首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Factors affecting defaulting from DOTS therapy under the national programme of tuberculosis control in Alexandria, Egypt
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Factors affecting defaulting from DOTS therapy under the national programme of tuberculosis control in Alexandria, Egypt

机译:埃及亚历山大州国家结核病控制国家计划下影响DOTS治疗违约的因素

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This unmatched case–control study aimed to identify factors affecting default from therapy under the national programme of TB control in Alexandria, Egypt. Record reviews and structured interviews were made with 57defaulters and 187 randomly selected controls. Univariate analysis showed 13 out of 54 factors investigated were significantly associated with defaulting and, after stepwise logistic regression, 5 factors remained in the model younger age (adjusted OR= 0.16), rural area of residence (OR = 12.9), long waiting times (OR = 5.81), poor physician–patient communication (OR = 3.06) and fear of information leakage (OR = 3.62). Reasons cited by defaulters included long distance to the clinic, unsuitable clinic times and long waiting times. The main factors associated with defaulting from the national programme of TB control in Alexandria, Egypt were service-related factors, which are amenable to improvement.
机译:这项无与伦比的病例对照研究旨在确定影响埃及亚历山大港国家结核病控制国家计划治疗无效的因素。记录审查和结构化访谈是对57名违约者和187个随机选择的控件进行的。单因素分析显示,在调查的54个因素中,有13个与违约率显着相关,在逐步逻辑回归之后,模型中的年轻年龄(调整后的OR = 0.16),居住的农村地区(OR = 12.9),等待时间长( OR = 5.81),医患沟通不良(OR = 3.06)和担心信息泄漏(OR = 3.62)。违约者列举的原因包括到诊所的距离长,诊所时间不合适和等待时间长。与埃及亚历山大港国家结核病控制国家计划违约相关的主要因素是与服务有关的因素,这些因素有待改善。

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