Diferenças na adesão ao tratamento da tuberculose em relação ao sexo / Differences in the adhesion to tuberculosis treatment in relation to sex

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Introduction Approximately one third of worlds population is infected by M. tuberculosis, and the prevalence of infection is higher among men. The reasons for the differences in the epidemiology of tuberculosis and the adhesion to the treatment in relation to sex are unknown. Objectives Verify the differences in the adhesion to the treatment of tuberculosis in relation to sex. Identify facilitating and difficulty aspects for the adhesion to the treatment of tuberculosis in relation to sex. Analyze the belief that is considered important for the adhesion to the tuberculosis treatment. Methodology Quali-quantitative research, based on the content analysis and with theoretical foundation in the Health Belief Model. Semi-structured interviews were carried out in 6 health services from the Health District of Freguesia do Ó/Brasilândia, with 28 patients in supervised treatment for tuberculosis, being 11 men and 17 women. Quantitative data were obtained in the book of Register and Control of Treatment for Tuberculosis Cases of each health service. Results Those who failed to treat tuberculosis showed the following profile: woman, single and divorced, with non-proved paid activity, and scholarship level between complete fundamental I and complete medium education; man, married, with proved paid activity, and scholarship level between complete fundamental II and complete medium education. The facilitating aspects found for the good adhesion are the good attendance of health professionals and the patients perception in his/her health improvement. The beliefs for the good adhesion to treatment both in male and female were: good attendance of health service and good treatment (related to medicines). Conclusion Men and women do not show differences in susceptibility beliefs. In regard to the beliefs related to noticed seriousness there were differences. Women showed fear of transmission of the illness for their children and they associate the tuberculosis to HIV. Men are scared about sexual questions. The benefits mentioned were the good attendance and treatment. Barriers for adhesion were wrong diagnosis, collateral effects and assistance questions independent of sex. The suggested measures are related to the need of specific tasks for the male public, for them to use the health services, principally the PSF, so that the early diagnosis of tuberculosis can occur. Training courses for the diagnosis of tuberculosis are suggested for all the health system. It is necessary to carry out a work joining health and educational systems to dismantle the disease stigma.

ASSUNTO(S)

sex sexo tuberculose adhesion adesão tuberculosis

ACESSO AO ARTIGO

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