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Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil

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DOI:

https://doi.org/10.1590/s1679-49742021000300012

Keywords:

Tuberculosis, Therapeutics, Costs and Cost Analysis, Cohort Studies, Socioeconomic Factors, Brazil

Abstract

Objective: To assess the impact of catastrophic costs on the unfavorable outcome of tuberculosis treatment. Methods: This is prospective cohort made in five capitals of Brazilian states (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) between June 2016 and July 2018. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95%CI). Results: The 350 participants, 310 were included, and 30 had unfavorable outcome. Catastrophic cost (OR=2.53 – 95%CI 1.13;5.67) and divorce episode (OR=5.29 – 95%CI 1.39;20.05) increased the chance of unfavorable outcome. Conclusion: financial difficulties faced during the treatment of tuberculosis can impair the treatment outcome. The determinants for the treatment outcome were catastrophic cost and divorce.

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Posted

2021-03-25

Section

Health Sciences