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All Journal Media Kesehatan Masyarakat Indonesia International Journal of Clinical Inventions and Medical Sciences (IJCIMS) Indian Journal of Forensic Medicine & Toxicology Miracle Journal Of Public Health (MJPH) JKMM Narra J Nursing Care and Health Technology Journal (NCHAT) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Berita Kedokteran Masyarakat Indonesian Research Journal on Education Journal of Public Health and Pharmacy Preventif : Jurnal Kesehatan Masyarakat
Ridwan Amiruddin
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Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Education Energy Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Non-adherence to pulmonary tuberculosis treatment: prevalence and associated factors in an urban community health center in Makassar, Indonesia Syahrani, Zalsah Puteri Annisa; Amiruddin, Ridwan; Wijaya, Eri; Sequeira, Octavio; Wiratama, Bayu Satria
Berita Kedokteran Masyarakat Vol 42 No 03 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i03.28079

Abstract

Purpose: Non-adherence to tuberculosis (TB) treatment remains a major public health concern, contributing to drug resistance, ongoing trans- mission, and increased morbidity and mortality. This study aimed to determine the prevalence and determinants of treatment non-adherence among pulmonary TB patients at the Tamalate Public Health Center, Makassar City, Indonesia, focusing on sociodemographic, behavioral, and health-related factors. Methods: A cross-sectional study was conducted from April 2024 among 110 pulmonary TB patients selected through exhaustive sampling. Treatment adherence was measured using the Morisky Medication Adherence Scale (MMAS). Data were collected via structured interviews using KoboCollect and analyzed in Stata 14.0 using univariate and bivariate analyses (Chi-square and odds ratio). Results: Among 110 respondents, 30.0% were non-adherent. Most demonstrated poor TB-related knowledge (77.3%), low income (65.4%), and low education levels (42.7%). More than half experienced adverse drug effects (55.4%) and reported high family support (54.6%). In multivariate analysis, poor knowledge about tuberculosis remained independently associated with treatment non-adherence (aOR = 7.3; 95% CI: 2.13–25.30). Other factors, including adverse drug effects, household income, educational level, employment status, health insurance type, and family support, were not independently associated with non-adherence after adjustment. Conclusion: Treatment non-adherence in urban TB patients was primarily driven by poor tuberculosis-related knowledge, underscoring the need for strengthened, structured patient education within TB control programs.
Co-Authors Adriana Palimbo, Adriana Ahmad, Haslinah Alimin Maidin Aminuddin Syam Aminuddin Syam Andi Hardianti Andi Nur Utami Andi Selvi Yusnitasari, Andi Selvi Andi Ummu Salmah Andi Zulkifly Abdullah Anwar Daud Anwar Mallongi Arsin, Andi A. Asmawati, Veny Hadju Bayu Satria Wiratama Buchair, Nur Hikmah Citra Kesumasar Citrakesumasari Darmayadi Danduru Erniyasih, Erniyasih Fridawaty Rivai Gemini Alam Handayani, Anna Hasanuddin Ishak Herawati Herawati Ida Leida Maria Indahwaty Sidin Indar indar Isra Wahid J. Hadi, Anto Jonesius Eden Manopo Jumriani Ansar Kasman Kasman Lalu M Saleh Lukman Bima Mauritz Silalahi Muh.Tahir Abdullah Muhammad Rasyid Ridha Muhammad Syafar Nurardhi Putra Kusuma Nurhaedar Jafar Owildan Wisudawan Poedji Hastutiek Ramadhani, Andi Tis'a Rangkuti, Juni Andriani Ria Febriany Darfis Ria Qadariah Arief Ridwan Mochtar Thaha Risnah Salmahi, Andi Ummu Sambe, Ghea Fricillia Sanuddin, Sudirman Sequeira, Octavio Shabrina Vashtinia Putri Tryanda Sirajuddin Saifuddin Sitti Aisyah Stang Stang Sudirman Nasir Sudirman Sanuddin Syahrani, Zalsah Puteri Annisa Syamsiah Russeng Tahir Abdullah Uliadi Barrung Limbong Uly, Nilawati Wahyuni, Andi Nur Afifah Wijaya, Eri Wilis Milayanti