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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
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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.
Journal of Community Health Nursing © 1987 Taylor & Francis, Ltd.