취약계층 결핵 환자의 치료 성공 관련 요인Factors Related to Successful Tuberculosis Treatment in Vulnerable Groups
- Authors
- 김영현; 이지연; 정인아; 김정현; 김주혜; 한지연; 정은진; 한아연; 조준성; 박정덕
- Issue Date
- Feb-2022
- Publisher
- 대한내과학회
- Keywords
- Tuberculosis; Vulnerable populations; Treatment success
- Citation
- 대한내과학회지, v.97, no.1, pp 50 - 59
- Pages
- 10
- Journal Title
- 대한내과학회지
- Volume
- 97
- Number
- 1
- Start Page
- 50
- End Page
- 59
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/54820
- DOI
- 10.3904/kjm.2022.97.1.50
- ISSN
- 1738-9364
2289-0769
- Abstract
- Background/Aims: Although the incidence and mortality of tuberculosis are decreasing in South Korea, the number of applications for financial assistance with the cost of tuberculosis treatment made by individuals from vulnerable groups was 3.8 times higher in 2019 compared to 2017 (Tuberculosis Relief Belt Project, 2019).
Methods: We analyzed the data of patients who received financial aid for tuberculosis treatment (in the period 2014-2018) from the Tuberculosis Relief Belt Project, which was designed to assist vulnerable groups. This study analyzed 137 subjects, and the independent variables included patient factors (age, gender, nationality, tuberculosis type, number of comorbidities, and place of residence) and treatment type (outpatient or inpatient). The dependent variable was the treatment outcome.
Results: The likelihood of treatment success was significantly lower for patients with one (odds ratio [OR] 0.202), two (OR 0.147), or three or more (OR 0.070) comorbidities compared to those with no comorbidities. This was also the case for patients living alone (OR 0.097), and for those classified as homeless (OR 0.053). Korean patients (OR 8.512) had a significantly higher probability of a successful treatment outcome than foreigners.
Conclusions: Appropriate community-based management of individuals with tuberculosis from vulnerable groups, including foreigners, people with comorbidities, people living alone, and people with an unstable residential situation or homeless status, is important.
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