Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

If you need an accessible version of this item please contact JSTOR User Support

Identifying Compliance Incentives for Screening and Treatment of Tuberculosis

Susan J. McDonald and Margaret Ma
Journal of Community Health Nursing
Vol. 4, No. 3 (1987), pp. 131-143
Published by: Taylor & Francis, Ltd.
Stable URL: http://www.jstor.org/stable/3427121
Page Count: 13
  • Download ($44.00)
  • Cite this Item
If you need an accessible version of this item please contact JSTOR User Support
Identifying Compliance Incentives for Screening and Treatment of Tuberculosis
Preview not available

Abstract

A significant proportion of the residents of the Downtown East Side in the city of Vancouver is at a comparatively high risk of contracting tuberculosis (TB) due to various psychosocial factors. Based on data from three case-finding studies of a small segment of this population, it was suspected that this area contained many undetected cases. One study revealed a prevalence rate as high as 300 per 100,000, as compared with a prevalence rate of 34 per 1,000,000 in the metropolitan Vancouver area. To effectively control TB and to reduce the high rate of TB in this area, an ongoing screening program was instituted to identify individuals with TB and to initiate and supervise treatment. This area is characterized by a relatively high incidence of social and economic problems including alcohol and drug addiction and unemployment. The age of the population is predominantly in the 30- to 60-year range; the population is highly transient. Consequently, drawing high-risk individuals into the screening program presents difficulties, and many individuals have difficulty adhering to the prescribed treatment regimen. This article describes various strategies employed to encourage these individuals to be screened and also examines selected components of community health nursing practice utilized to determine what factors contribute to adherence to treatment.

Page Thumbnails

  • Thumbnail: Page 
[131]
    [131]
  • Thumbnail: Page 
132
    132
  • Thumbnail: Page 
133
    133
  • Thumbnail: Page 
134
    134
  • Thumbnail: Page 
135
    135
  • Thumbnail: Page 
136
    136
  • Thumbnail: Page 
137
    137
  • Thumbnail: Page 
138
    138
  • Thumbnail: Page 
139
    139
  • Thumbnail: Page 
140
    140
  • Thumbnail: Page 
141
    141
  • Thumbnail: Page 
142
    142
  • Thumbnail: Page 
143
    143