Risk factors for refusing to continue medical follow-up by tuberculosis patients detected in the penitentiary system of the Russian Federation
https://doi.org/10.21292/2075-1230-2020-98-9-44-49
Abstract
One of the essential problem sisthelack of continuity of medical follow-up and treatment of tuberculosis patients released from the penitentiary units and transferred tocivilian medical services. Mostly it is due to the fact that patients released from prisons are reluctant to continue medical follow up needed for their disease of tuberculosis or risk of its reactivation.
The objective of the study: to find out the predictors of avoidance behavior in tuberculosis patients released from the penitentiary system of Russia resulting in reluctance to continue medical follow-up.
Subjects and methods. During the case-control study, the information about 75 patients was investigated; those patients were detected in the penitentiary system in the period with 2014 2018 and released by the moment when the study was conducted. Ofthem, 62 referred to TB dispensary to continue follow-up and 13 didn't. The following predictors of the failure to continue medical follow-up were found out: the lackofa regular place of residence or foreign citizen ship; tuberculosis with minimal lesions and the negative result of the sputum test; clinically cured tuberculosis at the moment of release (Group III of dispensary follow-up). The regular place of residence, certain concurrent somatic conditions, and virus hepatites contributed to the willingness of patients to continue follow-up in the civilian medical system including due to tuberculosis.
About the Authors
S. N. Lisovskiy
Federal Research Institute for Health Organization and Informatics
Russian Federation
Russian Federation
Chief Specialist,
11, Dobrolyubova St., Moscow, 127254
E. N. Turkina
Kaliningrad Regional TB Dispensary
Russian Federation
Russian Federation
Head of Medical Statistics Unit. 5,
Dubovaya Ave., Kaliningrad, 238010
S. A. Sterlikov
Federal Research Institute for Health Organization and Informatics
Russian Federation
Russian Federation
Doctor of Medical Sciences, Deputy Head of Federal Monitoring Center for Prevention of Tuberculosis Transmission in the Russian Federation within Program Monitoring,
11, Dobrolyubova St., Moscow, 127254
Yu. V. Mikhaylova
Federal Research Institute for Health Organization and Informatics
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, First Deputy Director,
11, Dobrolyubova St., Moscow, 127254
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Review
For citations:
Lisovskiy S.N., Turkina E.N., Sterlikov S.A., Mikhaylova Yu.V. Risk factors for refusing to continue medical follow-up by tuberculosis patients detected in the penitentiary system of the Russian Federation. Tuberculosis and Lung Diseases. 2020;98(9):44-49. (In Russ.) https://doi.org/10.21292/2075-1230-2020-98-9-44-49
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