The impact of meaning in life and life goals on adherence to a tuberculosis medication regimen in South Africa
International Journal of Tuberculosis and Lung Disease
Massachusetts General Hospital (MGH), Institute of Health Professions, Boston, MA, United States; University of California-San Francisco, San Francisco, CA, United States; University of KwaZulu Natal, Durban, South Africa; University of New Brunswick, Fredericton, NB, Canada; Massachusetts General Hospital, Boston, MA, United States; MGH Institute of Health Professions, CNY 36 1st Ave, Boston, MA 02129, United States
SETTING: Out-patient tuberculosis (TB) clinics in Durban, South Africa. OBJECTIVE: Health care provider concerns about persons with active TB defaulting on medications led to a study of adherence among persons receiving anti-tuberculosis therapy and, specifically, the relationships between meaning in life, life goals, sense of coherence, social support, symptom presence and intensity, and adherence in individuals diagnosed with TB. DESIGN: A cross-sectional, descriptive design was used to gather self-reported data from TB-infected individuals who were enrolled in out-patient clinics. Data were collected from 159 Zulu and/or English-speaking persons who agreed to participate in the study. RESULTS: A significant relationship was found between higher life goals and adherence to TB treatment (P = 0.027). Analysis of variance revealed that higher meaning in life ratings were significantly associated with older age (P = 0.007). Having children and children living in the same household were significantly associated with low meaning in life ratings (P = 0.006 and P ≤ 0.001, respectively), indicating that these individuals were more concerned about basic matters of home and sustenance. CONCLUSIONS: The results of this study indicate that meaning in life and life goals may be useful for identifying individuals who will require additional support in adhering to anti-tuberculosis treatment. © 2006 The Union.
tuberculostatic agent; adult; aged; article; controlled study; demography; female; health care personnel; human; life; lung tuberculosis; male; outpatient department; patient compliance; priority journal; social support; South Africa; Adolescent; Adult; Aged; Cross-Sectional Studies; Female; Goals; Humans; Life; Male; Middle Aged; Patient Compliance; Social Support; Social Values; South Africa; Tuberculosis; Value of Life