Role Of Social & Psychological Factors In Drug Default In Patients Of Pulmonary Tuberculosis
Research Problem: What is the influence of social and psychological factors on drug default in patients of pulmonary tuberculosis? Objective: To assess the role of social and psychological factors in drug default in patients of pulmonary tuberculosis. Study Design: Hospital - based study by questionnaire method Setting and Participants: Patients of pulmonary tuberculosis attending Out Patient Department of Tuberculosis and Respiratory Diseases, J.N. Medical College Hospital, A.M.U., Aligarh. Sample Size: 136 defaulters and 86 treated cases of pulmonary tuberculosis. Study Variables: Social factors, psychological factors, drug default and pulmonary tuberculosis. Outcome Variables: Association of social and psychological factors with drug default in pulmonary tuberculosis patients. Statistical Analysis: By chi - square test and significance at 5% level. Result: Important social factors influencing drug default were joint family (74.27%), lack of money (22.06%) and uncooperative family (11.7%). Psychiatric morbidity among defaulters was significantly high (68.39%). Conclusion: Patient compliance depends on many psychological (e.g. psychiatric morbidity, type of personality), and sociological,factors (including economic status of patient, nature of family, its environment, interaction between patient and doctor and patient's own attitude and idea about his disease). Age, sex, residence, religion and education did not show any significant contribution towards drug default.