2021 The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
* Determinants of non-adherence to anti-TB treatment in high income, low TB incidence settings: a scoping review.
- BACKGROUND: Improving adherence to anti-TB treatment is a public health priority in high-income, low incidence (HILI) regions. We conducted a scoping review to identify reported determinants of non-adherence in HILI settings.METHODS: Key terms related to TB, treatment and adherence were used to search MEDLINE, EMBASE, Web of Science, PsycINFO and CINAHL in June 2019. Quantitative studies examining determinants (demographic, clinical, health systems or psychosocial) of non-adherence to anti-TB treatment in HILI settings were included.RESULTS: From 10,801 results, we identified 24 relevant studies from 10 countries. Definitions and methods of assessing adherence were highly variable, as were documented levels of non-adherence (0.9-89%). Demographic factors were assessed in all studies and clinical factors were frequently assessed (23/24). Determinants commonly associated with non-adherence were homelessness, incarceration, and alcohol or drug misuse. Health system (8/24) and psychosocial factors (6/24) were less commonly evaluated.CONCLUSION: Our review identified some key factors associated with non-adherence to anti-TB treatment in HILI settings. Modifiable determinants such as psychosocial factors are under-evidenced and should be further explored, as these may be better targeted by adherence support. There is an urgent need to standardise definitions and measurement of adherence to more accurately identify the strongest determinants.
Overview of noun factor
The noun factor has 7 senses (first 4 from tagged texts)
1. (31) factor -- (anything that contributes causally to a result; "a number of factors determined
the outcome")
2. (8) component, constituent, element, factor, ingredient -- (an abstract part of something;
"jealousy was a component of his character"; "two constituents of a musical composition are melody
and harmony"; "the grammatical elements of a sentence"; "a key factor in her success"; "humor: an
effective ingredient of a speech")
3. (4) divisor, factor -- (one of two or more integers that can be exactly divided into another
integer; "what are the 4 factors of 6?")
4. (1) agent, factor, broker -- (a businessman who buys or sells for another in exchange for a
commission)
5. factor -- (any of the numbers (or symbols) that form a product when multiplied together)
6. factor -- (an independent variable in statistics)
7. gene, cistron, factor -- ((genetics) a segment of DNA that is involved in producing a polypeptide
chain; it can include regions preceding and following the coding DNA as well as introns between the
exons; it is considered a unit of heredity; "genes were formerly called factors")
Overview of verb factor
The verb factor has 3 senses (first 1 from tagged texts)
1. (2) factor, factor in, factor out -- (resolve into factors; "a quantum computer can factor the
number 15")
2. factor -- (be a contributing factor; "make things factor into a company's profitability")
3. factor, factor in, factor out -- (consider as relevant when making a decision; "You must factor
in the recent developments")
--- WordNet end ---