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KMID : 0882420220970010050
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Korean Journal of Medicine
2022 Volume.97 No. 1 p.50 ~ p.59
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Factors Related to Successful Tuberculosis Treatment in Vulnerable Groups
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Kim Young-Hyun
Lee Ji-Yeon
Jeong In-A
Kim Jung-Hyun
Kim Joo-Hae
Han Ji-Yeon
Jeong Eun-Jin
Han Ah-Yeon
Joh Joon-Sung
Park Jung-Duck
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Abstract
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Background/Aims: Although the incidence and mortality of tuberculosis are decreasing in South Korea, the number of applications for financial assistance with the cost of tuberculosis treatment made by individuals from vulnerable groups was 3.8 times higher in 2019 compared to 2017 (Tuberculosis Relief Belt Project, 2019).
Methods: We analyzed the data of patients who received financial aid for tuberculosis treatment (in the period 2014-2018) from the Tuberculosis Relief Belt Project, which was designed to assist vulnerable groups. This study analyzed 137 subjects, and the independent variables included patient factors (age, gender, nationality, tuberculosis type, number of comorbidities, and place of residence) and treatment type (outpatient or inpatient). The dependent variable was the treatment outcome.
Results: The likelihood of treatment success was significantly lower for patients with one (odds ratio [OR] 0.202), two (OR 0.147), or three or more (OR 0.070) comorbidities compared to those with no comorbidities. This was also the case for patients living alone (OR 0.097), and for those classified as homeless (OR 0.053). Korean patients (OR 8.512) had a significantly higher probability of a successful treatment outcome than foreigners.
Conclusions: Appropriate community-based management of individuals with tuberculosis from vulnerable groups, including foreigners, people with comorbidities, people living alone, and people with an unstable residential situation or homeless status, is important.
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KEYWORD
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Tuberculosis, Vulnerable populations, Treatment success
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