dc.contributor.author | Craig, Gillian M | |
dc.contributor.author | Zumla, Alimuddin | |
dc.date.accessioned | 2018-02-06T17:29:16Z | |
dc.date.available | 2018-02-06T17:29:16Z | |
dc.date.issued | 2015-03 | |
dc.identifier.citation | Craig , G M & Zumla , A 2015 , ' The social context of tuberculosis treatment in urban risk groups in the United Kingdom : a qualitative interview study ' , International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases , vol. 32 , pp. 105-10 . https://doi.org/10.1016/j.ijid.2015.01.007 | |
dc.identifier.issn | 1201-9712 | |
dc.identifier.uri | http://hdl.handle.net/2299/19734 | |
dc.description | This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. | |
dc.description.abstract | OBJECTIVES: There is scant qualitative research into the experiences of tuberculosis (TB) treatment in urban risk groups with complex health and social needs in the UK. This study aimed to describe the social context of adherence to treatment in marginalized groups attending a major TB centre in London. METHODS: A qualitative cross-sectional study was performed using semi-structured interviews with patients receiving treatment for TB. Analytical frameworks aimed to reflect the role of broader social structures in shaping individual health actions. RESULTS: There were 17 participants; the majority were homeless and had complex medical and social needs, including drug and alcohol use or immigration problems affecting entitlement to social welfare. Participants rarely actively chose not to take their medication, but described a number of social and institutional barriers to adherence and their need for practical support. Many struggled with the physical aspects of taking medication and the side effects. Participants receiving directly observed therapy (DOT) reported both positive and negative experiences, reflecting the type of DOT provider and culture of the organization. CONCLUSIONS: There is a need for integrated care across drug, alcohol, HIV, and homeless services in order to address the complex clinical co-morbidities and social needs that impact on the patient's ability to sustain a course of treatment. | en |
dc.format.extent | 6 | |
dc.format.extent | 740663 | |
dc.language.iso | eng | |
dc.relation.ispartof | International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Aged | |
dc.subject | Cross-Sectional Studies | |
dc.subject | Directly Observed Therapy | |
dc.subject | Female | |
dc.subject | Homeless Persons | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Patient Compliance | |
dc.subject | Social Support | |
dc.subject | Sociological Factors | |
dc.subject | Surveys and Questionnaires | |
dc.subject | Tuberculosis | |
dc.subject | United Kingdom | |
dc.subject | Young Adult | |
dc.subject | Journal Article | |
dc.subject | Research Support, Non-U.S. Gov't | |
dc.title | The social context of tuberculosis treatment in urban risk groups in the United Kingdom : a qualitative interview study | en |
dc.contributor.institution | School of Health and Social Work | |
dc.contributor.institution | Weight and Obesity Research Group | |
dc.description.status | Peer reviewed | |
rioxxterms.versionofrecord | 10.1016/j.ijid.2015.01.007 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |