged 20-39 (12.7%), people with incomplete elementary school (12.1%), black-skinned people (13.7%), institutionalized people (12.5%) and those with pulmonary + extrapulmonary tuberculosis (14.1%).

CONCLUSION:

despite the decrease, the abandonment rate remained high; males, adults with low education level, black-skinned people, institutionalized patients and patients with pulmonary + extrapulmonary tuberculosis seemed more prone to abandoning treatment.

Keywords : Tuberculosis; Treatment Refusal; Medication Adherence; Epidemiology, Descriptive.

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