Non-compliance with health surveillance is a matter of Biosafety: a survey of latent tuberculosis infection in a highly endemic setting.

dc.creatorRocha, Sheila Sotelino da
dc.creatorMarinho, Jamocyr Moura
dc.creatorOliveira, Evelin Santos
dc.creatorRodrigues, Jaqueline Silva
dc.creatorConceição, Elisabete Lopes
dc.creatorMeira Junior, Antonio Edson
dc.creatorAlmeida, Alzira
dc.creatorMendes, Carlos Maurício Cardeal
dc.creatorArruda, Sérgio Marcos
dc.creatorBessa, Theolis Costa Barbosa
dc.date2014-12-04T18:58:18Z
dc.date2014-12-04T18:58:18Z
dc.date2011
dc.date.accessioned2023-09-26T23:38:27Z
dc.date.available2023-09-26T23:38:27Z
dc.identifierROCHA, S. S. et al. Non-compliance with health surveillance is a matter of Biosafety: a survey of latent tuberculosis infection in a highly endemic setting. BMJ Open, v. 1, n. 1, p. e000079, 2011.
dc.identifier2044-6055
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/9052
dc.identifier10.1136/bmjopen-2011-000079
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8892689
dc.descriptionObjective This study aimed at identifying demographic, socio-economic and tuberculosis (TB) exposure factors associated with non-compliance with the tuberculin skin test, the management and prevention of non-compliance to the test. It was carried out in the context of a survey of latent TB infection among undergraduate students taking healthcare courses in two universities in Salvador, Brazil, a city highly endemic for TB. Methods This is a cross-sectional study of 1164 volunteers carried out between October 2004 and June 2008. Bivariate analysis followed by logistic regression was used to measure the association between non-compliance and potential risk factors through non-biased estimates of the adjusted OR for confounding variables. A parallel evaluation of occupational risk perception and of knowledge of Biosafety measures was also conducted. Results The non-compliance rate was above 40% even among individuals potentially at higher risk of disease, which included those who had not been vaccinated (OR 3.33; 95% CI 1.50 to 7.93; p=0.0018), those reporting having had contact with TB patients among close relatives or household contacts (p=0.3673), or those whose tuberculin skin test status was shown within the survey to have recently converted (17.3% of those completing the study). In spite of the observed homogeneity in the degree of Biosafety knowledge, and the awareness campaigns developed within the study focussing on TB prevention, the analysis has shown that different groups have different behaviours in relation to the test. Family income was found to have opposite effects in groups studying different courses as well as attending public versus private universities. Conclusions Although the data presented may not be directly generalisable to other situations and cultural settings, this study highlights the need to evaluate factors associated with non-compliance with routine testing, as they may affect the efficacy of Biosafety programs
dc.formatapplication/pdf
dc.languageeng
dc.publisherBMJ Publishing Group
dc.rightsopen access
dc.subjectTuberculose
dc.subjectFatores socioeconômicos
dc.subjectTeste tuberculínico
dc.subjectHumanos
dc.subjectBrasil
dc.subjectRisco ocupacional
dc.subjectBiossegurança
dc.subjectPrevenção & Controle
dc.titleNon-compliance with health surveillance is a matter of Biosafety: a survey of latent tuberculosis infection in a highly endemic setting.
dc.typeArticle


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