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In search of factors responsible for noncompliance among tuberculosis patients in Wardha District, India


  • Barnhoorn, Florie
  • Adriaanse, Hans


From September 1988 to February 1989 52 compliant and 50 noncompliant tuberculosis outpatients who were prescribed antituberculosis drug regimens were interviewed in Wardha District, India. Patients were compared by means of a questionnaire with previously fixed response options in order to identify which factors were responsible for having complied or not. Discriminant analysis demonstrated differences between completers and noncompleters on several health belief items, in particular those regarding health motivation, the perceived severity of the disease, costs and benefits of the treatment regimen and self-efficacy. Compliers reported more physical symptoms at the onset of the disease, whereas more noncompliers mentioned a deteriorated health condition at the time of interviewing. Low associations were found between demographic and socioeconomic variables and adherence, except for some indicators of income level. The relationship between presence of social support and cooperation with the treatment procedure was confirmed. An indication of an educational problem was the association between the compliance behaviour of a patient and his or her knowledge of specific aspects of the disease, the origin of tuberculosis and features of the drug regimen. Satisfaction with the health care provider contributed positively to the continuation of drug intake.

Suggested Citation

  • Barnhoorn, Florie & Adriaanse, Hans, 1992. "In search of factors responsible for noncompliance among tuberculosis patients in Wardha District, India," Social Science & Medicine, Elsevier, vol. 34(3), pages 291-306, February.
  • Handle: RePEc:eee:socmed:v:34:y:1992:i:3:p:291-306

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    References listed on IDEAS

    1. Temin, Peter, 1983. "Costs and benefits in switching drugs from Rx to OTC," Journal of Health Economics, Elsevier, vol. 2(3), pages 187-205, December.
    2. Foster, S. D., 1990. "Improving the supply and use of essential drugs in sub-Saharan Africa," Policy Research Working Paper Series 456, The World Bank.
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    Cited by:

    1. Doriana Delfino & Peter J. Simmons, "undated". "Infectious disease and economic growth: the case of tuberculosis," Discussion Papers 99/23, Department of Economics, University of York.
    2. Blair, Robert A. & Morse, Benjamin S. & Tsai, Lily L., 2017. "Public health and public trust: Survey evidence from the Ebola Virus Disease epidemic in Liberia," Social Science & Medicine, Elsevier, pages 89-97.
    3. Asad, Asad L. & Kay, Tamara, 2015. "Toward a multidimensional understanding of culture for health interventions," Social Science & Medicine, Elsevier, pages 79-87.


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